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The purpose of the study is to compare femtosecond laser-assisted capsulotomy to manual capsulorhexis in patients with intumescent cataracts. An intumescent cataract is defined as a cataract with a pressurized capsular bag.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Laser | Experimental | Femtosecond laser assisted capsulotomy and corneal incision performed during cataract surgery |
|
| Manual | Active Comparator | Continuous curvilinear capsulorhexis performed during cataract surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Femtosecond laser | Device | Laser console and a patient interface used to cut tissue during cataract removal of the crystalline lens |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Capsular Tears (Anterior or Posterior) During Surgery | A capsular tear is defined as any unintended tear on the anterior or posterior capsule and includes a radial tear that moves peripherally on the anterior capsule during capsulotomy and extends to form a posterior capsular tear during intumescent cataract surgery. An intumescent cataract is defined as a cataract with a pressurized capsular bag. A lower value indicates fewer capsular tears. Only one eye (study eye) contributed to the analysis. | Day 0 (operative day) |
| Measure | Description | Time Frame |
|---|---|---|
| Operating Time in the Eye to Complete Entire Cataract Procedure | Operating time in the eye was the time interval (in seconds) from the time the corneal incision was opened to the time the wound was closed. Only one eye (study eye) contributed to the analysis. | Day 0 (operative day) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Manager, Surgical | Alcon, A Novartis Division | Study Director |
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Of the 406 enrolled, 6 subjects were exited as screen failures and 10 withdrew prior to randomization. This reporting group includes all randomized subjects (390).
Subjects were recruited from 14 investigative sites: 1 located in Greece, 4 located in India, 2 located in Mexico, 1 located in the Philippines, 3 located in Romania, and 3 located in the US.
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| ID | Title | Description |
|---|---|---|
| FG000 | Laser (LSX) | Femtosecond laser assisted capsulotomy and corneal incision performed during cataract surgery |
| FG001 | Manual (CCC) | Continuous curvilinear capsulorhexis (CCC) performed during cataract surgery |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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This analysis population includes subjects who signed an informed consent form, were randomized, and underwent the removal of an intumescent cataract with subsequent IOL implantation (Intent-to-Treat (ITT)).
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| ID | Title | Description |
|---|---|---|
| BG000 | Laser (LSX) | Femtosecond laser assisted capsulotomy and corneal incision performed during cataract surgery |
| BG001 | Manual (CCC) | CCC performed during cataract surgery |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Capsular Tears (Anterior or Posterior) During Surgery | A capsular tear is defined as any unintended tear on the anterior or posterior capsule and includes a radial tear that moves peripherally on the anterior capsule during capsulotomy and extends to form a posterior capsular tear during intumescent cataract surgery. An intumescent cataract is defined as a cataract with a pressurized capsular bag. A lower value indicates fewer capsular tears. Only one eye (study eye) contributed to the analysis. | Intent-to-Treat Analysis Set | Posted | Number | percentage of capsular tears | Day 0 (operative day) |
|
Adverse events (AEs) were collected from time of consent for the duration of a subject's participation in the study (up to 75 days). AEs are reported as pre-treatment and treatment-emergent.
An AE was defined as any untoward medical occurrence, unintended disease or injury, or untoward clinical signs in subjects, users, or other persons, whether or not related to the investigational product (test or control article). AEs were obtained through solicited and spontaneous comments from subjects and through observations by the Investigator as outlined in the study protocol.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Pretreatment | All subjects who consented to participate in the study prior to initiation of study treatment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Myocardial infarction | Cardiac disorders | MedDRA (17.0) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Conjunctival haemorrhage | Eye disorders | MedDRA (17.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Global Brand Medical Affairs Lead, CDMA Surgical | Alcon, A Novartis Division | 1-888-451-3937 | alcon.medinfo@alcon.com |
| ID | Term |
|---|---|
| D019923 | Capsulorhexis |
| ID | Term |
|---|---|
| D002387 | Cataract Extraction |
| D054140 | Refractive Surgical Procedures |
| D013508 | Ophthalmologic Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| Continuous Curvilinear Capsulorhexis (CCC) | Procedure | Standard-of care manual procedure (using either needles or forceps) for creating capsulorhexis, ie., opening in capsular bag during anterior segment ophthalmic surgery |
|
| Withdrawal by Subject |
|
| Reason not given |
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| BG002 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Manual (CCC) |
CCC performed during cataract surgery |
|
|
| Secondary | Operating Time in the Eye to Complete Entire Cataract Procedure | Operating time in the eye was the time interval (in seconds) from the time the corneal incision was opened to the time the wound was closed. Only one eye (study eye) contributed to the analysis. | Intent-to-Treat Analysis Set | Posted | Mean | Standard Deviation | seconds | Day 0 (operative day) |
|
|
|
| 0 |
| 406 |
| 1 |
| 406 |
| 0 |
| 406 |
| EG001 | Laser (LSX) | Subjects who underwent femtosecond laser-assisted cataract surgery | 0 | 188 | 16 | 188 | 46 | 188 |
| EG002 | Manual (CCC) | Subjects who underwent CCC-assisted cataract surgery | 0 | 191 | 14 | 191 | 43 | 191 |
| Aphakia | Eye disorders | MedDRA (17.0) | Systematic Assessment |
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| Iridocele | Eye disorders | MedDRA (17.0) | Systematic Assessment |
|
| Iris adhesions | Eye disorders | MedDRA (17.0) | Systematic Assessment |
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| Iris atrophy | Eye disorders | MedDRA (17.0) | Systematic Assessment |
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| Posterior capsule rupture | Eye disorders | MedDRA (17.0) | Systematic Assessment |
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| Retinal detachment | Eye disorders | MedDRA (17.0) | Systematic Assessment |
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| Vitreous loss | Eye disorders | MedDRA (17.0) | Systematic Assessment |
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| Cataract operation complication | Injury, poisoning and procedural complications | MedDRA (17.0) | Systematic Assessment |
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| Procedural complication | Injury, poisoning and procedural complications | MedDRA (17.0) | Systematic Assessment |
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| Intraocular pressure increased | Investigations | MedDRA (17.0) | Systematic Assessment |
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| Eye operation | Surgical and medical procedures | MedDRA (17.0) | Systematic Assessment |
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| Glaucoma surgery | Surgical and medical procedures | MedDRA (17.0) | Systematic Assessment |
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| Intraocular lens implant | Surgical and medical procedures | MedDRA (17.0) | Systematic Assessment |
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| Retinopexy | Surgical and medical procedures | MedDRA (17.0) | Systematic Assessment |
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| Vitrectomy | Surgical and medical procedures | MedDRA (17.0) | Systematic Assessment |
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| Corneal disorder | Eye disorders | MedDRA (17.0) | Systematic Assessment |
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| Corneal oedema | Eye disorders | MedDRA (17.0) | Systematic Assessment |
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| Ocular hypertension | Eye disorders | MedDRA (17.0) | Systematic Assessment |
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Sponsor reserves the right of prior review of any publication or presentation of information related to the study.