The Incidence of Glistenings in the 2017 Intraocular Lenses Made by Alcon and Abbott Medical Optics

NCT ID: NCT03409185

Last Updated: 2023-12-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-11

Study Completion Date

2023-03-31

Brief Summary

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The purpose of this study is to seek academic/non-industry research funding support to independently investigate the incidence and density of lens glistenings in cataract patients who are implanted with the latest generations of intraocular lenses (IOL) manufactured by Alcon and AMO Medical Optics.

Detailed Description

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Glistenings are tiny, clear sparkling, fluid-filled microvacuoles that form within a lens after it has been placed in the eye. Glistenings are seen in all lenses but certain lenses develop a higher number of glistenings than others. The effect of glistenings on patients' visual functioning is largely unknown.

The occurrence of glistenings is in part related to the manufacturing technique. In 2013, manufacturers have claimed that recent improvements in manufacturing process have reduced the occurrence of glistenings. There is a lack of independent evaluation of this claim. We would like to assess independently: 1) How frequently do glistenings occur in patients implanted with the 2015 generation lenses? 2) Is there a difference in glistening occurrence between lenses manufactured by Alcon and Abbott Medical Optics (AMO) - the two largest companies in eye care products?

Two-hundred and seventy-six patients will be randomly assigned to receive Alcon or AMO lenses for their cataract surgery at the Kensington Eye Institute (KEI). After surgery, patients will be instructed to return for follow-up visits at 1 month, 6 months, 12 months and 18 months to assess for the occurrence of glistenings. If glistenings are observed at an earlier follow-up visit (e.g., the 6 month visit), patients will still be instructed to come for future visits so that changes in the glistenings over time can be observed.

Project Time-line:

Months 1-8: Participants recruiting, surgical operations, follow-up visits. Months 9-24: follow-up visits, data entry, cleaning and analysis, early results presentation, manuscript preparation and final report.

Conditions

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Cataracts Visual Acuity Reduced Transiently Loss of Visual Contrast Sensitivity Functional Visual Loss

Keywords

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Cataract surgery Intraocular lens Glistenings

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Alcon lens group

Alcon 1 piece SA60AT lens

Group Type EXPERIMENTAL

Alcon 1 piece SA60AT lens

Intervention Type DEVICE

Optic Diameter: 6.0 mm, Overall length: 13.0 mm, Material: Ultraviolet-absorbing Acrylate/Methacrylate Copolymer

AMO lens group

AMO 1 piece Sensar AABOO lens

Group Type ACTIVE_COMPARATOR

AMO 1-piece AABOO lens

Intervention Type DEVICE

Optic Diameter: 6.0 mm, Overall length: 13.0 mm, Material: Ultraviolet-blocking hydrophobic acrylic

Interventions

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Alcon 1 piece SA60AT lens

Optic Diameter: 6.0 mm, Overall length: 13.0 mm, Material: Ultraviolet-absorbing Acrylate/Methacrylate Copolymer

Intervention Type DEVICE

AMO 1-piece AABOO lens

Optic Diameter: 6.0 mm, Overall length: 13.0 mm, Material: Ultraviolet-blocking hydrophobic acrylic

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients consulting 5 surgeons for cataract surgery in the surgeon's primary offices
* Patients aged 18 years or older
* Patients who signed the consent form

Exclusion Criteria

* Individuals who cannot understand English in either written or verbal form and do not have language assistance available (e.g. from family members, friends)
* Patients with co-existing condition of corneal disease
* Patients with co-existing condition of uveitis
* Patients with co-existing condition of optic nerve disease
* Patients with co-existing condition of macular disease
* Patients with co-existing condition of diabetes
* Patients with co-existing condition of severe glaucoma (i.e. C/D ratio \>=0.9 AND the patient is on glaucoma treatment)
* Patients with prior refractive surgery
* Patients with complications of cataract surgery occurred during or after surgery
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kensington Eye Institute

OTHER

Sponsor Role collaborator

University of Toronto

OTHER

Sponsor Role lead

Responsible Party

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Yaping Jin

Associate Professor in Ophthalmic Epidemiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sherif El-Defrawy, MD, FRCSC

Role: PRINCIPAL_INVESTIGATOR

University of Toronto

Yaping Jin, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Toronto

Locations

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Kensington Eye Institute

Toronto, Ontario, Canada

Site Status

Countries

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Canada

Other Identifiers

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108162330RR0001

Identifier Type: -

Identifier Source: org_study_id