Cataract surgery / intraocular lens / accommodation Eye Diseases Senile cataract
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Male and female patients aged 18 years and above. 2. Bilateral age related cataracts and otherwise healthy eyes.
Exclusion criteria
Exclusion criteria: 1. Corneal astigmatism greater than 1.50D (determined by IOL Master keratometry) 2. Pupillary dilation less than 6.0mm 3. Coexisting ocular pathology, including: 3.1. amblyopia 3.2. corneal disease 3.3. inflammatory eye disease 3.4. glaucoma 3.5. diabetic retinopathy 3.6. age related macular degeneration 3.7. previous intraocular surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Objective IOL movement with accommodative effort (µm): Axial IOL movement measured 3 months postoperatively with partial coherence interferometry (Zeiss AC Master) under three accommodative conditions: 1. physiological near visual stimulation 2. pilocarpine 3. cyclopentolate | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Objective amplitude of accommodation (D) measured 3 months postoperatively with aberrometry (Tracey Visual Function Analyzer) 2. Subjective accommodative amplitude (D) measured at 1 and 3 months with the push-up test (RAF rule accommodometer) 3. Defocus curves (logMAR) measured at 1 and 3 months as logMAR visual acuity under defocus conditions between +3D and -3D in 0.5D steps 4. Visual performance (logMAR), measured at 1, 3, 6, 12 and 24 months under the following conditions: 4.1. Distance visual acuity without spectacle correction 4.2. Distance visual acuity with spectacle correction 4.3. Near visual acuity without spectacle correction 4.4. Near visual acuity with distance spectacle correction 4.5. Near visual acuity with near spectacle correction 5. Posterior capsule opacification (percentage area PCO) calculated at 1, 3, 6, 12 and 24 months from digital retroillumination images using POCO software. | — |
Countries
United Kingdom