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The cataract surgery (550 000 operations per year in France) is to replace the cloudy lens with a refractive implant. Two colors of implants are available: white implants, filtering out ultraviolet and yellow implants, filtering and more blue light. No clinical data are available to assert the superiority of an implant according to its color and the choice is made according to the preference of the surgeon and / or "markets".
It is established in humans that blue light has an important role on the secretion of melanopsin, a key mediator of the circadian cycle. This "clock" regulates most neuroendocrine functions in the nycthémère (sleep, mood, temperature, cortisol, ..). The question of the impact of these neuro endocrine functions of the installation of a blue light filter into the eyes of patients operated thus arises.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 : white implant | Experimental | Randomization will determine the color of the implant to be used for each patient for interventions in both eyes, white or yellow to know. |
|
| Group 2 : yellow implant | Experimental | Randomization will determine the color of the implant to be used for each patient for interventions in both eyes, white or yellow to know. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| white implant | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Variation between before and 2 months after surgery sleep time | 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| Variation between before and 2 months after surgery the number of hours of sleep | 2 months | |
| Variation between before and 2 months after surgery of the quality of sleep | 2 months | |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service d'Ophtalmologie | Brest | France | ||||
| Service d'Ophtalmologie, Centre Hospitalier Paul Martinais |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28691893 | Result | Zambrowski O, Tavernier E, Souied EH, Desmidt T, Le Gouge A, Bellicaud D, Cochener B, Limousin N, Hommet C, Autret-Leca E, Pisella PJ, Camus V. Sleep and mood changes in advanced age after blue-blocking (yellow) intra ocular lens (IOLs) implantation during cataract surgical treatment: a randomized controlled trial. Aging Ment Health. 2018 Oct;22(10):1351-1356. doi: 10.1080/13607863.2017.1348482. Epub 2017 Jul 10. |
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| ID | Term |
|---|---|
| D002386 | Cataract |
| ID | Term |
|---|---|
| D007905 | Lens Diseases |
| D005128 | Eye Diseases |
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| yellow implant | Other |
|
|
| Variation between before and 2 months after surgery the mood evaluation score |
| 2 months |
| Loches |
| 37600 |
| France |
| Service d'Ophtalmologie | Tours | 37 | France |