- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT07733154
AI-Driven IOL Prediction Using SS-OCT Biometry
International Multicenter Evaluation of a Novel SS-OCT Biometer and Development of an AI-Driven Intraocular Lens Power Prediction Model
This prospective, multicenter, non-interventional observational study aims to evaluate the agreement between a novel swept-source optical coherence tomography (SS-OCT) biometer and the IOLMaster 700 for ocular biometric measurements and to develop and validate an artificial intelligence (AI)-driven intraocular lens (IOL) power prediction model.
The primary research questions are:
Does the novel SS-OCT biometer provide ocular biometric measurements that are comparable to those obtained using the IOLMaster 700? Can an AI-driven IOL power prediction model developed from multicenter biometric, imaging, surgical, and postoperative refractive data improve the accuracy of postoperative refractive prediction?
Adult patients with age-related cataract who are scheduled to undergo routine phacoemulsification with posterior chamber IOL implantation will be consecutively recruited from participating study centers. Participants will undergo routine preoperative clinical assessments together with additional non-contact biometric measurements using the novel SS-OCT biometer before cataract surgery. Cataract surgery and postoperative care will follow standard clinical practice and will not be influenced by the study. Postoperative refractive and visual outcomes at approximately one month after surgery will be collected for analysis. The AI model and research device measurements will be used for research purposes only and will not be used to guide clinical decision-making during the study.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Estimé)
Contacts et emplacements
Coordonnées de l'étude
- Nom: Jijing Li
- Numéro de téléphone: +85247412617
- E-mail: jijing0306@gmail.com
Lieux d'étude
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Adelaide, Australie
- Royal Adelaide Hospital (tentative)
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Contact:
- Cheung Wong
- Numéro de téléphone: 8613714543967
- E-mail: cheung.p.wong@gmail.com
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Hebei
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Wuhan, Hebei, Chine, 430032
- Wuhan Purui Ophthalmology Hospital
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Contact:
- zhimin Huang
- Numéro de téléphone: 8615007176939
- E-mail: 625806284@qq.com
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Kowloon City, Hong Kong
- Hong Kong Eye Hospital
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Contact:
- Jijing Li
- Numéro de téléphone: 85247412617
- E-mail: jijing0306@gmail.com
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
Méthode d'échantillonnage
Population étudiée
La description
Inclusion Criteria:
- Aged 18 years or above.
- Diagnosed with age-related cataract.
- Scheduled for routine phacoemulsification with posterior chamber intraocular lens implantation.
- Able to cooperate with preoperative ocular biometric measurements and postoperative assessments.
- Able to attend the planned 1-month postoperative follow-up visit.
- Able to understand the study information and provide written informed consent.
Exclusion Criteria:
- Ocular conditions that may significantly affect biometric measurements or postoperative refractive outcomes, including but not limited to severe corneal disease, severe ocular surface disease, advanced glaucoma, retinal detachment, severe maculopathy, significant optic nerve disease, or ocular trauma.
- History of previous intraocular surgery in the study eye, except minor superficial ocular procedures that are not expected to affect ocular biometry or refractive outcomes.
- Uncontrolled severe systemic disease that, in the opinion of the investigator or treating clinician, makes the patient unsuitable for routine cataract surgery or study participation.
- Cognitive impairment, severe mental disorder, or other condition that prevents the participant from understanding the study or providing valid informed consent.
- Poor cooperation that prevents reliable ocular biometric measurement or follow-up assessment.
- Current participation in another interventional clinical study that may affect the outcomes of this study.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Cohortes et interventions
Groupe / Cohorte |
Intervention / Traitement |
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Cataract Surgical Participants
All adult participants diagnosed with age-related cataract scheduled for routine phacoemulsification and IOL implantation.
All subjects receive parallel preoperative ocular biometry scans with IOLMaster 700 and a novel investigational SS-OCT biometer, followed by 1-month postoperative refractive follow-up.
No clinical treatment assignment is altered for research purposes.
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Commercially available swept-source OCT biometer for routine preoperative cataract ocular biometry, used for standard clinical care.
Investigational prototype swept-source OCT biometer for research-only parallel measurement of ocular biometric parameters; results will not be used to determine clinical IOL power selection.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Agreement of ocular biometric parameters between Novel SS-OCT Biometer and IOLMaster 700
Délai: Preoperatively (single measurement visit before cataract surgery)
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Bland-Altman 95% limits of agreement, mean difference, intraclass correlation coefficient (ICC) for six key biometric parameters: axial length, keratometry, anterior chamber depth, lens thickness, central corneal thickness, white-to-white diameter
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Preoperatively (single measurement visit before cataract surgery)
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Measurement success rate of two biometers
Délai: Preoperatively
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Percentage of valid, analyzable scans obtained from Novel SS-OCT Biometer vs IOLMaster 700
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Preoperatively
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Refractive prediction error of AI-driven IOL power model
Délai: 1 month postoperatively
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Mean absolute error (MAE), median absolute error (MedAE), root mean square error (RMSE); proportion of eyes within ±0.5D / ±1.0D refractive prediction error
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1 month postoperatively
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AI model performance across multi-ethnic cohorts
Délai: 1 month postoperatively
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Stratified refractive prediction error metrics among Chinese, Caucasian and other ethnic subgroups
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1 month postoperatively
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Incidence of transient ocular adverse events related to study biometric scans
Délai: From the preoperative measurement until completion of the 1-month postoperative follow-up
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Proportion of participants with temporary dry eye, glare or foreign body sensation after repeated optical measurements
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From the preoperative measurement until completion of the 1-month postoperative follow-up
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Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chercheur principal: Mingguang He, Prof., The Hong Kong Polytechnic University
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- HK-WH-OPH-202607
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Description du régime IPD
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Étudie un produit d'appareil réglementé par la FDA américaine
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