Cataract
Conditions
Keywords
unilateral cataract, binocular functional vision, Multifocal Intraocular Lenses
Brief summary
This is to evaluate the satisfaction of patient and postoperative functional vision of unilateral or bilateral Implantation of intraocular lens（IOLs） in cataract patients.
Detailed description
The subjects will undergo uneventful phacoemulsification and implantation of IOL. The subjects will be divided into two groups . The unilateral cataract patients in the Group 1 will undergo unilateral surgery, and the bilateral cataract patients in the Group 2 will undergo bilateral surgery. IOL may be monofocal,bifocal ,or trifocal，according to the patients preference and the eyes condition. In each group, the subjects will be divided into three subgroups according to the type of the IOLs.Compare binocular functional vision and the satisfaction of patient between the two groups at postoperative 3 months.Compare binocular functional vision and the satisfaction of patient with different IOLs among the subgroups.
Interventions
DEVICEunilateral implantation of IOL
unilateral phacoemulsification and implantation of IOL.IOL may be monofocal,bifocal ,or trifocal，according to the patients preference and the eyes condition.
DEVICEbilateral implantation of IOL
bilateral phacoemulsification and implantation of IOL.IOL may be monofocal,bifocal ,or trifocal，according to the patients preference and the eyes condition.
Sponsors
Peking University Third Hospital
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patients with unilateral or bilateral age related cataracts * Regular corneal topography and Preoperative corneal astigmatism ≤ 0.75 Diopter
Exclusion criteria
* Pregnant or nursing women * In the presence of other ocular diseases that may affect the stability of the lens capsule (pseudoexfoliation syndrome, glaucoma, traumatic cataract, Marfan syndrome, etc.) * Pupil abnormality (non-reactive pupil, tonic pupils, abnormally shaped pupils, etc.) * History of any clinically significant retinal pathology or ocular diagnosis (e.g. diabetic retinopathy, ischemic diseases, macular degeneration, retinal detachment, optic neuropathy optic nerv atrophy, amblyopia, strabismus, microphthalmos, aniridia, epiretinal membrane etc.) in the study eyes that could alter or limit final postoperative visual prognosis. * Patients with history of ocular trauma or prior ocular surgery including refractive procedures * postoperative visual acuity of worse than 0.2 logMAR in any eye * Patients using systemic or ocular medication that affect visual acuity. * Patients participating in other clinical trials during the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| monocular and binocular visual acuity | 3 months postoperatively | uncorrected distance visual acuity (UCVA), intermediate visual acuity, near visual acuity will be measured at 5m, 80cm and 40cm respectively. All visual acuity measurements will be conducted under photopic conditions (85 cd/m2) and at 100% contrast |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Binocular Contrast sensitivity | 3 months postoperatively | Contrast sensitivity measures will be conducted binocularly, under photopic, mesopic (5 cd/m2), photopic with glare and mesopic with glare conditions, with the OPTEC 6500 contrast sensitivity test (Stereo Optical, USA). Contrast sensitivity will be evaluated at five spatial frequencies (1.5, 3, 6, 12, and 18 cycles per degree \[cpd\]). Patients will be allowed 5 minutes to adapt to each illumination level before testing. |
| Binocular Defocus Curve | 3 months postoperatively | Binocular defocus curves will be obtained in all patients, positioned at 5m under photopic (\>85 cd/m 2 ) condition to measure the visual acuity with each defocus lens, representing the consecutive visual function of each eye. Negative lenses were added in 0.50 D steps and the visual acuity will be recorded for each type of defocus level. The procedure will be then repeated but with positive lenses. The range of defocus evaluated is from -4.00D to +2.00D. |
| stereopsis | 3 months postoperatively | Use block diagram of random-spot synoptophore to observe long distance stereopsis vision and yan's stereogram to observe short distance stereopsis vision. |
| Fusion function | 3 months postoperatively | The fusion function of perception and movement (convergence and divergence)will be examined with a synoptophore. |
| Subjective visual quality | 3 months postoperatively | Photic phenomena (score according to severity,0\ 4, higher scores mean worse)and spectacle dependence percentages will be evaluated by questionnaire. |
Countries
China
Contacts
Primary ContactQianqian Lan
Outcome results
None listed