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.
研究概览
研究类型
注册 (估计的)
联系人和位置
学习联系方式
- 姓名:Jijing Li
- 电话号码:+85247412617
- 邮箱:jijing0306@gmail.com
学习地点
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Hebei
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Wuhan、Hebei、中国、430032
- Wuhan Purui Ophthalmology Hospital
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接触:
- zhimin Huang
- 电话号码:8615007176939
- 邮箱:625806284@qq.com
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Adelaide、澳大利亚
- Royal Adelaide Hospital (tentative)
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接触:
- Cheung Wong
- 电话号码:8613714543967
- 邮箱:cheung.p.wong@gmail.com
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Kowloon City、香港
- Hong Kong Eye Hospital
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接触:
- Jijing Li
- 电话号码:85247412617
- 邮箱:jijing0306@gmail.com
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参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
取样方法
研究人群
描述
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.
学习计划
研究是如何设计的?
设计细节
队列和干预
团体/队列 |
干预/治疗 |
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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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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Agreement of ocular biometric parameters between Novel SS-OCT Biometer and IOLMaster 700
大体时间: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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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Measurement success rate of two biometers
大体时间: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
大体时间: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
大体时间: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
大体时间: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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合作者和调查者
调查人员
- 首席研究员:Mingguang He, Prof.、The Hong Kong Polytechnic University
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- HK-WH-OPH-202607
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
IPD 计划说明
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