Effect of Minimising Ultrasound Power to 1% During Cataract Surgery on Corneal Endothelium.
OCTOPUS
Standard Coaxial Microincision Cataract Surgery Versus Coaxial Microincision Cataract Surgery Using 1% Ultrasound in Immature Senile Cataract :a Corneal Endothelium Study
1 other identifier
interventional
72
1 country
1
Brief Summary
Coaxial microincision cataract surgery using 1% ultrasound is not inferior to standard coaxial microincision cataract surgery in patients of grade 0.1-6.0 immature senile cataract in terms of corneal endothelial safety.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Nov 2010
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2010
CompletedFirst Submitted
Initial submission to the registry
December 6, 2010
CompletedFirst Posted
Study publicly available on registry
December 14, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2012
CompletedDecember 15, 2010
November 1, 2010
5 months
December 6, 2010
December 14, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
change in endothelial cell count from baseline over time
Noncontact specular microscope (EM - 3000; TOMEY: VERSION 2A/OJ) will be used to calculate the endothelial cell density, coefficient of variation of cell size, percentage of hexagonal cells and corneal thickness before surgery and 1day, 1 week, 1, 3, 6, 9 and 12 months visits after surgery. 3 endothelial cell photographs will be taken at each visit and the mean cell count of three photographs will be calculated. Counts will be performed by an observer blinded to which procedure the patient had undergone. Endothelial cell loss will be calculated as a percentage of pre operative cell density
1 day,1week,months 1,3,6,9,12
Secondary Outcomes (3)
change in Intraocular pressure from baseline
1day,1week,months1,3,6,9,12
visual acuity
1 month
posterior capsular rupture
day 0 of surgery
Study Arms (2)
one percent ultrasound
EXPERIMENTALCo-axial MICS shall be performed in cases allocated to this arm .The ultrasound power shall be kept at one percent during the surgery.A note of effective phacotime,volume of fluid aspirated and any intraoperative complications shall be made.
40 percent ultrasound
ACTIVE COMPARATORCo-axial MICS shall be performed in cases allocated to this arm .The ultrasound power shall be kept at 40 percent during the surgery.A note of effective phacotime,volume of fluid aspirated and any intraoperative complications shall be made.
Interventions
Co-axial MICS shall be performed in cases allocated to this arm .The ultrasound power shall be kept at one percent during the surgery.A note of effective phacotime,volume of fluid aspirated and any intraoperative complications shall be made.
Co-axial MICS shall be performed in cases allocated to this arm .The ultrasound power shall be kept at 40 percent during the surgery.A note of effective phacotime,volume of fluid aspirated and any intraoperative complications shall be made.
Eligibility Criteria
You may qualify if:
- Patients of \>40yrs will be included in the study.
- Grade 0.1-6.0 (LOCS III grading) of senile cataract.
You may not qualify if:
- Patients with pre-operative endothelial cell density count less than 1500cells/mm2.
- All eye pathologies that can compromise the visual recovery.
- Eyes with any kind of corneal dystrophy or corneal scars preventing visualisation of cataract for reliable grading.
- Raised intraocular pressure (\> 21 mmHg).
- Previous intraocular surgery.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Dr. R.M.L.Hospital,
New Delhi, National Capital Territory of Delhi, 110001, India
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Taru Dewan, MS FRCSEd
Dr. R.M.L.Hospital,New Delhi,India
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
Study Record Dates
First Submitted
December 6, 2010
First Posted
December 14, 2010
Study Start
November 1, 2010
Primary Completion
April 1, 2011
Study Completion
April 1, 2012
Last Updated
December 15, 2010
Record last verified: 2010-11