Unique ID issued by UMIN | UMIN000013909 |
---|---|
Receipt number | R000016214 |
Scientific Title | Randomized comparison of intraocular pressure (IOP) and corneal shape between eyes after transconjunctival single-plane scleracorneal incision and clear corneal incision cataract surgery |
Date of disclosure of the study information | 2014/05/08 |
Last modified on | 2016/08/05 17:07:20 |
Randomized comparison of intraocular pressure (IOP) and corneal shape between eyes after transconjunctival single-plane scleracorneal incision and clear corneal incision cataract surgery
IOP and corneal shape between eyes with single-plane scleracorneal and corneal incision cataract surgery
Randomized comparison of intraocular pressure (IOP) and corneal shape between eyes after transconjunctival single-plane scleracorneal incision and clear corneal incision cataract surgery
IOP and corneal shape between eyes with single-plane scleracorneal and corneal incision cataract surgery
Japan |
Cataract
Ophthalmology |
Others
NO
Recently, surgeons who perform trans- conjunctival single-plane scleracorneal incision cataract surgery are increasing. The purpose of this study was to compare the immediate change in IOP and wound structure, and corneal shape changes between eyes with the single-plane scleracorneal incision and clear corneal incision.
Efficacy
Confirmatory
Pragmatic
Not applicable
A) Changes in IOP and wound structure immediately after cataract surrgery
1) Longitudinal changes in IOP using rebound tonometer after cataract surgery preoperatively, at the conclusion of surgery; and at 15, 30, 60, and 120 minutes, and 24 hours postoperatively.
2) Seidel test at 30 minutes postoperatively
3) Wound structure at 30 minutes after surgery using the anterior segment-optical coherence tomography (AS-OCT)
B) Changes in corneal astigmatism and shape preoperatively and at 2, 14, 30, and 60 days postoperatively
4) Corneal astigmatism and surgically induced astigmatism determined using keratometer
5) Corneal shape change determined using corneal topography
5-1) Averaged difference map
5-2) Irregular corneal astigmatism determined by Fourier analysis
6) Corneal endothelial cell counts and central corneal thickness
7) Visual acuity
8) Refractive status (spherical power, refractive cylinder, manifest spherical equivalent power)
Interventional
Parallel
Randomized
Individual
Double blind -all involved are blinded
Active
NO
NO
NO
Numbered container method
2
Treatment
Maneuver |
Phacoemulsification surgery using transconjuctival single-plane sclerocorneal incision with 2.4 mm in length in unilateral eyes of 64 enrolled patients
Phacoemulsification surgery using clear corneal incision with 2.4 mm in length in contralateral eyes of 64 enrolled patients
Not applicable |
Not applicable |
Male and Female
All consecutive patients who were scheduled for bilateral cataract surgery at the Hayashi Eye Hospital from May 17, 2014. Bilateral eyes of 64 patients scheduled for cataract surgery were randomized to 1 of 2 groups: A) 32 patients who were to undergo a 2.4-mm single-plane sclerocorneal incision in the right eye and 2.4-mm clear corneal incision in the left eye, or B) 32 patients who were to undergo a 2.4-mm single-plane sclerocorneal incision in the left eye and 2.4-mm clear corneal incision in the right eye.
Exclusion criteria were eyes with any pathology of the cornea, vitreous body, macula, or optic nerve; eyes with glaucoma or ocular hypertension; eyes with pseudoexfoliation syndrome; eyes scheduled for planned extracapsular cataract extraction; a history of previous ocular surgery or inflammation; patients with diabetes; patient refusal; and any anticipated difficulties with examination or follow up.
64
1st name | |
Middle name | |
Last name | Ken Hayashi |
Hayashi Eye Hospital
Department of Ophthalmology
4-23-35, Hakataekimae, Hakata-ku, Fukuoka, Japan
092-431-1680
hayashi-ken@hayashi.or.jp
1st name | |
Middle name | |
Last name | Ken Hayashi |
Hayashi Eye Hospital
Department of Ophthalmology
4-23-35, Hakataekimae, Hakata-ku, Fukuoka, Japan
092-431-1680
hayashi-ken@hayashi.or.jp
Hayashi Eye Hospital
None
Self funding
Japan
NO
林眼科病院(福岡県)
2014 | Year | 05 | Month | 08 | Day |
Unpublished
Completed
2013 | Year | 11 | Month | 06 | Day |
2013 | Year | 12 | Month | 06 | Day |
2015 | Year | 09 | Month | 30 | Day |
2014 | Year | 05 | Month | 08 | Day |
2016 | Year | 08 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016214