Association Between ORA and Residual Refractive Astigmatism After SMILE

NCT ID: NCT05604872

Last Updated: 2022-11-03

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

Total Enrollment

530 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-06-01

Study Completion Date

2022-06-30

Brief Summary

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The aim of our study is to analysis and compare the relationship between ORA and postoperative astigmatism in low astigmatism (less than 1D) and moderate to high (1D to 3D) astigmatism patients after SMILE (Small Incision Lenticule Extraction) refractive surgery.

Detailed Description

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Conditions

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Refractive Errors Astigmatism

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Interventions

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Small Incision Lenticule Extraction

A 500 kHzVisumax (Carl Zeiss Meditec AG) femtosecond laser was used with cap thickness ranging from 100 to 130μm, cap diameter from 7.3 to 7.9 mm. The lenticule was dissected with a blunt spatula through a 30 to 60-degree incision at the 10 o'clock position and removed using forceps afterward. Treatment targets of both eyes were set to emmetropia, the refraction corrections were based on manifest refractions

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Corrected distance visual acuity of both eyes reaches 0.1 logarithm of the minimum angle of resolution (logMAR)
* Stable refractive errors of myopia and astigmatism who received SMILE refractive surgery of both eyes

Exclusion Criteria

* Cataract
* Corneal opacities or irregularities
* Dry eye (Schirmer's test I ≤ 5mm)
* Amblyopia
* Coexisting ocular pathologies
* Glaucoma
* Non-dilating pupil
* History of intraocular surgery, laser therapy, or retinopathy
* Optic nerve or macular diseases
* Estimated postoperative cornea residual stromal thickness less than 250 μm
* Pregnancy or under lactation
* Uncontrolled diabetic mellitus or systemic immune disease \_Refusal or unable to maintain follow-up
Minimum Eligible Age

20 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Taipei Nobel Eye Clinic

OTHER

Sponsor Role lead

Responsible Party

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Chao-Kai Chang

Dean

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Taipei Nobel Eye Clinic

Taipei, , Taiwan

Site Status

Countries

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Taiwan

References

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Gyldenkerne A, Hjortdal J, Ivarsen A. Astigmatism prediction in small-incision lenticule extraction. J Cataract Refract Surg. 2020 Apr;46(4):524-533. doi: 10.1097/j.jcrs.0000000000000083.

Reference Type RESULT
PMID: 32271519 (View on PubMed)

Jun I, Kang DSY, Arba-Mosquera S, Reinstein DZ, Archer TJ, Jean SK, Kim EK, Seo KY, Lee HK, Kim TI. Comparison of clinical outcomes between vector planning and manifest refraction planning in SMILE for myopic astigmatism. J Cataract Refract Surg. 2020 Aug;46(8):1149-1158. doi: 10.1097/j.jcrs.0000000000000100.

Reference Type RESULT
PMID: 32347695 (View on PubMed)

Chao CC, Lin MY, Chang CK. The Association Between Ocular Residual Astigmatism and the Efficacy of Astigmatism Correction Via Small Incision Lenticule Extraction (SMILE). Ophthalmol Ther. 2023 Oct;12(5):2631-2640. doi: 10.1007/s40123-023-00766-1. Epub 2023 Jul 20.

Reference Type DERIVED
PMID: 37470969 (View on PubMed)

Other Identifiers

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003

Identifier Type: -

Identifier Source: org_study_id

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