Clinical trial NCT01820065: Long-term Evaluation of Single-piece ACrysof IOL Implantation on Development of Posterior Capsule Opacification
Official title: A Long-term Evaluation of Single-piece Hydrophobic Acrylic Intraocular Lens Implantation on the Development of Posterior Capsule Opacification
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Posterior Capsule Opacification After Phacoemulsification and IOL Implantation
Lead sponsor: Iladevi Cataract and IOL Research Center
Sponsor class: OTHER
First posted: 2013-03-28
Enrollment: 390
Sex: ALL
Minimum age (years): 40
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients undergoing phacoemulsification for age-related uncomplicated phacoemulsification

Brief summary: Although contemporary cataract surgery has made tremendous strides in technological advancement, posterior capsular opacification (PCO) is still the most frequent long-term complication leading to decreased visual functions and thereby dissatisfying results. A great deal of effort has been made to develop new ways to prevent the formation of PCO. A key factor, widely discussed in literature, is the material and design of the intraocular lense (IOL) edge that can lead to PCO prevention. It is still not clear whether the sharp-edged IOL produces less PCO because of its optic geometry alone or whether the biomaterial contributes to the inhibition of PCO. With the clinical introduction of the single-piece acrylic hydrophobic IOLs with some optic and haptic design differences compared with three-piece acrylic hydrophobic IOLs, it has become possible to determine the influence of IOL material and design on PCO prevention. It is well established that the development of PCO is a dynamic process and that a longer follow-up time is correlated with a higher degree of PCO. So far, there have been prospective clinical studies on the clinical results of single and three-piece acrylic hydrophobic foldable IOLs. However, the question as to as to whether the PCO further increases or becomes stable or regresses on a long-term basis has not yet been answered. Since there is paucity of available literature that prospectively evaluates the development of PCO with the implantation of the single-piece SN60AT hydrophobic acrylic IOL on a long-term basis, the investigators decided to observe the degree of development of PCO at 5 years after cataract surgery.


Eligibility criteria: Inclusion Criteria:

* patients with uncomplicated age-related cataract who were otherwise healthy

Exclusion Criteria:

* a history of diabetes mellitus (DM),
* patients with glaucoma,
* high myopia (axial length \> 27.0 mm),
* pseudoexfoliation,
* traumatic cataract,
* subluxated cataract,
* previous ocular surgeries, and
* allergy to dilating drops.

Primary outcomes:
measure: Posterior Capsule Opacification
timeFrame: 5 years followup
Secondary outcomes:
measure: EPCO Score and EPCO area with total on and part on anterior capsulorhexis cover over optic
timeFrame: 5 years postoperatively
Other outcomes:
measure: Change in PCO at different followup intervals
timeFrame: upto 5 years postoperatively
Locations:
city: Ahmedabad
country: India
facility: Iladevi Cataract & IOL Research Centre
state: Gujarat
Study officials:
affiliation: Iladevi Cataract & IOL Research Centre
name: Abhay R Vasavada, MS, FRCS
role: PRINCIPAL_INVESTIGATOR
affiliation: Iladevi Cataract & IOL Research Centre
name: Abhay R Vasavada, MS,FRCS
role: PRINCIPAL_INVESTIGATOR
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