Comparison of Femto-laser and Manually Created Clear Corneal Incisions During Cataract Surgery (Z8_CCI)
Primary Purpose
Cataract
Status
Unknown status
Phase
Not Applicable
Locations
Switzerland
Study Type
Interventional
Intervention
Femtosecond Laser for Cataract Surgery
Conventional Cataract Surgery
Sponsored by
About this trial
This is an interventional treatment trial for Cataract focused on measuring Induced corneal Astigmatism, Clear corneal incisions, Femto-laser
Eligibility Criteria
Inclusion Criteria:
- Cataract surgery planned
- Accurate baseline biometric measurements and assessed medical status
- Subject able to cooperate with the docking system of the laser
- Full pupil dilatation
Exclusion Criteria:
- Glaucoma
- Pseudoexfoliation
- Small pupils
- Previous corneal surgery
- Other ophthalmological diseases
- Corneal scars
- Pterygium
Sites / Locations
- Augenklinik ORASIS AGRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Femtosecond Laser for Cataract Surgery
Conventional Cataract Surgery
Arm Description
Capsulotomy, lens fragmentation and Clear Corneal Incisions with FEMTO LDV Z8, followed by ultrasound phacoemulsification and IOL implantation.
Clear Corneal Incisions, conventional capsulorhexis and ultrasound phacoemulsification and IOL implantation. Control treatment where the clear corneal incisions and capsulorhexis are performed manually and the lens fragmentation is performed with the phacoemulsification device.
Outcomes
Primary Outcome Measures
Change from baseline (pre-operative) Surgically Induced corneal Astigmatism (SIA) measured by visual acuity (LogMAR)
Secondary Outcome Measures
Change from baseline (pre-operative) Higher-order aberrations (HOAs) measured by the Shack-Hartmann aberrometry method
Central corneal thickness (CCT)
Endothelial cell density (ECD)
Effective Phacoemulsification Time (EPT)
Ultrasound total time (US)
Achieved CCI architecture
Presence of Descemet membrane detachment, posterior and anterior wound gape, if present size) will be analyzed on OCT images
Intra- and post-operative CCI related complications rate
FEMTO LDV Z8 OCT auto - detection accuracy
Analyzed on intra-operative Z8 OCT images
Full Information
NCT ID
NCT04082273
First Posted
September 2, 2019
Last Updated
July 13, 2021
Sponsor
Ziemer Ophthalmic Systems AG
1. Study Identification
Unique Protocol Identification Number
NCT04082273
Brief Title
Comparison of Femto-laser and Manually Created Clear Corneal Incisions During Cataract Surgery
Acronym
Z8_CCI
Official Title
A Single Center, Randomized Control Study to Compare Efficacy and Safety of Femto-laser Created Clear Corneal Incisions With Manually Created Clear Corneal Incisions During Cataract Surgery
Study Type
Interventional
2. Study Status
Record Verification Date
July 2021
Overall Recruitment Status
Unknown status
Study Start Date
August 26, 2019 (Actual)
Primary Completion Date
November 30, 2021 (Anticipated)
Study Completion Date
December 30, 2021 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ziemer Ophthalmic Systems AG
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The aim of this study is to test the hypothesis, that in terms of Surgically Induced corneal Astigmatism (SIA), Higher-order Aberrations (HOA), and wound geometry the femtosecond clear corneal incisions (CCIs) created during cataract surgery are not inferior when compared to manual CCIs.
The potential risks associated with application of the femtosecond laser in this study are no greater or in most cases less than those associated with the standard manual cataract surgical procedure, and the potential benefits (such as precision and reproducibility) are greater than with the standard manual cataract surgery. Therefore, the risk-to-benefit ratio is very low, such that the potential benefits for a subject participating in this study exceed the potential risks
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cataract
Keywords
Induced corneal Astigmatism, Clear corneal incisions, Femto-laser
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
94 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Femtosecond Laser for Cataract Surgery
Arm Type
Experimental
Arm Description
Capsulotomy, lens fragmentation and Clear Corneal Incisions with FEMTO LDV Z8, followed by ultrasound phacoemulsification and IOL implantation.
Arm Title
Conventional Cataract Surgery
Arm Type
Active Comparator
Arm Description
Clear Corneal Incisions, conventional capsulorhexis and ultrasound phacoemulsification and IOL implantation. Control treatment where the clear corneal incisions and capsulorhexis are performed manually and the lens fragmentation is performed with the phacoemulsification device.
Intervention Type
Device
Intervention Name(s)
Femtosecond Laser for Cataract Surgery
Intervention Description
Cataract Surgery on study eye according to conventional procedure, with the exception of three steps (Capsulotomy, Lens Fragmentation and Clear Corneal Incisions) which are performed with a Femtosecond Laser in the laser treatment group. Equipment uesd for measurements is the same for both groups and in line with the normal equipment used for the conventional cataract treatment
Intervention Type
Other
Intervention Name(s)
Conventional Cataract Surgery
Intervention Description
Cataract surgery will be performed conventionally, this means the clear corneal incisions will be performed manually by a blade, the capsulorhexis will be performed manually by a hook, and the lens extraction will be done by phacoemulsification
Primary Outcome Measure Information:
Title
Change from baseline (pre-operative) Surgically Induced corneal Astigmatism (SIA) measured by visual acuity (LogMAR)
Time Frame
Baseline = Pre-operative, Follow-up = 12 days, 4 weeks and 6 weeks after surgery
Secondary Outcome Measure Information:
Title
Change from baseline (pre-operative) Higher-order aberrations (HOAs) measured by the Shack-Hartmann aberrometry method
Time Frame
Baseline = Pre-operative, Follow-up = 12 days, 4 weeks and 6 weeks after surgery
Title
Central corneal thickness (CCT)
Time Frame
Baseline = Pre-operative, Follow-up = 1 day, 12 days, 4 weeks and 6 weeks after surgery
Title
Endothelial cell density (ECD)
Time Frame
Baseline = Pre-operative, Follow-up = 1 day, 12 days, 4 weeks and 6 weeks after surgery
Title
Effective Phacoemulsification Time (EPT)
Time Frame
Baseline = Treatment day
Title
Ultrasound total time (US)
Time Frame
Baseline = Treatment day
Title
Achieved CCI architecture
Description
Presence of Descemet membrane detachment, posterior and anterior wound gape, if present size) will be analyzed on OCT images
Time Frame
Baseline = Treatment day
Title
Intra- and post-operative CCI related complications rate
Time Frame
Baseline = Treatment day, Follow-up = 1 day, 12 days, 4 weeks and 6 weeks after surgery
Title
FEMTO LDV Z8 OCT auto - detection accuracy
Description
Analyzed on intra-operative Z8 OCT images
Time Frame
Baseline = Treatment day
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Cataract surgery planned
Accurate baseline biometric measurements and assessed medical status
Subject able to cooperate with the docking system of the laser
Full pupil dilatation
Exclusion Criteria:
Glaucoma
Pseudoexfoliation
Small pupils
Previous corneal surgery
Other ophthalmological diseases
Corneal scars
Pterygium
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Bojan Pajic, MD, PhD
Phone
+41 62 765 60 80
Email
bojan.pajic@orasis.ch
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bojan Pajic, MD, PhD
Organizational Affiliation
Augenklinik ORASIS AG
Official's Role
Principal Investigator
Facility Information:
Facility Name
Augenklinik ORASIS AG
City
Reinach AG
State/Province
Aargau
ZIP/Postal Code
5734
Country
Switzerland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Bojan Pajic, MD, PhD
Phone
+41 62 765 60 80
Email
bojan.pajic@orasis.ch
12. IPD Sharing Statement
Plan to Share IPD
No
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Comparison of Femto-laser and Manually Created Clear Corneal Incisions During Cataract Surgery
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