Intraocular Lens Complication
Conditions
Keywords
CTR, IOLs, Phacoemulsification
Brief summary
evaluate the clinical outcomes of routine CTR insertion in conjunction with hydrophilic versus hydrophobic IOLs following phacoemulsification.
Detailed description
Phacoemulsification with intraocular lens (IOL) implantation is the standard surgical approach for cataract extraction. The choice between hydrophilic and hydrophobic IOLs has been debated, with studies suggesting differences in posterior capsule opacification (PCO) rates and capsular bag stability. Capsular tension rings (CTRs) are devices designed to stabilize the capsular bag, particularly in cases with zonular weakness. While CTRs are beneficial in complex cases, their routine use remains controversial. Understanding the interaction between CTRs and IOL materials could inform surgical practices and improve patient outcomes
Interventions
cataract extracton with phacoemulsification
insertion of capsualr tension ring
implantation of hydrophilic IOL
insertion of hydrophobic IOL
Sponsors
Study design
Eligibility
Inclusion criteria
* • Adults aged 40-80 years. * Visually significant cataract (≥3+ on Lens Opacities Classification System III LOCSIII). * Clear cornea.
Exclusion criteria
* • Previous ocular surgery. * Zonular instability requiring CTR insertion beyond routine practice. * Complicated cataract cases (e.g., traumatic cataract). * Active intraocular inflammation or infection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in BCVA (LogMAR) | at 1, 3, and 6 months postoperatively. | The formula: logMAR score (0.1 NL + 0.02 nl) where NL = number of lines completely read and nl = number of additional letters read ap- plies. For this method, the higher the logMAR VA score, the better the visual acuity. |
| Refractive error measurements (spherical equivalent) | at 1, 3, and 6 months postoperatively. | SE was calculated as the spherical power of the refractive error plus one-half of the cylinder power. Hyperopia was defined as a spherical equivalent (SE) values of ≥ + 1.00 diopter (D) and emmetropia as a SE ranging between 0.99 and - 0.49 D. Myopia was defined as a SE refraction of ≤ -0.50 D. |
Countries
Egypt