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Congenital Cataract Morphological Classifications

Not Applicable
Completed
Conditions
Congenital Cataract
Interventions
Procedure: slit-lamp-adapted anterior segmental photography
Registration Number
NCT02748031
Lead Sponsor
Sun Yat-sen University
Brief Summary

Photography is considered as one of the most important means to promote evidence-based medical practice in pediatric ophthalmology.This study is to investigate the feasibility of congenital cataract morphological classifications and monitoring using slit-lamp-adapted anterior segmental photography in a large cohort that included uncooperative children.

Detailed Description

Lens opacities in congenital cataracts have a wide range of presentations.Therefore, it is important to find a method of recording, classifying and monitoring cataract morphologies that is feasible and safe in a large cohort of children with congenital cataracts, including uncooperative children. Photography is considered as one of the most important means to promote evidence-based medical practice in pediatric ophthalmology.

In this study, the investigators studied congenital cataract morphological classifications and monitoring using slit-lamp-adapted anterior segmental photography and evaluated its safety and feasibility in pediatric cataract patients registered in the Childhood Cataract Program of the Chinese Ministry of Health.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1050
Inclusion Criteria
  • Children with pediatric unilateral/bilateral cataracts
  • Children who were younger than 10 years of age
Exclusion Criteria
  • Premature birth
  • Microphthalmia
  • Micro-or Megalocornea
  • Keratoconus
  • Glaucoma
  • Traumatic or complicated cataracts
  • Vitreous and retinal diseases
  • Any previous surgeries, and contraindication for pupil dilation and sedation

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
eligible patients groupslit-lamp-adapted anterior segmental photography-
Primary Outcome Measures
NameTimeMethod
Congenital Cataract Morphological Classifications and Monitoring using Slit-Lamp-Adapted Photographybaseline

All eligible pediatric patients underwent pupil dilation with compound tropicamide eye drops 3 times (1 time every 10 minutes) before the examination or administration of sleep aid medicine. Then, the children underwent slit-lamp-adapted anterior segmental photography (BX900, Haag-Streit AG, Köniz, Switzerland) for each cataractous lens, including one diffuse light photo, one slit-light photo across the cataract and one retro-illumination photo. All photos of the included patients were screened and morphologically classified separately by two pediatric ophthalmologists; a third ophthalmologist was masked and required to make a decision if the first two physicians had different opinions.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Zhongshan Ophthalmic Center, Sun Yat-sen University

🇨🇳

Guangzhou, Guangdong, China

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