Endothelial Cell Loss and Induced Astigmatism After Wound-directed and Wound-assisted IOL Injection
Endothelial Cell Loss and Surgically Induced Astigmatism After 2.2 mm Wound Assisted vs 2.4 mm Wound-Directed Clear Corneal Incisions for Intraocular Lens Insertion During Cataract Surgery
1 other identifier
interventional
72
1 country
1
Brief Summary
The purpose of this study is to determine if there is any difference in astigmatism (eye surface curvature) or corneal endothelial cell density (the inner cell lining of the eye surface) after two different methods for inserting a lens during cataract surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Apr 2010
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2010
CompletedFirst Submitted
Initial submission to the registry
November 29, 2010
CompletedFirst Posted
Study publicly available on registry
December 1, 2010
CompletedDecember 1, 2010
November 1, 2010
7 months
November 29, 2010
November 30, 2010
Conditions
Outcome Measures
Primary Outcomes (1)
Surgically induced astigmatism
measured by topography at 1 month post operative visit
1 month
Secondary Outcomes (3)
Endothelial cell loss
one month
Best corrected visual acuity
one month
Final incision size
intraoperatively (day #0)
Study Arms (2)
Wound-assisted lens injection
ACTIVE COMPARATORWound-assisted lens injection is considered neither superior or inferior to wound-directed lens injection.
Wound-directed lens injection
ACTIVE COMPARATORWound-directed lens injection is neither considered superior nor inferior to wound-assisted lens injection.
Interventions
After cataract removal during cataract surgery, a lens needs to be injected into the eye. Both arms are routinely used but different methods for injecting the lens.
Eligibility Criteria
You may qualify if:
- Eligible patients include those who undergo uncomplicated cataract extraction surgery and IOL implantation by KLC.
You may not qualify if:
- suffer from diabetes and have more than mild background diabetic retinopathy,
- have a history of intraocular surgery,
- have a history of ocular trauma,
- have known pathology of the cornea,
- have a history of intraocular inflammation,
- are unable to understand English,
- are decisionally impaired,
- are currently incarcerated, or
- are less than 18 years of age.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Kittner Eye Center
Chapel Hill, North Carolina, 27599, United States
Related Publications (6)
Tsuneoka H, Hayama A, Takahama M. Ultrasmall-incision bimanual phacoemulsification and AcrySof SA30AL implantation through a 2.2 mm incision. J Cataract Refract Surg. 2003 Jun;29(6):1070-6. doi: 10.1016/s0886-3350(03)00076-2.
PMID: 12842669BACKGROUNDKamae KK, Werner L, Chang W, Johnson JT, Mamalis N. Intraocular pressure changes during injection of microincision and conventional intraocular lenses through incisions smaller than 3.0 mm. J Cataract Refract Surg. 2009 Aug;35(8):1430-6. doi: 10.1016/j.jcrs.2009.03.038.
PMID: 19631132BACKGROUNDOsher RH. Microcoaxial phacoemulsification Part 2: clinical study. J Cataract Refract Surg. 2007 Mar;33(3):408-12. doi: 10.1016/j.jcrs.2006.10.055.
PMID: 17321390BACKGROUNDKohnen T, Klaproth OK. Incision sizes before and after implantation of SN60WF intraocular lenses using the Monarch injector system with C and D cartridges. J Cataract Refract Surg. 2008 Oct;34(10):1748-53. doi: 10.1016/j.jcrs.2008.06.031.
PMID: 18812128BACKGROUNDVentura AC, Walti R, Bohnke M. Corneal thickness and endothelial density before and after cataract surgery. Br J Ophthalmol. 2001 Jan;85(1):18-20. doi: 10.1136/bjo.85.1.18.
PMID: 11133705BACKGROUNDMasket S, Wang L, Belani S. Induced astigmatism with 2.2- and 3.0-mm coaxial phacoemulsification incisions. J Refract Surg. 2009 Jan;25(1):21-4. doi: 10.3928/1081597X-20090101-04.
PMID: 19244949BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Kenneth Cohen, MD
UNC dept. of ophthalmology
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 29, 2010
First Posted
December 1, 2010
Study Start
April 1, 2010
Primary Completion
November 1, 2010
Study Completion
November 1, 2010
Last Updated
December 1, 2010
Record last verified: 2010-11