Long-term Evaluation of Single-piece ACrysof IOL Implantation on Development of Posterior Capsule Opacification

Completed

• Conditions: Posterior Capsule Opacification After Phacoemulsification and IOL Implantation
• Interventions: Procedure: Cataract surgery with IOL implantation

• Registration Number: NCT01820065
• Lead Sponsor: Iladevi Cataract and IOL Research Center

Brief Summary

Although contemporary cataract surgery has made tremendous strides in technological advancement, posterior capsular opacification (PCO) is still the most frequent long-term complication leading to decreased visual functions and thereby dissatisfying results. A great deal of effort has been made to develop new ways to prevent the formation of PCO. A key factor, widely discussed in literature, is the material and design of the intraocular lense (IOL) edge that can lead to PCO prevention. It is still not clear whether the sharp-edged IOL produces less PCO because of its optic geometry alone or whether the biomaterial contributes to the inhibition of PCO. With the clinical introduction of the single-piece acrylic hydrophobic IOLs with some optic and haptic design differences compared with three-piece acrylic hydrophobic IOLs, it has become possible to determine the influence of IOL material and design on PCO prevention. It is well established that the development of PCO is a dynamic process and that a longer follow-up time is correlated with a higher degree of PCO. So far, there have been prospective clinical studies on the clinical results of single and three-piece acrylic hydrophobic foldable IOLs. However, the question as to as to whether the PCO further increases or becomes stable or regresses on a long-term basis has not yet been answered. Since there is paucity of available literature that prospectively evaluates the development of PCO with the implantation of the single-piece SN60AT hydrophobic acrylic IOL on a long-term basis, the investigators decided to observe the degree of development of PCO at 5 years after cataract surgery.

Detailed Description

Not available

Study Timeline

• Study Start: 2005-06
• Primary Completion: 2011-10
• Study Completion: 2011-10
• Status Verified: 2013-03
• Study First Submitted: 2013-03-25
• Study First Submitted QC: 2013-03-27
• Last Update Submitted: 2013-03-27
• Study First Posted: 2013-03-28
• Last Update Posted: 2013-03-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 390

Inclusion Criteria

• patients with uncomplicated age-related cataract who were otherwise healthy

Exclusion Criteria

• a history of diabetes mellitus (DM),
• patients with glaucoma,
• high myopia (axial length > 27.0 mm),
• pseudoexfoliation,
• traumatic cataract,
• subluxated cataract,
• previous ocular surgeries, and
• allergy to dilating drops.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Patients undergoing phacoemulsification	Cataract surgery with IOL implantation	Patients undergoing phacoemulsification for age-related cataract with implantation of a single-piece Acrysof IOL (SN60AT)

Primary Outcome Measures

Name	Time	Method
Posterior Capsule Opacification	5 years followup	Evaluation of PCO (EPCO) scores in the area of the intraocular lens (IOL) optic and in the central 3mm zone at 5 years after surgery

Secondary Outcome Measures

Name	Time	Method
EPCO Score and EPCO area with total on and part on anterior capsulorhexis cover over optic	5 years postoperatively

Trial Locations

Locations (1)

Iladevi Cataract & IOL Research Centre; 🇮🇳 Ahmedabad, Gujarat, India