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Trial registered on ANZCTR
Registration number
ACTRN12618000763246
Ethics application status
Approved
Date submitted
20/04/2018
Date registered
7/05/2018
Date last updated
7/05/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
The evaluation of cataract surgery effects on the retinal layer thickness in cataract patients.
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Scientific title
The effects of uncomplicated cataract surgery on the retinal layer thickness in cataract patients.
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Secondary ID [1]
294665
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NONE
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cataract
307522
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Condition category
Condition code
Eye
306597
306597
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0
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Cataract surgery was performed with the Infiniti phacoemulsification device. After surgery, the changes of retinal layer thicknesses were evaluated by spectral domain optical coherence tomography. The image acquisition was followed by automatic intra-retinal layer segmentation performed by the inbuilt Spectralis software. Intra-retinal layer thicknesses were obtained for each Early Treatment Diabetic Retinopathy Study subfield at a central 1 mm circle and 1-3 mm circles. The cataract surgery would be performed regardless of whether the participants are enrolled in the study. Data were collected preoperatively, and on postoperative day 1, 7 (first week), 30 (first month), 90 (third month) and 180 (sixth month).
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Intervention code [1]
300964
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Early Detection / Screening
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
305599
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The primary outcome was to evaluate of the retinal layer thickness changes after cataract surgery. The retinal layer thicknesses were measured quantitatively by Spectral Domain optical coherence tomography before and after uncomplicated cataract surgery.
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Assessment method [1]
305599
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Timepoint [1]
305599
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Timepoint: Baseline (on the day before surgery), and on postoperative day 1, 7 (first week - primary endpoint), 30 (first month), 90 (third month) and 180 (sixth month).
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Secondary outcome [1]
345850
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Total energy taken to provide effect phacoemulsification
Total energy taken was assessed used with phacoemulsification device records .
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Assessment method [1]
345850
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Timepoint [1]
345850
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Timepoint: Baseline (on the day before surgery), and on postoperative day 1, 7 (first week), 30 (first month), 90 (third month) and 180 (sixth month).
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Secondary outcome [2]
346398
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Time take to provide effective phacoemulsification
Time taken was assessed used with phacoemulsification device records .
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Assessment method [2]
346398
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Timepoint [2]
346398
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Timepoint: Baseline (on the day before surgery), and on postoperative day 1, 7 (first week), 30 (first month), 90 (third month) and 180 (sixth month).
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Eligibility
Key inclusion criteria
Patients undergoing phacoemulsification surgery with intraocular lens implantation.
Be at least 45 years old, male or female.
Willing to measure retinal layer thickness before and after cataract surgery.
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Minimum age
48
Years
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Maximum age
79
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
macular pathologies, retinal vascular occlusion, history of any other ocular disorder (including uveitis, severe dry eye, eye trauma, glaucoma, pseudoexfoliation syndrome) or surgery, any systemic disorder (such as diabetes, hypertension, asthma or chronic obstructive pulmonary disease), systemic inflammation (inflammatory bowel disease, hepatitis B or C), the current use of any topical or systemic medication or anti-inflammatory agent, intraoperative complications such as posterior capsular rupture, vitreous loss, iris prolapse and low scan quality images due to dense cataract.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
The IBM SPSS version 20.0 (IBM Corporation, Armonk, NY, USA) software was used for statistical analyses. Measured data were described as the arithmetic mean ± standard deviation, whereas categorical data were described as percentages (%). Normal distribution of measured data was examined by the Kolmogorov-Smirnov test. The one-way ANOVA test was used for inter-group comparison variables for repeated measures. The Bonferroni method was used to correct the p value. The relationship between effective phaco time and total energy and all thickness parameters was analyzed with Pearson correlation analysis. A statistical level of significance was accepted at p<0.05.
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data analysis is complete
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Reason for early stopping/withdrawal
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
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Actual
19/12/2016
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Date of last participant enrolment
Anticipated
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Actual
6/04/2017
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Date of last data collection
Anticipated
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Actual
10/10/2017
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Sample size
Target
43
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Accrual to date
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Final
32
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Recruitment outside Australia
Country [1]
10340
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Turkey
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State/province [1]
10340
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Kirsehir
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Funding & Sponsors
Funding source category [1]
299278
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Hospital
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Name [1]
299278
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Ahi Evran University Training and Research Hospital
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Address [1]
299278
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Kervansaray district, Kayseri-Ankara Street (2019.street), no:1, Kirsehir, 40200,Turkey.
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Country [1]
299278
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Turkey
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Primary sponsor type
Hospital
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Name
Ahi Evran University Training and Research Hospital
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Address
Ahi Evran University Training and Research Hospital, Kervansaray district, 2019.street, No:1, Kirsehir, 40200,Turkey.
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Country
Turkey
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Secondary sponsor category [1]
298548
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None
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Name [1]
298548
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Address [1]
298548
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Country [1]
298548
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
300190
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Ethical Committe of Ankara Numune Training and Research Hospital
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Ethics committee address [1]
300190
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Ankara Numune Training and Research Hospital Talatpasa Avenue no:5 Altindag/Ankara
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Ethics committee country [1]
300190
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Turkey
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Date submitted for ethics approval [1]
300190
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01/12/2016
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Approval date [1]
300190
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14/12/2016
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Ethics approval number [1]
300190
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1113/2016
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Summary
Brief summary
Purpose: Our aim was to assess changes in the total retinal thickness (TRT), total retinal volume (TRV) and retinal layer thickness after uncomplicated cataract surgery. Methods: A total of 32 eyes of 32 patients who had undergone uncomplicated phacoemulsification surgery and intraocular lens implantation in one eye were enrolled. Effective phacoemulsification time (EPT) and total energy (TE) were recorded. Thickness and TRV were measured using optical coherence tomography. Data were collected preoperatively and at postoperative day 1, 7, 30, 90 and 180. Results: The study results showed a decrease in TRT, TRV and most retinal layer thicknesses at the first postoperative day visit, then increasing at week 1, month 1 and 3, and then relatively decreasing at month 6 although not returning to preoperative levels. The least affected layers were the retinal pigment epithelium and outer plexiform layer. There was a positive correlation between EPT and TE and ganglion cell layer in a 1 mm circle and inner nuclear layer in a 1-3 mm circle (p<0.05). Conclusion: The results suggest that long-term follow-up of more than 6 months is necessary after cataract surgery to see if total retinal and segmental values return to preoperative levels.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Ali Kurt
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Address
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Ahi Evran University Training and Research Hospital, Kervansaray district, 2019.street, No:1, Kirsehir, 40200,Turkey.
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Country
82854
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Turkey
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Phone
82854
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+90 537 0275488
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Fax
82854
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Email
82854
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[email protected]
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Contact person for public queries
Name
82855
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Ali Kurt
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Address
82855
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Ahi Evran University Training and Research Hospital, Kervansaray district, 2019.street, No:1, Kirsehir, 40200,Turkey.
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Country
82855
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Turkey
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Phone
82855
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+90 537 0275488
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Fax
82855
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Email
82855
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[email protected]
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Contact person for scientific queries
Name
82856
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Ali Kurt
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Address
82856
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Ahi Evran University Training and Research Hospital, Kervansaray district, 2019.street, No:1, Kirsehir, 40200,Turkey.
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Country
82856
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Turkey
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Phone
82856
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+90 537 0275488
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Fax
82856
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Email
82856
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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