Changes of Macular Pigment and Parameters of Eyes After YAG Laser Treatment in Cases With Capsule Opacification

Study Overview
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Brief Summary
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It has been hypothesized that potential effects of laser Nd: YAG laser posterior capsulotomy may affect macular pigment as well as choroidal thickness, macular thickness and anterior chamber parameters, so it was aimed to investigate possible effects of Nd: YAG laser posterior capsulotomy on macular pigment optical density, choroidal thickness, macular thickness and anterior chamber parameters in cases with posterior capsule opacification in this study.

Detailed Description
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This clinical trial was conducted following the principles of the Declaration of Helsinki. The local authorized clinical trials ethics committee approved the protocol and consent forms (Afyon Kocatepe University Clinical Trials Ethics Committee, 2011-KAEK-2 2017/172). Between 2015 and 2016, 38 pseudophakic participants were enrolled in this study. After providing information to patients about the disease and treatment, patients predicted to show adherence to treatment, were enrolled in the study. Detailed ophthalmological examinations of all subjects were performed prior to Nd: YAG laser posterior capsulotomy intervention. Anterior chamber parameters of cases with PCO were measured Measurements of IOP, anterior chamber parameters, visual acuity, Slit-lamp, gonioscopy and fundus examinations, and measurements of central macular thickness (CMT), choroidal thicknesses (CTs), and MPOD were performed after maximal pupil dilatation. Proposed procedure, including risks, beneﬁts, and alternatives were discussed with all subjects, and all participants signed of informed consent form. Choroidal thicknesses were recorded as subfoveal CT (SCT), nasal CT (NCT) and temporal CT (TCT). MPOD measurements were subsequently made by using luminance differential thresholds test. After measurements a refractive surgery specialist carried out Nd: YAG laser posterior capsulotomy interventions to patients who were decided to applying Nd:YAG laser capsulotomy. All examinations and measurements were repeated and recorded at 1st week, 1st and 2nd month.

Official Title
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Changes of Macular Pigment Optical Density and Parameters After Nd: YAG Laser Posterior Capsulotomy in Cases With Posterior Capsule Opacification

Conditions
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Posterior Capsule Opacification, Retinal Degeneration, Retinal Detachment, Anterior Chamber Angle Congestion, Macula Edema, Macular Pigmentation, Choroid Disease

Intervention / Treatment
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* Device: Nd: YAG laser posterior capsulotomy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Best-corrected visual acuity (BCVA) logMAR <0.3 Duration at least 2 years after cataract surgery Between the ages of 45 and 65 years (45≤age≤65) Exclusion Criteria: Corneal scarring, diffuse posterior PCO or intravitreal hemorrhage that prevents appearance of the fundus Occluded angle by gonioscopy (grade 0, narrow angle, grade I, grade II) Presence of macular or peripheral retinal pathologies or choroidopathy High risk for RD Presence of macular edema in the macular area Detection of macular fluid or edema in OCT Active intraocular inflammation Previous laser PRP, Nd: YAG laser posterior capsulotomy, laser iridotomy or selective laser trabeculoplasty interventions Previous iridectomy, glaucoma or vitreoretinal surgery Glass intraocular lens Spherical refractive error ≥ ±6.00 D or cylinder refractive error ≥ ±3.00 D Inadequate stability of the eye Systemic diseases that may affect the choroidal blood flow such as cardiological diseases Current use of carotenoid supplementation Changing eating habits Gastrointestinal diseases that could cause disturbance of dietary absorption

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Sequential Assignment
Interventional Model Description: sequential self-controlled clinical trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Nd: YAG laser posterior capsulotomy<br>Posterior capsulotomy was performed by using Nd: YAG laser and macular pigment optical density, intra ocular pressure, choroidal thickness, macular thickness and anterior chamber parameters were measured before Nd: YAG laser, at 1 week, 1 month and 2 months | Device: Nd: YAG laser posterior capsulotomy<br>* Nd: YAG laser posterior capsulotomy<br>* Other names: Tango Laserex;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes of Foveal and Pericentral Pigment Optical Density (Log Unit) From Baseline at 2 Months | Foveal and pericentral pigment optical density was measured by using color perimetry technique and recorded as log unit before Nd: YAG laser posterior capsulotomy, at 1 week, 1 month and 2 months | 2 months | 
| Changes of Subfoveal, Temporal and Nasal Choroidal Thicknesses (Micrometer) From Baseline at 2 Months | Subfoveal, temporal and nasal choroidal thicknesses were measured by using enhanced-deep imaging optical coherence tomography and recorded as micrometer before Nd: YAG laser posterior capsulotomy, at 1 week, at 1-month and at 2-month | 2 months | 
| Changes of Anterior Chamber Depth (Millimeter) From Baseline at 2 Months | Anterior chamber depth was measured by using anterior segment module optical coherence tomography and recorded as millimeter before Nd: YAG laser posterior capsulotomy, at 1 week, at 1-month and at 2-month | 2 months | 
| Changes of Iridocorneal Angle From Baseline at 2 Months | Iridocorneal angle was measured by using anterior segment module optical coherence tomography and recorded as millimeter before Nd: YAG laser posterior capsulotomy, at 1 week, at 1-month and 2-month | 2 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes of Central Macular Thicknesses (Micrometer) From Baseline at 2 Months |  | 2 Months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Posterior Capsulotomy, Posterior Capsule Opacification, Macular Pigment Optical Density, Anterior Chamber Parameters, Nd: YAG Laser Posterior Capsulotomy, Cystoid Macular Edema, Choroidal Thickness