Incidence of Glaucoma-related Adverse Events in Pediatric Secondary Intraocular Lens Implantation
Incidence of Glaucoma-related Adverse Events in Pediatric Secondary Intraocular Lens Implantation, In-the-bag Versus Sulcus Fixation : a Randomized Controlled Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Zhenzhen Liu, PhD
- Phone Number: +86 13570382241
- Email: liu_zhenzhen@qq.com
Study Locations
-
-
-
Guangzhou, China, 510060
- Recruiting
- Zhongshan Ophthalmic Center, Sun Yat-sen University Guangzhou, China, 510060
-
Contact:
- Zhenzhen Liu, PhD
- Phone Number: +8613570382241
- Email: liu_zhenzhen@qq.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Aged between 18 months and 14 years
- Had a primary diagnosis of congenital cataract.
- Underwent cataract extraction between the ages of 2 and 24 months
Exclusion Criteria:
- Primary IOL implantation
- Pre-existing ocular disease which might affect the location and outcome of secondary IOL implantation (including and not restricted to microphthalmia, microcornea, microcornea, corneal opacity, pseudopterygium, iris anomaly, glaucoma diagnosed before cataract extraction, uveitis, persistent fetal vasculature or trauma)
- Suture fixation for secondary IOL implantation
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Secondary in-the-bag IOL fixation group
In-the-bag IOL fixation is the experimental arm
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The experimental group with secondary IOL fixated in the capsular bag
|
|
Active Comparator: Secondary ciliary sulcus IOL fixation group
Ciliary sulcus IOL fixation is the control arm
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The control group with secondary IOL fixated in the ciliary sulcus
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of glaucoma-related adverse events
Time Frame: One year after surgery
|
The assessment of glaucoma-related adverse events is performed at one year after surgery
|
One year after surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of glaucoma-related adverse events
Time Frame: Six months,three years, five years, ten years after surgery
|
The assessment of glaucoma-related AEs is performed at six months, three years, five years, ten years after surgery
|
Six months,three years, five years, ten years after surgery
|
|
Visual acuity
Time Frame: Six months,one year, three years, five years, ten years after surgery
|
Evaluated with an ETDRS chart.
For those who are unable to use ETDRS chart, visual acuity will be evaluated with Lea Symbol Chart or Teller Acuity Cards
|
Six months,one year, three years, five years, ten years after surgery
|
|
Ocular refractive power
Time Frame: Six months,one year,three years, five years, ten years after surgery
|
Measured by the Auto Refractometer
|
Six months,one year,three years, five years, ten years after surgery
|
|
Intraocular lens decentration
Time Frame: Six months,one year, three years, five years, ten years after surgery
|
Measured by anterior segment scanning
|
Six months,one year, three years, five years, ten years after surgery
|
|
Intraocular lens tilt
Time Frame: Six months,one year, three years, five years, ten years after surgery
|
Measured by anterior segment scanning
|
Six months,one year, three years, five years, ten years after surgery
|
|
Incidence of other adverse events
Time Frame: Six months,one year, three years, five years, ten years after surgery
|
The assessment of other adverse events will be performed at six months,one year,three years, five years, ten years after surgery
|
Six months,one year, three years, five years, ten years after surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Yizhi Liu, PhD, Zhongshan Ophthalmic center, Guangzhou, People's Republic of China
Publications and helpful links
General Publications
- Freedman SF, Beck AD, Nizam A, Vanderveen DK, Plager DA, Morrison DG, Drews-Botsch CD, Lambert SR; Infant Aphakia Treatment Study Group. Glaucoma-Related Adverse Events at 10 Years in the Infant Aphakia Treatment Study: A Secondary Analysis of a Randomized Clinical Trial. JAMA Ophthalmol. 2021 Feb 1;139(2):165-173. doi: 10.1001/jamaophthalmol.2020.5664.
- Liu Z, Lin H, Jin G, Tan X, Qu B, Jin L, Chen X, Wang W, Han X, Xu J, Ying G, Han Y, He M, Congdon N, Chen W, Luo L, Liu Y. In-the-Bag Versus Ciliary Sulcus Secondary Intraocular Lens Implantation for Pediatric Aphakia: A Prospective Comparative Study. Am J Ophthalmol. 2022 Apr;236:183-192. doi: 10.1016/j.ajo.2021.10.006. Epub 2021 Oct 13.
- Wood KS, Tadros D, Trivedi RH, Wilson ME. Secondary intraocular lens implantation following infantile cataract surgery: intraoperative indications, postoperative outcomes. Eye (Lond). 2016 Sep;30(9):1182-6. doi: 10.1038/eye.2016.131. Epub 2016 Jul 1.
- Shenoy BH, Mittal V, Gupta A, Sachdeva V, Kekunnaya R. Complications and visual outcomes after secondary intraocular lens implantation in children. Am J Ophthalmol. 2015 Apr;159(4):720-6. doi: 10.1016/j.ajo.2015.01.002. Epub 2015 Jan 9.
- Zhao YE, Gong XH, Zhu XN, Li HM, Tu MJ, Coursey TG, Pflugfelder SC, Gu F, Chen D. Long-term outcomes of ciliary sulcus versus capsular bag fixation of intraocular lenses in children: An ultrasound biomicroscopy study. PLoS One. 2017 Mar 16;12(3):e0172979. doi: 10.1371/journal.pone.0172979. eCollection 2017.
- Whitman MC, Vanderveen DK. Complications of pediatric cataract surgery. Semin Ophthalmol. 2014 Sep-Nov;29(5-6):414-20. doi: 10.3109/08820538.2014.959192.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2021KYPJ135
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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