Clinical Evaluation of Modified 2.2mm Microincision Phacoemulsification for Age-related Cataract

NCT ID: NCT04014699

Last Updated: 2020-09-16

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

COMPLETED

Clinical Phase

NA

Total Enrollment

130 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-22

Study Completion Date

2020-01-22

Brief Summary

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This study is a single-center, parallel-group, randomized controlled trial with the following objectives: to compare the incidence of post-operative descemet membrane detachment (DMD) in phacoemulsification surgery between modified and conventional 2.2mm microincision.

Detailed Description

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2.2mm incision is considered an ideal incision size in phacoemulsification. However, DMD is a common and serious complication in 2.2mm microincision phacoemulsification for hard nucleus age-related cataract. DMD is originated from the incision in the operation. How to construct the appropriate incision shape and size for reducing the occurrence of DMD is an important problem to be solved urgently in phacoemulsification surgery.

The investigators found that enlarging the internal incision could increase the range of motion of surgical instruments and reduce the friction of instruments to incision. Therefore,the incidence of DMD would be reduced. The investigators developed this technique, modified 2.2mm incision, to reduce the incidence of incision-site DMD and not to increase other incision related complications.

In this trial, the investigators aim to compare modified and conventional 2.2mm incision with regard to safety and efficacy in reducing the incidence of DMD.

Conditions

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Cataract

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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modified 2.2mm micoincision

Group Type EXPERIMENTAL

modified 2.2mm microincision

Intervention Type PROCEDURE

enlarging the internal incision about 0.4mm for conventional 2.2mm coaxial microincision phacoemulsification

conventional 2.2mm microincision

Group Type ACTIVE_COMPARATOR

conventional 2.2mm microincision

Intervention Type PROCEDURE

conventional 2.2mm coaxial microincision phacoemulsification

Interventions

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modified 2.2mm microincision

enlarging the internal incision about 0.4mm for conventional 2.2mm coaxial microincision phacoemulsification

Intervention Type PROCEDURE

conventional 2.2mm microincision

conventional 2.2mm coaxial microincision phacoemulsification

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Aged-related cataract patients between 65 and 90 years ;
* Lens nuclear opalescence grade ≥4.0 on the Lens Opacities Classification System III (LOCS III);
* Scheduled for phacoemulsification combined with intraocular lens implantation.
* The number of corneal endothelial cells \> 1500cells/mm2.
* Dilated pupil diameter ≥6mm

Exclusion Criteria

* A history of ophthalmic trauma or surgery;
* Other ophthalmic diseases such as glaucoma, uveitis, high myopia;
* Ocular factors that would make surgery challenging or dangerous, including but not limited to small pupil, shallow anterior chamber, etc.
Minimum Eligible Age

65 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Zhongshan Ophthalmic Center, Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yizhi Liu, PhD

Role: PRINCIPAL_INVESTIGATOR

Zhongshan Ophthalmic Center, Sun Yat-sen University

Locations

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Zhongshan Ophthalmic Center, Sun Yat-sen University

Guangzhou, , China

Site Status

Countries

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China

References

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Dai Y, Liu Z, Wang W, Han X, Jin L, Chen X, Jin G, Wang L, Zhang E, Qu B, Liu J, Congdon N, He M, Luo L, Liu Y. Incidence of Incision-Related Descemet Membrane Detachment Using Phacoemulsification With Trapezoid vs Conventional 2.2-mm Clear Corneal Incision: A Randomized Clinical Trial. JAMA Ophthalmol. 2021 Nov 1;139(11):1228-1234. doi: 10.1001/jamaophthalmol.2021.4148.

Reference Type DERIVED
PMID: 34647960 (View on PubMed)

Other Identifiers

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2019KYPJ091

Identifier Type: -

Identifier Source: org_study_id

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