Skip to content

Surgically Induced Astigmatic Change and Shape Changes of Total, Anterior, and Posterior Corneas After Long- versus Short-Length Clear Corneal Incision Cataract Surgery: A Randomized Clinical Study

Surgically Induced Astigmatic Change and Shape Changes of Total, Anterior, and Posterior Corneas After Long- versus Short-Length Clear Corneal Incision Cataract Surgery: A Randomized Clinical Study - Surgically Induced Astigmatism and Shape Changes of Total, Anterior, and Posterior Corneas After Long versus Short Clear Corneal Incision Cataract Surgery

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000025345
Enrollment
120
Registered
2016-12-21
Start date
2015-10-30
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cataract

Interventions

Bilateral (240) eyes of 120 patients are randomly assigned to undergo long-length (no more than 1.75mm) That reverse eyes 120 patients are randomly assigned to undergo short-length (&lt
1.75mm) clear corneal incision (CCI)of 2.4 mm in width.

Sponsors

Hayashi Eye Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Patients who are scheduled for bilateral phacoemulsification surgery with an acrylic intraocular lens (IOL) implantation at the Hayashi Eye Hospital between November 1, 2015 and November 11, 2016.

Exclusion criteria

Exclusion criteria: Exclusion criteria are eyes with pathologies except for cataract; eyes with pseudoexfoliation syndrome; eyes that were to undergo planned extracapsular or intracapsular cataract extraction; eyes with a possible zonular dehiscence; a history of ocular surgery or inflammation; patients with diabetes mellitus; patients who refused the inclusion in the study; and difficulties with examination or follow-up. Patients who were enrolled in other studies were excluded.

Design outcomes

Primary

MeasureTime frame
Patients are to undergo examinations at 2 days and at 2, 4, and 8 weeks after surgery. 1) Corneal astigmatism of total, anterior, and posterior corneas (simulated K value of a videokeratography system; Tomey TMS-5) 2) Surgically induced astigmatic change of total, anterior, and posterior corneas (power vector analysis) 3) Shape changes in of total, anterior, and posterior corneas (average of difference map of TMS-5)

Secondary

MeasureTime frame
4) Incision length of clear corneal incisions 5) Irregular astigmatism components (asymmetry and higher-order irregularity components) 6) Ocular, corneal, and internal optic higher order aberrations (HOAs) 7) Corrected distance visual acuity and manifest spherical equivalent value

Countries

Japan

Contacts

Public ContactKen Hayashi

Hayashi Eye Hospital Department of ophthalmology

hayashi-ken@hayashi.or.jp092-431-1680

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026