The Oscillation of Crystalline and Intraocular Lenses

NCT ID: NCT04274634

Last Updated: 2020-07-29

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

UNKNOWN

Total Enrollment

50 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-10-31

Study Completion Date

2021-03-31

Brief Summary

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The crystalline lens of the human eye helps to sharpen vision. There can be issues with the support/stability of the lens. This could be seen with the naked eye of an external observer or with the use of a slit lamp.

Certain eye conditions can predispose to issues with lens stability. If patients have stability issues with their natural lens- this would be termed as "phakodonesis". However, in patients who have had prior cataract surgery with implantation of an artificial lens (IOL)- this would be termed as "pseudophakodonesis". Eye conditions such as pseudoexfoliation or Marfan-syndrome can lead to unstable lens support- this can be detected if there are advanced stability issues.

However, small instability in the eye's would not be detected with present descriptive methods. The authors have designed a high-speed camera which is able to detect stability of the lens, especially during eye movements. The high-speed camera can detect variation in the change of light reflex from the lens and calculate the amount of lens instability/oscillation. The results (in normal eyes) of this high-speed camera has already been published in a peer-review journal. It is non-contact and measures lens movement. The test lasts less than 5 minutes.

Further research is required to assess the amount of lens oscillation (wobbling) in different eye populations - patients with previous cataract surgery (an artificial implant is used to replace the lens) or eye conditions (such as pseudoexfoliation, Marfan syndrome). The amount of lens stability has a role in the planning of further intraocular surgery - especially cataract extraction - however, at present, there is no approved quantitative measurement for this.

Participants will be recruited through Anglia Ruskin University (educational establishment), local community groups, and through Southend University Hospital eye clinics (NHS organisation). Participants' data will remain anonymous.

Detailed Description

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Conditions

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Marfan's Syndrome With Ocular Manifestations Pseudoexfoliation Syndrome Cataract Phakodonesis Ectopia Lentis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Conditions with predisposition to lens oscillations

Marfan Syndrome and Pseudoexfoliation

No interventions assigned to this group

Age-matched with normal axial lengths

No interventions assigned to this group

Age-matched with extreme axial lengths

No interventions assigned to this group

Intraocular lens

No interventions assigned to this group

Pre- and post- cataract surgery

No interventions assigned to this group

Normals

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* \>18 years old
* Able to read and understand the English language

Exclusion Criteria

* Significant corneal scarring
* Taking medications that cause miosis (pupil constriction)
* Patients with no light perception
* Patients unable to open their eyes e.g. due to significant ptosis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Mid and South Essex NHS Foundation Trust

OTHER

Sponsor Role collaborator

Anglia Ruskin University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Southend University Hospital NHS Foundation Trust

Southend-on-Sea, Essex, United Kingdom

Site Status

Vision and Eye Research Institute (VERI)

Cambridge, , United Kingdom

Site Status

Countries

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United Kingdom

Facility Contacts

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Craig Mackerness

Role: primary

01702 385089

Aman Chandra

Role: backup

Megan H Vaughan

Role: primary

01223695310

Shahina Pardhan

Role: backup

Other Identifiers

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OSCCIL

Identifier Type: -

Identifier Source: org_study_id

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