| 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 |
Evaluation of Anterior Chamber Stability During Cataract Surgery Using Intraoperative OCT
Intraocular Stability During Cataract Surgery
Evaluation of Anterior Chamber Stability During Cataract Surgery Using Intraoperative Optical Coherence Tomography
Intraoperative OCT Assessment of Anterior Chamber Stability During Cataract Surgery
| Japan |
Age-related cataract
| Ophthalmology |
Others
NO
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.
Efficacy
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.
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.
Observational
| 40 | years-old | <= |
| 80 | years-old | >= |
Male and Female
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
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
50
| 1st name | Takashi |
| Middle name | |
| Last name | Koto |
Kyorin University School of Medicine
Department of Ophthalmology
181-8611
6-20-2 Shinkawa, Mitaka-shi, Tokyo
0422-47-5511
koto@ks.kyorin-u.ac.jp
| 1st name | Takashi |
| Middle name | |
| Last name | Koto |
Kyorin University School of Medicine
Department of Ophthalmology
181-8611
6-20-2 Shinkawa, Mitaka-shi, Tokyo
0422-47-5511
koto@ks.kyorin-u.ac.jp
Kyorin University
Alcon Japan
Profit organization
School of Medicine Research Ethics Committee, Kyorin University
6-20-2 Shinkawa, Mitaka-shi, Tokyo
0422475511
rec@ks.kyorin-u.ac.jp
NO
| 2026 | Year | 09 | Month | 30 | Day |
Unpublished
Open public recruiting
| 2026 | Year | 08 | Month | 18 | Day |
| 2026 | Year | 09 | Month | 28 | Day |
| 2026 | Year | 09 | Month | 28 | Day |
| 2028 | Year | 06 | Month | 30 | Day |
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.
| 2026 | Year | 09 | Month | 30 | Day |
| 2026 | Year | 09 | Month | 30 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072244