Pupillary dilation to perform a fundus in premature newborns and neonates is often difficult to obtain, because of the non mature iris sphincter. The fundus is essential to detect retinal anomalies (as retinopathy of prematurity or chorioretinal or disk anomalies). The aim of the study is to obtain a satisfactory degree of mydriasis with a minimal dose of two mydriatic treatments, with an optimal duration and a good tolerance of the drugs. The study will evaluate the mydriasis in premature newborns, neonates and infants justifying a mydriasis for a bilateral diagnosis fundus, using ophthalmic insert Mydriasert® versus reference treatment (association of phenylephrine and tropicamide eyedrops). Ophthalmic insert Mydriasert® can control drug dispensation and decrease the number of nurse interventions to obtain mydriasis in patients.
The aim of the study is to obtain a satisfactory degree of mydriasis with a minimal dose of two mydriatic treatments, with an optimal duration and a good tolerance of the drugs. The study will evaluate the mydriasis in premature newborns, neonates and infants justifying a mydriasis for a bilateral diagnosis fundus, using ophthalmic insert Mydriasert® versus reference treatment (association of phenylephrine and tropicamide eyedrops). Ophthalmic insert Mydriasert® can control drug dispensation and decrease the number of nurse interventions to obtain mydriasis in patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
80
Premature newborns and neonates treated using ophthalmologic insert Mydriasert®
Premature newborns and neonates treated using reference treatment (association of Phenylephrine and tropicamide eyedrops)
Hôpital Robert Debré
Paris, France
Mydriasis larger than 5,5 mm with absence of photometer reflex to get a satisfactory fundus.
Time frame: 75 minutes
Frequency of the nurse intervention to obtain the mydriasis
Time frame: during 215 minutes maximum
Calculation of the dose of active drugs administrated
Time frame: one day
Local and systemic clinical tolerance
Time frame: one day
Occurrence of adverse reactions
Time frame: one day
Stability of a mydriasis of good quality at T+195
Time frame: at T+195 minutes
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.