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Molecular background of endothelial cell loss in patients with phakic intraocular lenses (MoBack-ECL): a tear and aqueous humour analysis study

Molecular background of endothelial cell loss in patients with phakic intraocular lenses (MoBack-ECL): a tear and aqueous humour analysis study - MoBack-ECL: a tear and aqueous humour study

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
NL-OMON
Registry ID
NL-OMON56417
Enrollment
126
Registered
2019-09-25
Start date
2020-07-02
Completion date
Unknown
Last updated
2025-09-01

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

Conditions

Endothelial cell loss sub-clinical inflammation

Interventions

None listed

Sponsors

Medisch Universitair Ziekenhuis Maastricht
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: Age over 18 , Cataract in one or both eyes, or indication for phakic intra-ocular lens explantation (Artisan or Artiflex lenses) Informed and having given informed consent.

Exclusion criteria

Exclusion criteria: • Insufficient understanding of the Dutch language to comply with study procedures • Inability to complete follow-up or comply with study procedures • Non-routine cataract surgery (e.g., cataract surgery combined with another ocular procedure - other than pIOL explantation -, cataract surgery under general anaesthe-sia) • Cognitive or behavioral conditions that might interfere with surgery • Patients with ocular comorbidities such as: diabetes with vision threatening diabetic retinopathy or diabetic macular edema, glaucoma (or IOP >24 mmHg), keratitis, keratoconus, keratopathy, corneal dystrophy, and uveitis. • Women who are pregnant or nursing their child • Immune-compromised patients (e.g., systemic corticosteroid use, leukaemia) • Factors that increase the risk of complicated surgery: o Previous ocular surgery (for the control group) o Previous perforating or blunt eye trauma o Eye, adnexal, or anatomical abnormalities (including pseudoexfoliation syn-drome) o Lens luxation or iridodonesis o Cataract nigrans, posterior polar cataract

Design outcomes

Primary

MeasureTime frame
The main study parameter is difference in pro-inflammatory cytokine levels - among others MMP9- between patients undergoing a pIOL explantation in combination with a cataract surgery compared to pro-inflammatory cytokine levels of patients only undergoing cataract surgery in aqueous humour.

Secondary

MeasureTime frame
The secondary parameter is the correlation between cytokines in aqueous humour and their expression in tears.

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)