Abstract
Clinical trials evaluate how well a new medical approach works in people. Each trial answers scientific questions and tries to find better ways to prevent, screen for, diagnose, or treat a disease. Clinical trials may also compare a new treatment to a treatment that is already available. Every clinical trial has a protocol for conducting the trial. The randomized clinical trial (RCT) is the most powerful trial to decide the benefit of one treatment over the other. It is often considered the gold standard. The great value of RCT lies in the act of randomizing patients to receive or not receive the intervention when all other possible causes are equal between the two groups so that any significant differences between the groups in the outcome event could be attributed to the intervention and not to some other unidentified factor. Many randomized controlled trials involve large sample size because many treatments have relatively small effects. Obtaining statistically significant differences between two samples is easy if large differences are expected. The randomization procedure gives the randomized controlled trial its strength. Random allocation means that all participants have the same chance of being assigned to each of the study groups.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Endophthalmitis Vitrectomy Study Group. Results of the endophthalmitis vitrectomy study. A randomized trial of immediate vitrectomy and intravenous antibiotics for the treatment of postoperative bacterial endophthalmitis. Arch Ophthalmol. 1995;113:1479–96.
Jadad AR. Randomised controlled trials: a user’s guide. London, England: BMJ Books; 1998.
Speaker MG, Menikoff JA. Prophylaxis of endophthalmitis with topical povidone-iodine. Ophthalmology. 1991;98:1769–75.
Endophthalmitis Study Group, European Society of Cataract and Refractive Surgeons. Prophylaxis of postoperative endophthalmitis following cataract surgery: results of the ESCRS multicenter study and identification of risk factors. J Cataract Refract Surg. 2007;33:978–88.
Das T, Jalali S, Gothwal VK, et al. Intravitreal dexamethasone in exogenous bacterial endophthalmitis: results of a prospective randomized study. Br J Ophthalmol. 1999;83:1050–5.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Das, T. (2018). Clinical Trials in Endophthalmitis. In: Das, T. (eds) Endophthalmitis . Springer, Singapore. https://doi.org/10.1007/978-981-10-5260-6_31
Download citation
DOI: https://doi.org/10.1007/978-981-10-5260-6_31
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-5259-0
Online ISBN: 978-981-10-5260-6
eBook Packages: MedicineMedicine (R0)