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Trial registered on ANZCTR
Registration number
ACTRN12611001211954
Ethics application status
Approved
Date submitted
20/11/2011
Date registered
24/11/2011
Date last updated
28/11/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Using Forceps to Remove the Rusty Ring that Forms after a Metal Foreign Body in the Cornea
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Scientific title
Cornea Rusty Ring Removal by Forceps Reduces Surgery Time and Pain, and Speeds Corneal Wound Healing
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Secondary ID [1]
273414
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Nil
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Universal Trial Number (UTN)
U1111-1125-9497
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Trial acronym
NA
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cornea Foreign Body
279206
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Condition category
Condition code
Eye
279411
279411
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0
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
In the conventional protocol, the residual material after foreign body is taken off and rusty ring are digged out by using a 30G injection syringe needle.
In the new protocol, the rusty ring is removed mainly by using a micro-knot forceps which is usually used in the anterior eye segment surgery. The rim of the ringelevated slightly by the needle tip so that it could be grasped easily with the forceps. Then, the entire ring was pulled gently using the forceps. The average surgery time under the new protocol was 3.2 min.
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Intervention code [1]
283750
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Treatment: Surgery
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Comparator / control treatment
The residual material and rusty ring were removed using the needle alone. Several trials of digging were usually required to remove pieces of the ring one after another until the entire ring was removed. The average surgery timeunder conventional protocol was 5.1 min.
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Control group
Active
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Outcomes
Primary outcome [1]
285983
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Shortened surgery time
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Assessment method [1]
285983
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Timepoint [1]
285983
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On completion of surgery
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Secondary outcome [1]
294895
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reduced pain score as quantified in a 4-point scale (0=none; 1=little; 2=some; 3=much) reported by the patients
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Assessment method [1]
294895
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Timepoint [1]
294895
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3 days after the surgery
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Secondary outcome [2]
294896
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Quicker corneal wound healing, which is indicated if fluorescent staining against damaged corneal epithelium is negative. The staining is examined with a micro-slit lamp (Haag-Streit 900, Gartenstadtstrasse, Switzerland) 24, 48, and 72 h after the surgery, with a blue light illumination.
A larger number of subjects with healed corneal is seen in the first and second days after the surgery in subjects receiving the new surgery.
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Assessment method [2]
294896
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Timepoint [2]
294896
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1,2 and 3 days after the surgery
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Eligibility
Key inclusion criteria
Subjects with superficial corneal foreign body injuries caused by metal debris (one eye in each patient)
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Minimum age
18
Years
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Maximum age
56
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
If removal was complete with no rusty ring remaining after a levering action was used by a needle to remove the foreign body from the cornea.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The subjects are refered by clinicians in the department, who do not know which group the subject will be allocated. At this stage, allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The subjects are numbered according the time sequence of the refereral. A simple randomisation table from a statistic book is used to allocate the subjects.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3968
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China
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State/province [1]
3968
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Jiangsu
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Funding & Sponsors
Funding source category [1]
284231
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Self funded/Unfunded
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Name [1]
284231
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Address [1]
284231
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Country [1]
284231
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Primary sponsor type
Individual
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Name
Shu Zhang
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Address
No.121, Jiangjiayuan Road, Xiaguan District
Nanjing
210011
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Country
China
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Secondary sponsor category [1]
269186
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Hospital
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Name [1]
269186
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The Second Affiliated Hospital of Nanjing Medical University
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Address [1]
269186
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No.121, Jiangjiayuan Road, Xiaguan District
Nanjing
210011
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Country [1]
269186
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China
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
286194
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The Human Research Ethics Committee of the Second Affiliated
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Ethics committee address [1]
286194
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No.121, Jiangjiayuan Road, Xiaguan District Nanjing 210011
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Ethics committee country [1]
286194
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China
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Date submitted for ethics approval [1]
286194
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10/12/2009
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Approval date [1]
286194
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20/12/2009
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Ethics approval number [1]
286194
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Summary
Brief summary
Totally 40 cornea metal foreign body injury cases were engaged to have the foreign body removal surgery. The new surgery protocol is characterized as a levering action was used to remove the foreign body from the cornea. If removal was incomplete due to the remaining of a rusty ring, removing the rim of the ring was elevated slightly by the needle tip so that it could be grasped easily with the forceps. Then, the entire ring was pulled gently using the forceps. The advantages of the new surgery include shortened surgery time, reduced pain score, and shortened corneal wound healing.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
33411
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Address
33411
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Country
33411
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Phone
33411
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Fax
33411
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Email
33411
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Contact person for public queries
Name
16658
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Shu Zhang
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Address
16658
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No.121, Jiangjiayuan Road, Xiaguan District,
Nanjing
210011
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Country
16658
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China
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Phone
16658
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+86 25 58509913
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Fax
16658
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Email
16658
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[email protected]
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Contact person for scientific queries
Name
7586
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Shu Zhang
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Address
7586
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No.121, Jiangjiayuan Road, Xiaguan District,
Nanjing
210011
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Country
7586
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China
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Phone
7586
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+86 25 58509913
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Fax
7586
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Email
7586
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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