UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063109
Receipt number R000072244
Scientific Title Evaluation of Anterior Chamber Stability During Cataract Surgery Using Intraoperative Optical Coherence Tomography
Date of disclosure of the study information 2026/09/30
Last modified on 2026/09/30 01:10:42

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Basic information

Public title

Evaluation of Anterior Chamber Stability During Cataract Surgery Using Intraoperative OCT

Acronym

Intraocular Stability During Cataract Surgery

Scientific Title

Evaluation of Anterior Chamber Stability During Cataract Surgery Using Intraoperative Optical Coherence Tomography

Scientific Title:Acronym

Intraoperative OCT Assessment of Anterior Chamber Stability During Cataract Surgery

Region

Japan


Condition

Condition

Age-related cataract

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare intraoperative anterior chamber stability between UNITY VCS and CENTURION Vision System in 50 patients with age-related cataract (50 eyes; 25 eyes per group). Preoperative and intraoperative data will be collected prospectively during routine clinical care. Iridocorneal angle dynamics during removal of the final nuclear fragment will be analyzed using intraoperative OCT recordings, and changes in iris diameter will be assessed using surgical videos.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Frequency of iridocorneal angle narrowing events of 10 degrees or greater per second during removal of the final nuclear fragment in cataract surgery, measured using intraoperative OCT.

Key secondary outcomes

Secondary outcome:
Change in iris diameter during removal of the final nuclear fragment in cataract surgery, assessed using surgical videos.

Exploratory outcomes:
1. Iridocorneal angle during removal of the final nuclear fragment, measured using intraoperative OCT
2. Intraoperative anterior chamber stability score (0-4), assessed using surgical videos
3. Ultrasound time
4. Aspiration time
5. Device-reported energy measures (CDE/Joules)

Device parameters will be recorded immediately after surgery.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit

80 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Patients aged 40 to 80 years with cataract who are scheduled to undergo phacoemulsification and intraocular lens implantation
2. Nuclear hardness of 2 to 3+ according to the EL classification
3. Patients who provide voluntary written informed consent to participate in the study

Key exclusion criteria

1. Corneal opacity
2. History of intraocular surgery
3. Zonular weakness
4. Risk of intraoperative complications
5. Small pupil diameter
6. Narrow iridocorneal angle (20 degrees or less)
7. Shallow anterior chamber (less than 2.8 mm)
8. Ocular inflammation or uveitis
9. Any other condition deemed unsuitable by the investigator

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Takashi
Middle name
Last name Koto

Organization

Kyorin University School of Medicine

Division name

Department of Ophthalmology

Zip code

181-8611

Address

6-20-2 Shinkawa, Mitaka-shi, Tokyo

TEL

0422-47-5511

Email

koto@ks.kyorin-u.ac.jp


Public contact

Name of contact person

1st name Takashi
Middle name
Last name Koto

Organization

Kyorin University School of Medicine

Division name

Department of Ophthalmology

Zip code

181-8611

Address

6-20-2 Shinkawa, Mitaka-shi, Tokyo

TEL

0422-47-5511

Homepage URL


Email

koto@ks.kyorin-u.ac.jp


Sponsor or person

Institute

Kyorin University

Institute

Department

Personal name



Funding Source

Organization

Alcon Japan

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

School of Medicine Research Ethics Committee, Kyorin University

Address

6-20-2 Shinkawa, Mitaka-shi, Tokyo

Tel

0422475511

Email

rec@ks.kyorin-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 09 Month 30 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2026 Year 08 Month 18 Day

Date of IRB

2026 Year 09 Month 28 Day

Anticipated trial start date

2026 Year 09 Month 28 Day

Last follow-up date

2028 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a single-center, prospective, cross-sectional observational study. Eligible patients undergoing cataract surgery with UNITY VCS or CENTURION Vision System at Kyorin University Hospital will be enrolled consecutively. The target sample size is 50 patients (50 eyes; 25 eyes per group), with one eye included per patient. Device selection is determined by routine clinical operations, including surgical scheduling, and is not assigned for research purposes. All surgeries will be performed by the same experienced surgeon.

Routine preoperative and intraoperative data, intraoperative OCT recordings, and surgical videos will be collected to examine the association between the surgical system used and anterior chamber stability. Iridocorneal angle dynamics and changes in iris diameter during removal of the final nuclear fragment will be analyzed using Dipp-MotionV (DITECT). The primary outcome is the frequency of angle narrowing events of 10 degrees or greater per second. Primary and secondary outcomes will be compared between groups using the Mann-Whitney U test.

This study builds on the assessment method used in the preceding study, "Evaluation of Anterior Chamber Stability Using Unity VCS in Cataract Surgery" (UMIN000059770), and compares UNITY VCS with CENTURION Vision System.


Management information

Registered date

2026 Year 09 Month 30 Day

Last modified on

2026 Year 09 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072244