The Effect of Infusion Pressure on the Outcomes of Phacoemulsification Surgery; the ENHANSE Study

NCT ID: NCT04637685

Last Updated: 2020-11-20

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

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-01

Study Completion Date

2023-09-01

Brief Summary

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The effect of infusion pressure on the outcomes of phacoemulsification surgery.

Detailed Description

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The Centurion phacoemulsification system with active sentry allows efficient cataract surgery with safe use of high vacuums, whilst allowing low and physiological infusion pressures, significantly lower than other surgical systems. There are reasons to expect that this will lead to patient benefit but it is uncertain if low infusion pressure during phacoemulsification will lead to improved outcomes. This is of particular interest in patients with vascular retinopathies such as diabetic retinopathy where the retinal vasculature is compromised, as well as glaucoma and other optic neuropathies where there is established nerve fibre layer loss.

The investigator will carry out a feasibility study with a two surgeon RCT of 70 patients with diabetic retinopathy and/or glaucoma undergoing phacoemulsification with randomisation of two different infusion pressures (low (30mmHg) versus the higher pressure (\~70mmHg) as currently used) using the active sentry system with assessment of a range of exploratory endpoints.

Conditions

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Cataract

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
All outcome assessors will be masked to treatment group allocation. The surgeon will not be masked.

Study Groups

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Standard pressure

Infusion pressures during phacoemulsification surgeon using the Alcon active sentry system with the Centurion - 70mmHg

Group Type ACTIVE_COMPARATOR

Centurion Phacoemulsification System

Intervention Type DEVICE

Infusion Pressure

Low or physiological pressure

Infusion pressures during phacoemulsification surgeon using the Alcon active sentry system with the Centurion - 30mmHg

Group Type ACTIVE_COMPARATOR

Centurion Phacoemulsification System

Intervention Type DEVICE

Infusion Pressure

Interventions

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Centurion Phacoemulsification System

Infusion Pressure

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients with cataract undergoing routine phacoemulsification with either diabetic retinopathy or glaucoma of any degree

Exclusion Criteria

* Dense cataract precluding adequate retinal imaging
* posterior polar cataract
* subluxated cataract,
* other vision affecting pathology,
* severe glaucoma
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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South Tyneside and Sunderland NHS Foundation Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David Steel

Role: PRINCIPAL_INVESTIGATOR

South Tyneside and Sunderland NHS Trust

Central Contacts

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Steve Dodds

Role: CONTACT

Phone: +441915699039

Email: [email protected]

David Steel

Role: CONTACT

Phone: +441915656256

Email: [email protected]

Other Identifiers

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288743

Identifier Type: -

Identifier Source: org_study_id