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This is to evaluate the satisfaction of patient and postoperative functional vision of unilateral or bilateral Implantation of intraocular lens(IOLs) in cataract patients.
The subjects will undergo uneventful phacoemulsification and implantation of IOL.
The subjects will be divided into two groups . The unilateral cataract patients in the Group 1 will undergo unilateral surgery, and the bilateral cataract patients in the Group 2 will undergo bilateral surgery. IOL may be monofocal,bifocal ,or trifocal,according to the patients preference and the eyes condition. In each group, the subjects will be divided into three subgroups according to the type of the IOLs.Compare binocular functional vision and the satisfaction of patient between the two groups at postoperative 3 months.Compare binocular functional vision and the satisfaction of patient with different IOLs among the subgroups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Experimental | The unilateral cataract patients in the Group 1 will undergo phacoemulsification and unilateral implantation of IOLs.The subjects will be divided into three subgroups according to the type of the IOLs. |
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| Group 2 | Active Comparator | The bilateral cataract patients in the Group 2 will undergo phacoemulsification and bilateral implantation of IOLs.The subjects will be divided into three subgroups according to the type of the IOLs. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| unilateral implantation of IOL | Device | unilateral phacoemulsification and implantation of IOL.IOL may be monofocal,bifocal ,or trifocal,according to the patients preference and the eyes condition. |
| Measure | Description | Time Frame |
|---|---|---|
| monocular and binocular visual acuity | uncorrected distance visual acuity (UCVA), intermediate visual acuity, near visual acuity will be measured at 5m, 80cm and 40cm respectively. All visual acuity measurements will be conducted under photopic conditions (85 cd/m2) and at 100% contrast | 3 months postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Binocular Contrast sensitivity | Contrast sensitivity measures will be conducted binocularly, under photopic, mesopic (5 cd/m2), photopic with glare and mesopic with glare conditions, with the OPTEC 6500 contrast sensitivity test (Stereo Optical, USA). Contrast sensitivity will be evaluated at five spatial frequencies (1.5, 3, 6, 12, and 18 cycles per degree [cpd]). Patients will be allowed 5 minutes to adapt to each illumination level before testing. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Qianqian Lan | Contact | +8618607711972 | 54283122@qq.com |
| Name | Affiliation | Role |
|---|---|---|
| Qi Hong, PhD,MD | Peking University Third Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Peking University Third Hospital | Recruiting | Beijing | Beijing Municipality | 100191 | China |
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| ID | Term |
|---|---|
| D002386 | Cataract |
| ID | Term |
|---|---|
| D007905 | Lens Diseases |
| D005128 | Eye Diseases |
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| bilateral implantation of IOL | Device | bilateral phacoemulsification and implantation of IOL.IOL may be monofocal,bifocal ,or trifocal,according to the patients preference and the eyes condition. |
|
| 3 months postoperatively |
| Binocular Defocus Curve | Binocular defocus curves will be obtained in all patients, positioned at 5m under photopic (>85 cd/m 2 ) condition to measure the visual acuity with each defocus lens, representing the consecutive visual function of each eye. Negative lenses were added in 0.50 D steps and the visual acuity will be recorded for each type of defocus level. The procedure will be then repeated but with positive lenses. The range of defocus evaluated is from -4.00D to +2.00D. | 3 months postoperatively |
| stereopsis | Use block diagram of random-spot synoptophore to observe long distance stereopsis vision and yan's stereogram to observe short distance stereopsis vision. | 3 months postoperatively |
| Fusion function | The fusion function of perception and movement (convergence and divergence)will be examined with a synoptophore. | 3 months postoperatively |
| Subjective visual quality | Photic phenomena (score according to severity,0~4, higher scores mean worse)and spectacle dependence percentages will be evaluated by questionnaire. | 3 months postoperatively |