Surgery to remove orbital bloody tumors through the conjunctiva by aid of a device that facilitates the procedure

ISRCTN ISRCTN45970569
DOI https://doi.org/10.1186/ISRCTN45970569
ClinicalTrials.gov (NCT) Nil known
Clinical Trials Information System (CTIS) Nil known
Protocol serial number Nil known
Sponsor Mansoura University
Funder Investigator initiated and funded
Submission date
16/04/2020
Registration date
24/04/2020
Last edited
03/06/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Eye Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Hemangioma is a benign tumor that is found to grow within the orbit. Most commonly located behind the eye globe, it can push the eye forward causing eye-bulging doctors call proptosis.

The tumor can be removed through surgery entering via the lower eyelid (transconjunctival orbitotomy) using cryotherapy. Cryotherapy uses imaging guidance, a needle-like applicator called a cryoprobe, and liquid nitrogen or argon gas to create intense cold to freeze and destroy diseased tissue, including cancer cells.

The aim of this study is to evaluate the safety and efficacy of cryo-assisted transconjunctival orbitotomy for the extraction of intraconal cavernous hemangiomas.

Who can participate?
Patients with intraconal cavernous hemangiomas

What does the study involve?
The transconjunctival approach will be used for cryo-assisted lesion extraction. Cases will be followed for six months after the surgery.

What are the possible benefits and risks of participating?
Benefits: excision of the orbital tumors, avoid compression of the optic nerve and avoid exposure keratitis
Risks: trauma to the optic nerve, trauma to the globe, rupture of the mass and inability to remove the tumor

Where is the study run from?
Mansoura ophthalmic center (Egypt)

When is the study starting and how long is it expected to run for?
April 2017 to September 2018

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Abd El Ghafar, aiman_eg_123@yahoo.com

Contact information

Dr Ayman Abd El Ghafar
Scientific

Ophthalmology Center
12 Gehan street
Mansoura
35516
Egypt

ORCiD logoORCID ID 0000-0002-5127-7558
Phone +20 (0)1005876138
Email ayman_gh@mans.edu.eg

Study information

Primary study designInterventional
Study designInterventional non comparative single center case series
Secondary study designNon randomised study
Study type Participant information sheet
Scientific titleTransconjunctival cryo-assisted extraction of intraconal cavernous hemangioma
Study objectivesis the transconjunctival cryo-assisted approach for excision of intraconal cavernous hemangioma is safe and effective?
Ethics approval(s)Approved 10/05/2017, Mansoura institutional review board (IRB) (Mansoura University Faculty of Medicine, Mansoura, Egypt; +20 (0)1092127930; IRB.MFM@hotmail.com), ref: R/17.05.26
Health condition(s) or problem(s) studiedOrbital intraconal cavernous hemangioma
InterventionExcision of intraconal cavernous hemangiomas were performed through the transconjunctival approach assisted by the cryo-probe.

Patients enrolled were informed about the nature of surgery and benefits and possible complications of the procedure. they were admitted from May 2017 to August 2018 and followed for 6 months after surgery.
Intervention typeProcedure/Surgery
Primary outcome measure(s)

The success of the operation and complications measured using direct interview of patients after six months

Key secondary outcome measure(s)

None

Completion date14/09/2018

Eligibility

Participant type(s)Patient
Age groupAdult
SexAll
Target sample size at registration18
Key inclusion criteriaPatients with intraconal cavernous hemangiomas
Key exclusion criteriaIntraconal, non-compressible, solid lesions that simulate cavernous hemangioma e.g. schwannoma, solitary neurofibroma, and fibrous histiocytoma
Date of first enrolment14/05/2017
Date of final enrolment14/08/2018

Locations

Countries of recruitment

  • Egypt

Study participating centre

Mansoura ophthalmic center
Gomhoria steet
Mansoura
35516
Egypt

Results and Publications

Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
IPD sharing planThe datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

03/06/2020: The following changes have been made:
1. The recruitment start date has been changed from 02/05/2017 to 14/05/2017.
2. The overall trial start date has been changed from 02/03/2017 to 02/04/2017.
3. The overall trial end date has been changed from 05/05/2019 to 14/09/2018.
4. The plain English summary has been updated to reflect the changes above.
23/04/2020: Trial’s existence confirmed by Mansoura institutional review board.