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Refractive Change Induced by 2.8-mm Corneal Incision (CINPHA)

Primary Purpose

Cataract, Refractive Surgery, Astigmatism

Status
Completed
Phase
Not Applicable
Locations
Spain
Study Type
Interventional
Intervention
Nasal 2.8-mm corneal incision
Temporal 2.8-mm corneal incision
Superior 2.8-mm incision
Sponsored by
Hospital Universitario Ramon y Cajal
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cataract focused on measuring Corneal incision, Cataract surgery, Phacoemulsification, Surgically induced astigmatism, Corneal Topography

Eligibility Criteria

50 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Visual impairment for daily tasks caused by cataract
  • Age older than 50 years
  • Steep axis of corneal astigmatism at 90° ± 20° or 180° ± 20°
  • Ability to cooperate in the protocol procedures

Exclusion Criteria:

  • Age below 50
  • Inability to cooperate with measurements

Sites / Locations

  • Dept Ophthalmology, Hospital Universitario Ramón y Cajal

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Active Comparator

Arm Label

I

II

III

Arm Description

Nasal 2.8-mm corneal incision

Temporal 2.8-mm corneal incision

Superior 2.8-mm corneal incision

Outcomes

Primary Outcome Measures

Induced corneal refractive change

Secondary Outcome Measures

ISV change
Visual acuity

Full Information

First Posted
August 26, 2008
Last Updated
June 24, 2011
Sponsor
Hospital Universitario Ramon y Cajal
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1. Study Identification

Unique Protocol Identification Number
NCT00742950
Brief Title
Refractive Change Induced by 2.8-mm Corneal Incision
Acronym
CINPHA
Official Title
Study of Refractive Change Induced by 2.8-mm Corneal Incisions for Cataract Surgery
Study Type
Interventional

2. Study Status

Record Verification Date
May 2010
Overall Recruitment Status
Completed
Study Start Date
August 2008 (undefined)
Primary Completion Date
September 2009 (Actual)
Study Completion Date
December 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Hospital Universitario Ramon y Cajal

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The investigators' purpose is to study the induced refractive change caused by different 2.8-mm corneal incision locations in phacoemulsification, because the investigators hypothesize that the effect may be different for nasal, temporal, and superior location, although they are considered astigmatism neutral. Patients will be randomized to nasal or temporal incision, or assigned to superior incision, depending on preexisting astigmatism. Visual acuity, refraction, keratometry, Pentacam analysis, intraocular pressure, biomicroscopy, and funduscopy, will be carried out before and after phacoemulsification. Outcome measures will be induced corneal refractive change (Fourier power vector analysis), ISV change, and visual acuity, at 6 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cataract, Refractive Surgery, Astigmatism
Keywords
Corneal incision, Cataract surgery, Phacoemulsification, Surgically induced astigmatism, Corneal Topography

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
108 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
I
Arm Type
Active Comparator
Arm Description
Nasal 2.8-mm corneal incision
Arm Title
II
Arm Type
Active Comparator
Arm Description
Temporal 2.8-mm corneal incision
Arm Title
III
Arm Type
Active Comparator
Arm Description
Superior 2.8-mm corneal incision
Intervention Type
Procedure
Intervention Name(s)
Nasal 2.8-mm corneal incision
Other Intervention Name(s)
Phacoemulsification nasal incision
Intervention Description
Phacoemulsification through a nasal 2.8-mm incision
Intervention Type
Procedure
Intervention Name(s)
Temporal 2.8-mm corneal incision
Other Intervention Name(s)
Phacoemulsification temporal incision
Intervention Description
Phacoemulsification through a 2.8-mm temporal incision
Intervention Type
Procedure
Intervention Name(s)
Superior 2.8-mm incision
Other Intervention Name(s)
Phacoemulsification superior incision
Intervention Description
Phacoemulsification through a superior 2.8-mm corneal incision
Primary Outcome Measure Information:
Title
Induced corneal refractive change
Time Frame
6 months
Secondary Outcome Measure Information:
Title
ISV change
Time Frame
6 months
Title
Visual acuity
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Visual impairment for daily tasks caused by cataract Age older than 50 years Steep axis of corneal astigmatism at 90° ± 20° or 180° ± 20° Ability to cooperate in the protocol procedures Exclusion Criteria: Age below 50 Inability to cooperate with measurements
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jaime Tejedor, MD, PhD
Organizational Affiliation
Dept Ophthalmology
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
José A Pérez-Rodríguez, MD
Organizational Affiliation
Dept Ophthalmology
Official's Role
Study Chair
Facility Information:
Facility Name
Dept Ophthalmology, Hospital Universitario Ramón y Cajal
City
Madrid
ZIP/Postal Code
28034
Country
Spain

12. IPD Sharing Statement

Citations:
PubMed Identifier
15860279
Citation
Tejedor J, Murube J. Choosing the location of corneal incision based on preexisting astigmatism in phacoemulsification. Am J Ophthalmol. 2005 May;139(5):767-76. doi: 10.1016/j.ajo.2004.12.057.
Results Reference
background
PubMed Identifier
19011013
Citation
Tejedor J, Perez-Rodriguez JA. Astigmatic change induced by 2.8-mm corneal incisions for cataract surgery. Invest Ophthalmol Vis Sci. 2009 Mar;50(3):989-94. doi: 10.1167/iovs.08-2778. Epub 2008 Nov 14.
Results Reference
derived

Learn more about this trial

Refractive Change Induced by 2.8-mm Corneal Incision

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