Refractive Change Induced by 2.8-mm Corneal Incision (CINPHA)
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Purpose
The investigators' purpose is to study the induced refractive change caused by different 2.8-mm corneal incision locations in phacoemulsification, because the investigators hypothesize that the effect may be different for nasal, temporal, and superior location, although they are considered astigmatism neutral.
Patients will be randomized to nasal or temporal incision, or assigned to superior incision, depending on preexisting astigmatism. Visual acuity, refraction, keratometry, Pentacam analysis, intraocular pressure, biomicroscopy, and funduscopy, will be carried out before and after phacoemulsification.
Outcome measures will be induced corneal refractive change (Fourier power vector analysis), ISV change, and visual acuity, at 6 months.
| Condition | Intervention |
|---|---|
|
Cataract Refractive Surgery Astigmatism |
Procedure: Nasal 2.8-mm corneal incision Procedure: Temporal 2.8-mm corneal incision Procedure: Superior 2.8-mm incision |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | Study of Refractive Change Induced by 2.8-mm Corneal Incisions for Cataract Surgery |
- Induced corneal refractive change [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- ISV change [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Visual acuity [ Time Frame: 6 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 108 |
| Study Start Date: | August 2008 |
| Study Completion Date: | December 2009 |
| Primary Completion Date: | September 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: I
Nasal 2.8-mm corneal incision
|
Procedure: Nasal 2.8-mm corneal incision
Phacoemulsification through a nasal 2.8-mm incision
Other Name: Phacoemulsification nasal incision
|
|
Active Comparator: II
Temporal 2.8-mm corneal incision
|
Procedure: Temporal 2.8-mm corneal incision
Phacoemulsification through a 2.8-mm temporal incision
Other Name: Phacoemulsification temporal incision
|
|
Active Comparator: III
Superior 2.8-mm corneal incision
|
Procedure: Superior 2.8-mm incision
Phacoemulsification through a superior 2.8-mm corneal incision
Other Name: Phacoemulsification superior incision
|
Eligibility| Ages Eligible for Study: | 50 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Visual impairment for daily tasks caused by cataract
- Age older than 50 years
- Steep axis of corneal astigmatism at 90° ± 20° or 180° ± 20°
- Ability to cooperate in the protocol procedures
Exclusion Criteria:
- Age below 50
- Inability to cooperate with measurements
Contacts and Locations| Spain | |
| Dept Ophthalmology, Hospital Universitario Ramón y Cajal | |
| Madrid, Spain, 28034 | |
| Principal Investigator: | Jaime Tejedor, MD, PhD | Dept Ophthalmology |
| Study Chair: | José A Pérez-Rodríguez, MD | Dept Ophthalmology |
More Information
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Jaime Tejedor / Dr, Hospital Ramón y Cajal |
| ClinicalTrials.gov Identifier: | NCT00742950 History of Changes |
| Other Study ID Numbers: | CINPHACO |
| Study First Received: | August 26, 2008 |
| Last Updated: | June 24, 2011 |
| Health Authority: | Spain: Spanish Agency of Medicines |
Keywords provided by Hospital Universitario Ramon y Cajal:
|
Corneal incision Cataract surgery Phacoemulsification Surgically induced astigmatism Corneal Topography |
Additional relevant MeSH terms:
|
Astigmatism Cataract Refractive Errors Eye Diseases Lens Diseases |
ClinicalTrials.gov processed this record on May 22, 2013