Endothelial cell loss sub-clinical inflammation
Conditions
Interventions
None listed
Sponsors
Eligibility
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
| Measure | Time 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
| Measure | Time frame |
|---|---|
| The secondary parameter is the correlation between cytokines in aqueous humour and their expression in tears. | — |
Countries
Netherlands