Comparison of Traditional Cataract Surgery and Traditional Surgery Combined Triamcinolone Staining

NCT ID: NCT04323982

Last Updated: 2020-06-04

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

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-03-27

Study Completion Date

2021-03-25

Brief Summary

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Previously, the investigators have developed a surgical technique to reduce inflammatory response after congenital cataract surgery. This prospective, randomized controlled study aims to compare the prognosis of traditional cataract surgery with traditional surgery combined triamcinolone staining of the anterior vitreous in treating congenital cataracts.

Detailed Description

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Surgical technique for congenital cataract is now more and more mature, but many young patients still have obvious postoperative inflammatory response, which might cause visual axial opacification, posterior synechiae and secondary glaucoma. Triamcinolone is used in intraocular injection for its anti-inflammatory effect However, the application of Triamcinolone was reported to be associated with high intraocular pressure. It is necessary to evaluate the safety and effectiveness of using triamcinolone in congenital cataract surgery.

In this randomized clinical trial, children with equal degree of congenital cataract in both eyesare enrolled. Patients receive cataract surgery on both eyes on the same day. For each patient, one eye is randomly assigned to undergo traditional surgical procedure, while the fellow eye is undergoing new surgical procedure. The traditional surgical procedure include anterior continuous curvilinear capsulorhexis (ACCC), irrigation/aspiration (I/A), posterior continuous curvilinear capsulorhexis (PCCC), and anterior vitrectomy(A-VIT). Primary intraocular lens implantation (IOL) is performed in children older than age of two. The new surgical procedure is to combine triamcinolone staining of the anterior vitreous on the basis of the traditional surgical procedure. Investigators then compare the incidence of high intraocular pressure, visual axis opacification, uveitis, iris/pupil abnormality, and macular edema between two groups

Conditions

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Congenital Cataract

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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New Cataract Surgery

Traditional surgery combined triamcinolone staining of the anterior vitreous (TA)

Group Type EXPERIMENTAL

new surgical procedure

Intervention Type PROCEDURE

(ACCC + I / A + PCCC + TA+ A-vit) or (ACCC + I / A + PCCC + IOL + TA + A-vit)

Traditional Cataract Surgery

For patients younger than 2 years of age: anterior continuous capsulorhexis + irrigation/aspiration + posterior capsulorhexis + anterior vitrectomy (ACCC+ I/A + PCCC + A-vit) For patients older than 2years of age: anterior continuous capsulorhexis + irrigation/aspiration + posterior capsulorhexis + primary intraocular lens implantation + anterior vitrectomy (ACCC+ I/A + PCCC + IOL + A-vit)

Group Type ACTIVE_COMPARATOR

traditional surgical procedure

Intervention Type PROCEDURE

(ACCC + I / A + PCCC + A-vit) or (ACCC + I / A + PCCC + IOL + A-vit)

Interventions

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new surgical procedure

(ACCC + I / A + PCCC + TA+ A-vit) or (ACCC + I / A + PCCC + IOL + TA + A-vit)

Intervention Type PROCEDURE

traditional surgical procedure

(ACCC + I / A + PCCC + A-vit) or (ACCC + I / A + PCCC + IOL + A-vit)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Age between 3 months and 13 years
2. Uncomplicated bilateral same degree of congenital cataract (≥ 3 mm central dense opacity)
3. Informed consent signed by a parent or legal guardian

Exclusion Criteria

1. Intraocular pressure \>21 mmHg
2. Preterm birth (\<28 weeks)
3. Presence of other ocular diseases (keratitis, keratoleukoma, aniridia, glaucoma, microcornea, persistent hyperplastic primary vitreous) or systemic disease (congenital heart disease, ischemic encephalopathy)
4. History of ocular trauma
5. Previous intraocular surgery
Minimum Eligible Age

3 Months

Maximum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Haotian Lin

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chen Weirong, MD

Role: STUDY_CHAIR

SunYat-sen University

Locations

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Zhognshan Ophthalmic Center, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Wang Qiwei, MD

Role: CONTACT

+86-13924025677

Facility Contacts

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Qiwei Wang, M.D., Ph.D

Role: primary

+ 86-13924025677

Related Links

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http://www.gzzoc.com/

Homepage of Zhongshan Ophthalmic Center

Other Identifiers

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CCPMOH2020-China-1

Identifier Type: -

Identifier Source: org_study_id

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