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. 2019 Dec 19;9(12):e033175. doi: 10.1136/bmjopen-2019-033175

Table 3.

Timeline of major study procedures

Examination visit Procedures
Prestudy visit (exam #0)—routine care appointment
  • Clinical eye examination suggests a viral aetiology

  • AC paracentesis is performed to establish a viral aetiology

    • Half of fluid will be used for in-house directed PCR for HSV, VZV and CMV

    • At least 50 μL of fluid will be preserved and used for quantitative CMV PCR to be conducted at a single US laboratory in eligible participants

  • Laboratory screening orders (CBC, chemistry panel, pregnancy test, HIV status)

  • Patients will be prescribed topical corticosteroid (prednisolone acetate 1%) to be used one drop in affected eye four times per day (this is typical standard of care)

  • Patients requiring management of elevated IOP will be prescribed IOP-lowering medication according to treating ophthalmologist’s discretion and best medical judgement

Exam #1 (day 1 of study (7 days after exam #0))
  • Review of results of in-house CMV PCR and laboratory results

  • Consent, enrolment, randomisation to treatment arm if participants meet eligibility criteria

  • Treatment initiation

  • Clinical eye examination (in the following order, VA, slit lamp examination of anterior segment, IOP)

  • Endothelial cell morphology and density using specular microscopy or confocal microscopy

Exam #2 (day 7 of study)
  • Clinical eye examination (in the following order, VA, slit lamp examination of anterior segment, IOP)

  • AC paracentesis #2

  • Laboratory monitoring orders (CBC, Cr, BUN)

Exam #3 (day 28 of study)
  • Clinical eye examination (in the following order, VA, slit lamp examination of anterior segment, IOP)

  • Endothelial cell density using specular microscopy or confocal microscopy

  • Laboratory monitoring orders (CBC, Cr, BUN)

AC, anterior chamber; BUN, blood urea nitrogen; CBC, complete blood count; CMV, cytomegalovirus; Cr, creatinine; HSV, herpes simplex virus; IOP, intraocular pressure; VA, visual acuity; VZV, varicella-zoster virus.