Effect of Preoperative Pupil Size on Quality of Vision After Wavefront-Guided LASIK

April 28, 2009 updated by: Stanford University
The purpose of this study is to evaluate whether the size of the pupil has an effect on quality of vision in patients undergoing LASIK surgery.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Purpose: To prospectively evaluate the effect of preoperative pupil size on quality of vision after wavefront-guided LASIK.

Methods: Fifty-one patients underwent LASIK for low myopia and completed questionnaires regarding specific visual symptoms before and after surgery. Each eye was evaluated postoperatively at 1-week, 1-, 3-, 6- and 12-months. Pupils were stratified according to size: small (<5.5mm), medium (5.5 to 6.0mm) and large (>6.0mm). Mesopic pupil size and preoperative and postoperative variables were evaluated using analysis of variance (ANOVA). A regression model was also performed to determine the correlation between mean spherical equivalent and cylinder and visual symptoms.

Study Type

Interventional

Enrollment (Actual)

51

Phase

  • Phase 4

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • California
      • Stanford, California, United States, 94305
        • Stanford University School of Medicine

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. no more than 6.00 D of spherical myopia
  2. no more than 3.00 D of refractive astigmatism
  3. a stable refraction (less than 0.50D per year of sphere or cylinder)
  4. a corneal diameter of less than 11.0 mm to allow for suction ring fixation
  5. discontinuation of soft contact wear at least 7 days prior to preoperative evaluation
  6. visual acuity correctable to at least 20/20
  7. age older than 21 years
  8. ability to participate in follow-up examinations for 12 months after LASIK surgery

Exclusion Criteria:

  1. use of rigid gas permeable contact lens
  2. severe dry eye symptoms
  3. severe blepharitis
  4. anterior segment abnormalities (i.e. cataracts, corneal scarring, or neovascularization within 1 mm of intended ablation zone)
  5. recurrent corneal erosion
  6. severe basement membrane disease
  7. progressive or unstable myopia or keratoconus
  8. unstable corneal mires on central keratometry
  9. corneal thickness in which LASIK procedure would result in less than 250 microns of remaining posterior corneal thickness below the flap postoperatively
  10. baseline standard manifest refraction of more than 0.75 D in sphere power
  11. or a difference of greater than 0.50 D in cylinder power compared with baseline standard cycloplegic refraction
  12. a baseline standard cycloplegic refraction differing more than 0.75 in sphere, 0.50 D in cylinder
  13. have a different type of astigmatism (i.e. with-the-rule) when the cylinder is greater than 0.50D compared to baseline standard cycloplegic refraction
  14. preoperative assessment of ocular topography and/or aberrations indicates that either eye is not suitable candidate for LASIK vision correction procedure (i.e. forme fruste keratoconus
  15. corneal warpage, or pellucid marginal degeneration)
  16. previous intraocular or corneal surgery
  17. history of herpes zoster or simplex keratitis
  18. patients on systemic corticosteroid or immunosuppressive therapy
  19. immunocompromised subjects or clinically significant atopic disease
  20. connective tissue disease
  21. diabetes
  22. steroid responder
  23. macular pathology
  24. pregnant or lactating patients
  25. patients with sensitivity to planned study concomitant medications
  26. patients participating in another ophthalmic drug or device clinical trial

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: small
laser-assisted in situ keratomileusis
Other Names:
  • laser-assisted in situ keratomileusis
Active Comparator: medium
laser-assisted in situ keratomileusis
Other Names:
  • laser-assisted in situ keratomileusis
Active Comparator: large
laser-assisted in situ keratomileusis
Other Names:
  • laser-assisted in situ keratomileusis

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Sub-Investigator: Annie Chan, Stanford University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

May 1, 2004

Primary Completion (Actual)

November 1, 2005

Study Completion (Actual)

November 1, 2005

Study Registration Dates

First Submitted

February 12, 2009

First Submitted That Met QC Criteria

April 28, 2009

First Posted (Estimate)

April 29, 2009

Study Record Updates

Last Update Posted (Estimate)

April 29, 2009

Last Update Submitted That Met QC Criteria

April 28, 2009

Last Verified

April 1, 2009

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • SU-02082009-1758

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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