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withdrawn during planning stages
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| Name | Class |
|---|---|
| Alcon Research | INDUSTRY |
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This pilot study aims to primarily assess the rate of complication of anterior vitrectomy for patients undergoing femtosecond laser-assisted (FLA) cataract extraction and intraocular lens placement (CEIOL) compared to manual CEIOL, when performed by resident physicians under direct attending supervision. In this pilot study, the investigators aim to assess what the incidence of anterior vitrectomy is for each group, in order to better understand the sample size needed to assess whether there is a difference between these two groups. Secondarily, it will gather preliminary data on safety and refractive outcomes for patients undergoing these interventions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FLA-CEIOL | Active Comparator | Femtosecond laser assisted cataract extraction and intraocular lens placement |
|
| CEIOL | Active Comparator | Clear corneal incision with manual cataract extraction and intraocular lens placement |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FLA-CEIOL | Procedure | Femtosecond laser-assisted cataract extraction and intraocular lens placement |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of anterior vitrectomy | Of all cases in each group, what percent results in any complication that needed conversion to anterior vitrectomy | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of dropped nucleus or intraocular lens (IOL) | Complication when the nucleus or implanted intraocular lens falls posteriorly | 6 months |
| Incidence of posterior capsular tear | Complication where the posterior capsule is torn or ruptured |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D002386 | Cataract |
| ID | Term |
|---|---|
| D007905 | Lens Diseases |
| D005128 | Eye Diseases |
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| CEIOL | Procedure | Manual cataract extraction and intraocular lens placement |
|
| 6 months |
| Incidence of anterior capsular tears or tags | Complication where the anterior capsule is torn or ruptured | 6 months |
| Incidence of zonal injury | Complication where the cataractous nucleus or implanted IOL falls posteriorly. | 6 months |
| Incidence of corneal injury | Complication when the cornea is injured during surgery | 6 months |
| New onset macular edema | Presence of macular edema, by clinical evaluation or optical coherence tomography (OCT), which was not present before surgery | 6 months |
| New onset ocular hypertension or glaucoma | Ocular hypertension or glaucoma, which was not present before surgery | 6 months |
| Postoperative outcomes such as uncorrected and best corrected distance visual acuity | Measured by manifest refraction | 6 months |
| Contrast sensitivity | Measured by Pelli-Robson Contrast Sensitivity Chart and the Contrast Sensitivity Testing (CSV-1000E) | 6 months |
| Spherical equivalent | Calculated from the best corrected visual acuity | 6 months |
| Corneal edema | Graded by the surgeon on a scale of 0 to 3 (none, mild, moderate, severe) | 6 months |
| Central corneal thickness | Measured by pachymetry | 6 months |
| Intraocular lens centration | Subjectively graded by the surgeon on a scale of 0 to 4 (poor, average, fair, excellent centration). | 6 months |
| Educational gains of the resident surgeon | Done through surveys distributed to resident physicians throughout the course of the study | 6 months |