None listed
Conditions
Brief summary
Falls are the primary cause of injury for older Australians and cataract, a very common age-related eye condition, increases risk of having a fall. In the BRIGhT study we will comprehensively evaluate integrated surgical and refractive management through public hospital eye clinics to restore vision and prevent falls. This important project will inform the development of new pathways to access cataract surgery and investment in services for the many older people waiting for cataract surgery.
Interventions
The Best Practice Surgical and Refractive (BRIGhT) management strategy for cataract, which combines expedited sequential cataract surgery within 3 months of assessment (consistent with draft Cataract Clinical Care Standard) at either Sydney Eye Hospital or Westmead Hospital and provision of necessary refractive correction through updated spectacle lenses within 2 weeks of second eye surgery. The proposed intervention has been developed based on evidence for the benefits of timely cataract surger
The Best Practice Surgical and Refractive (BRIGhT) management strategy for cataract, which combines expedited sequential cataract surgery within 3 months of assessment (consistent with draft Cataract Clinical Care Standard) at either Sydney Eye Hospital or Westmead Hospital and provision of necessary refractive correction through updated spectacle lenses within 2 weeks of second eye surgery. The proposed intervention has been developed based on evidence for the benefits of timely cataract surgery, benefits of operating on both eyes, and the knowledge that post-operative spectacle updates are commonly required. The cataract surgeries will be completed by a hospital staff ophthalmologist and spectacle updates by a community optometrist. Whether any required updates to spectacles has been completed will be known through the record of redemption of the spectacle update voucher. At the follow-up visit where the study participant's spectacles will be measured to confirm the nature of the update to the spectacles. The cataract surgery dates will be extracted from the medical records and reviewed to determine if expedited cataract surgery was successfully delivered in the intervention group and that the control group joined the waiting list and access first eye surgery as expected within 365 days.
Sponsors
The George Institute for Global Health
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Participants with bilateral cataract must be aged 65 years or older, able to walk and living in the community or self-care unit of a retirement village (aged care facility residents will be excluded).
Exclusion criteria
Participants will be excluded if they have a diagnosis of dementia, Parkinson’s Disease or stroke, are wheelchair bound, have significant ocular comorbidities (advanced glaucoma, retinopathy or amblyopia), are scheduled for combined ocular surgery (e.g. cataract and glaucoma), reside outside the metropolitan area, or are otherwise unable to participate in the follow-up assessments.
Outcome results
None listed