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Quantification of Posterior Capsule Opacification in Pediatric Cataract

Not Applicable
Completed
Conditions
Posterior Capsule Opacification
Interventions
Procedure: Cataract Surgery
Device: Alcon AcrySof SA60AT
Device: Bausch Lomb AkreosA
Registration Number
NCT02968290
Lead Sponsor
University of Sao Paulo
Brief Summary

The purpose of this study is to quantify the opacity of posterior capsule in pediatric cataract comparing two intraocular lens materials.

Detailed Description

The eye exam at the first appointment will consist of anamnesis, external motor, evaluating strabismus and nystagmus, visual acuity with and without correction, biomicroscopy, fundoscopy, binocular ultrasound biometry, pachymetry and specular microscopy. The surgery will be performed by a single surgeon under general anesthesia. All participants will receive primary intraocular lens implantation as the randomization process, or hydrophobic acrylic material or hydrophilic acrylic. The implanted intraocular lens differ primarily in the material. The lens of hydrophobic acrylic materials (AcrySof SA60AT, Alcon Lab) single, folding part, material acrylate / methacrylate with UV protection AcrySof filter, optical diameter of 6.0 mm, total length of 13.0 mm, haptic angle of 0 degree with 360 degree double square edge, spherical convex earlier. The lens hydrophilic acrylic material (Akreos ADAPT, Bausch and Lomb) single, folding piece with optical diameter 6.00 mm and length de10.7 mm aspheric convex in anterior and posterior with absorbent UV, haptic angle 0 degree angulation . It has 4 attachment points (haptics) with 360 degree square double edge.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • indication for cataract surgery
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Exclusion Criteria
  • traumatic cataract
  • neurological diseases that do not allow the exams
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Hydrofobic material-Alcon AcrySof SA60ATAlcon AcrySof SA60ATIntervention- Cataract Surgery with implantation of intraocular lens. In this arm will be implantation hydrofobic material.
Hydrophilic material-Bausch Lomb AkreosACataract SurgeryIntervention- Cataract Surgery with implantation of intraocular lens. In this arm will be implantation hydrophilic material.
Hydrophilic material-Bausch Lomb AkreosABausch Lomb AkreosAIntervention- Cataract Surgery with implantation of intraocular lens. In this arm will be implantation hydrophilic material.
Hydrofobic material-Alcon AcrySof SA60ATCataract SurgeryIntervention- Cataract Surgery with implantation of intraocular lens. In this arm will be implantation hydrofobic material.
Primary Outcome Measures
NameTimeMethod
Opacification of posterior capsule measured by graduation through the software EPCO software360 days after cataract surgery

Photodocumentation with camera coupled to slit lamp adapter with external coaxial illumination of a fiber optic cable to the camera. After, analysis of opacification of the posterior capsule through the Evaluation of Posterior Capsule opacification software (EPCO 2000). The EPCO (Evaluation of Posterior Capsule Opacification) software is commercially available and offers some free access. The individual PCO score is calculated by multiplying the density of the opacification by the fraction of capsule area involved behind the IOL optic. It graded the PCO as 0 (none), 1 (minimal), 2 (mild), 3 (moderate) or 4 (severe). EPCO is one of the most used software for this purpose.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Humberto Castro Lima

🇧🇷

Salvador, Bahia, Brazil

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