Impact of Systemic Corticosteroid Therapy on Lens Transparency and Quantification of Lens Autofluorescence.
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Purpose
Corticosteroid therapy is usually regarded as a risk factor for the development of posterior subcapsular cataracts but prospective studies on this topic and accurate assessment of this potential adverse effect are lacking. We will evaluate changes of lens transparency after administration of systemic corticosteroid therapy for at least one year with Scheimpflug photography and quantification of lens autofluorescence.
| Condition | Intervention |
|---|---|
|
Patients With Systemic Inflammatory Diseases Receiving for the First Time a Protracted General Corticostroid Therapy |
Drug: Prednisolone |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Corticosteroids and Cataracts : Prospective Study of the Impact of Systemic Corticosteroid Therapy on Lens Transparency Evaluated by Scheimpflug Photography and Quantification of Lens Autofluorescence. |
- Cataracts on Ophthalmologist's Examination
- Increase of Lens Autofluorescence
- Increase of Lens Density on Scheimpflug Photography
- Potential risk factor of cataracts related to the underlying disease or the individual
- Potential effect of time allowed from the beginning of treatment, duration and dosage of corticosteroids.
| Estimated Enrollment: | 22 |
| Study Start Date: | June 2000 |
| Estimated Study Completion Date: | July 2006 |
Corticosteroid therapy is usually regarded as a risk factor for the development of posterior subcapsular cataracts but prospective studies on this topic and accurate assessment of this potential adverse effect are lacking. We will evaluate changes of lens transparency after administration of systemic corticosteroid therapy for at least one year with Scheimpflug photography and quantification of lens autofluorescence.
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Patient who starts a treatment with Prednisone, Prednisolone or Methylprednisolone for an Expected time of one year at least, with normal lens autofluorescence at inclusion.
Exclusion Criteria:
- Previous cataracts and abnormal increase of lens autofluorescence considering age
- Previous elevation of intraocular pressure
- Progressive inflammatory or non inflammatory ocular disease
- Eye drop except artificial tears
- Insulin dependent and non insulin dependent diabetes
- Atopic dermatitis
- Previous protracted corticosteroid therapy
- Drugs known to be associated with an increased risk of cataract
Contacts and Locations| France | |
| Clermont-Ferrand University Hospital | |
| Clermont-Ferrand, Auvergne, France, 63003 | |
| Principal Investigator: | Marc Andre, Doctor | University Hospital, Clermont-Ferrand |
| Principal Investigator: | Olivier Aumaitre, Doctor | Hopital Gabriel Montpied (Clermont-Ferrand) |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00337623 History of Changes |
| Other Study ID Numbers: | CHU63-0011 |
| Study First Received: | June 1, 2006 |
| Last Updated: | June 22, 2006 |
| Health Authority: | France: Ministry of Health |
Keywords provided by University Hospital, Clermont-Ferrand:
|
Cataracts Corticosteroids Scheimpflug Lens autofluorescence |
Additional relevant MeSH terms:
|
Methylprednisolone acetate Prednisolone acetate Prednisolone Methylprednisolone Methylprednisolone Hemisuccinate Prednisolone hemisuccinate Prednisolone phosphate Anti-Inflammatory Agents Therapeutic Uses Pharmacologic Actions Glucocorticoids Hormones |
Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Antineoplastic Agents, Hormonal Antineoplastic Agents Antiemetics Autonomic Agents Peripheral Nervous System Agents Central Nervous System Agents Gastrointestinal Agents Neuroprotective Agents Protective Agents |
ClinicalTrials.gov processed this record on May 16, 2013