New eye implant could replace drops after retina surgery
NCT ID NCT04371445
First seen Jun 25, 2026 · Last updated Jul 30, 2026 · Updated 3 times
Summary
This study tests a tiny gel-like insert placed in the tear duct that releases dexamethasone, a steroid, to reduce pain and swelling after vitreoretinal surgery. It compares the insert to standard steroid eye drops in 30 adults undergoing surgery for conditions like macular holes or epiretinal membranes. The goal is to see if the insert controls inflammation and pain as well as drops, with less hassle.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dexamethasone ophthalmic insert (DEXTENZA)
- What this could lead to
- If it works, this could offer a more convenient way to manage pain and inflammation after eye surgery, potentially replacing daily eye drops.
- What could go wrong
- This is a small, early-phase study with only 30 participants, so results may not apply to everyone. The insert may not control inflammation as well as drops, and there is a risk of side effects like increased eye pressure or infection.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2020
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Men and women \>18 years old * Planning to undergo vitreoretinal surgery with the procedure type of pars plana vitrectomy for either the indication of macular hole, epiretinal membrane removal, or vitreomacular traction. Exclusion Criteria: * Patients undergoing combined cataract or glaucoma procedure, intraocular lens exchange, scleral buckle, and/or implant of a drug delivery system * History of complications, trauma, adverse events, disease in nasolacrimal region, including dacryocystitis, canaliculitis in either eye * Structural lid abnormalities such as ectropion or entropion in surgical eye * Ongoing use of systemic narcotic pain relievers * Presence of any intraocular inflammation (cells and flare) in the study eye at screening/baseline * Pain score greater than "0" on the ocular pain assessment in the study eye at screening/baseline * Active or chronic or recurrent uncontrolled ocular or systemic inflammatory disease, including diabetes * Other ocular surgeries or procedures during the study period and/or 6 months prior * Intraoperative complications * Patients with history of glaucoma (defined as glaucoma requiring 2 or more drops, IOP at baseline greater than 25, or advanced optic nerve cupping). Patients with glaucoma or ocular hypertension controlled with a single drop can be enrolled. * Patients with a known hypersensitivity to NSAIDs or steroids or any component of the study medication. * Have used ocular, topical, or systemic NSAIDs within 7 days prior to procedure and during surgery. * Use of intracameral or subconjunctival NSAIDs or steroids intraoperatively. * Have used topical, ocular, inhaled or systemic steroids within 14 days prior to procedure * Are pregnant or nursing/lactating * Participation as a subject in any clinical study within the 30 days prior to randomization. * Surgeries using 20 gauge or 23 gauge instruments.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Cole Eye Institute, Cleveland Clinic
RECRUITINGCleveland, Ohio, 44195, United States
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