MedPath

Phacoemulsification and changes in outflow facility

Not Applicable
Completed
Conditions
Glaucoma
outflow facility
phacoemulsification
Eye Diseases
Registration Number
ISRCTN04247738
Lead Sponsor
Guy's and St. Thomas' NHS Foundation Trust (UK)
Brief Summary

2018 results in: https://www.ncbi.nlm.nih.gov/pubmed/29654113

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
40
Inclusion Criteria

1. Aged greater than 21 years
2. Lens opacity deemed enough to be causing reduced vision
3. Diagnosis of primary open angle glaucoma (POAG) (Group 1) or no glaucoma (Group 2). POAG defined as glaucomatous optic neuropathy together with an intraocular pressure (IOP) greater than 21 mmHg on at least one occasion, visual field defects (using the 24-2 test pattern on a Humphrey Field Analyser) and a gonioscopic angle width of 3 or 4 and normal in appearance.
4. Patient's willingness to participate in the study and ability to give informed consent

Exclusion Criteria

1. Previous intraocular surgery
2. Previous ocular trauma that can cause damage to the drainage angle (e.g. angle recession)
3. International normalised ratio (INR) greater than 3.0 on the day of surgery (for the patients on warfarin)
4. Anterior segment neovascularisation
5. Chronic use of systemic or topical steroid
6. Any other concurrent ocular disease e.g. uveitis, diabetic retinopathy, corneal diseae, etc.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Outflow facility is measured using electronic Shiotz tonography at 3, 6 and 12 months post cataract surgery
Secondary Outcome Measures
NameTimeMethod
1. Anterior chamber depth is measured using IOL master at baseline<br>2. Intraocular pressure is measured using Goldmann applanation tonometer at baseline, 3, 6 and 12 months<br>3. Intra- or post-operative complications is measured using clinically intra-operatively and post operatively<br>4. Development of glaucoma is measured using clinically and Humphrey visual field at baseline and 12 months
© Copyright 2025. All Rights Reserved by MedPath