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The Zero CDE (cumulative dissipated energy) technique facilitates cataract removal with no or minimal phaco energy. This is facilitated by a femtosecond laser, which pre-divides the cataractous lens nucleus into multiple small segments that can be aspirated without phaco energy being delivered to the eye. In the investigator's experience, this technique consistently shows a stable anterior chamber, a low complication rate, and a rapid return of vision following cataract surgery. This prospective study aims to document the outcomes with the zero CDE technique during femtosecond laser-assisted cataract surgery (FLACS).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cataract removal with Zero CDE technique | Experimental | This is a single-arm, non-comparative, prospective study including cataract patients with a nuclear sclerosis grade between 1 to 3 who desire to undergo cataract surgery and IOL implantation at Bochner Eye Institute, Canada. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Femtosecond laser-assisted cataract surgery using Zero CDE | Procedure | In this single-arm, non-comparative study, patients with cataract grade 1-3 (LOCS III nuclear sclerosis) will undergo cataract removal with the Zero CDE technique that involves no or minimal phaco energy. This is facilitated by a femtosecond laser, which pre-divides the cataractous lens nucleus into multiple small segments that can be aspirated without phaco energy being delivered to the eye. |
| Measure | Description | Time Frame |
|---|---|---|
| % of cataract cases completed with Zero CDE | Intraoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Among the cataract cases with zero CDE, o the average amount of balanced salt solution (BSS) (ml) used per case. | Intraoperative | |
| Among the cataract cases with zero CDE o % of cataract cases with corneal edema at one-day postop. | Postoperative Day 1 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Raymond Stein, MD, FRCSC | Contact | 416-569-3806 | raymondmstein@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bochner Eye Institute | Toronto | Ontario | M5R1A9 | Canada |
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| Among the cataract cases with zero CDE o % of cataract cases with CME at any time up to 3 months postop. | Postoperative 2 weeks, 1 month and 3 months |
| Among the cases requiring CDE, the amount of phaco energy used | Intraoperative |
| Incidence of adverse events | Intraoperative, and postoperative Day 1, 2 weeks, 1 month, and 3 months |