UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000025345
Receipt number R000029150
Scientific Title Surgically Induced Astigmatic Change and Shape Changes of Total, Anterior, and Posterior Corneas After Long- versus Short-Length Clear Corneal Incision Cataract Surgery: A Randomized Clinical Study
Date of disclosure of the study information 2016/12/21
Last modified on 2017/06/21 12:15:43

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Basic information

Public title

Surgically Induced Astigmatic Change and Shape Changes of Total, Anterior, and Posterior Corneas After Long- versus Short-Length Clear Corneal Incision Cataract Surgery: A Randomized Clinical Study

Acronym

Surgically Induced Astigmatism and Shape Changes of Total, Anterior, and Posterior Corneas After Long versus Short Clear Corneal Incision Cataract Surgery

Scientific Title

Surgically Induced Astigmatic Change and Shape Changes of Total, Anterior, and Posterior Corneas After Long- versus Short-Length Clear Corneal Incision Cataract Surgery: A Randomized Clinical Study

Scientific Title:Acronym

Surgically Induced Astigmatism and Shape Changes of Total, Anterior, and Posterior Corneas After Long versus Short Clear Corneal Incision Cataract Surgery

Region

Japan


Condition

Condition

Cataract

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to compare surgically induced astigmatism (SIA) and shape changes of total, anterior, or posterior cornea between eyes with long-length clear corneal incisions (CCIs) and eyes with short-length CCIs in cataract surgery.

Basic objectives2

Others

Basic objectives -Others

Eyes are to randomly assigned to undergo long-length (not less than 1.75 mm) or short-length (<1.75mm) CCI of 2.4 mm in width SIA of total, anterior, and posterior corneas is determined using power vector analysis, and corneal shape changes are assessed using a videokeratography preoperatively, and postoperatively at 2 days, and 2, 4, and 8 weeks.

Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Patients are to undergo examinations at 2 days and at 2, 4, and 8 weeks after surgery.
1) Corneal astigmatism of total, anterior, and posterior corneas (simulated K value of a videokeratography system; Tomey TMS-5)
2) Surgically induced astigmatic change of total, anterior, and posterior corneas (power vector analysis)
3) Shape changes in of total, anterior, and posterior corneas (average of difference map of TMS-5)

Key secondary outcomes

4) Incision length of clear corneal incisions
5) Irregular astigmatism components (asymmetry and higher-order irregularity components)
6) Ocular, corneal, and internal optic higher order aberrations (HOAs)
7) Corrected distance visual acuity and manifest spherical equivalent value


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Bilateral (240) eyes of 120 patients are randomly assigned to undergo long-length (no more than 1.75mm)

Interventions/Control_2

That reverse eyes 120 patients are randomly assigned to undergo short-length (<1.75mm) clear corneal incision (CCI)of 2.4 mm in width.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who are scheduled for bilateral phacoemulsification surgery with an acrylic intraocular lens (IOL) implantation at the Hayashi Eye Hospital between November 1, 2015 and November 11, 2016.

Key exclusion criteria

Exclusion criteria are eyes with pathologies except for cataract; eyes with pseudoexfoliation syndrome; eyes that were to undergo planned extracapsular or intracapsular cataract extraction; eyes with a possible zonular dehiscence; a history of ocular surgery or inflammation; patients with diabetes mellitus; patients who refused the inclusion in the study; and difficulties with examination or follow-up. Patients who were enrolled in other studies were excluded.

Target sample size

120


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Ken Hayashi

Organization

Hayashi Eye Hospital

Division name

Department of ophthalmology

Zip code


Address

4-23-35, Hakataekimae, Hakata-ku, Fukuoka, Japan

TEL

092-431-1680

Email

hayashi-ken@hayashi.or.jp


Public contact

Name of contact person

1st name
Middle name
Last name Ken Hayashi

Organization

Hayashi Eye Hospital

Division name

Department of ophthalmology

Zip code


Address

4-23-35, Hakataekimae, Hakata-ku,Fukuoka, Japan

TEL

092-431-1680

Homepage URL


Email

hayashi-ken@hayashi.or.jp


Sponsor or person

Institute

Hayashi Eye Hospital

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

林眼科病院(福岡県) Hayashi Eye Hospital(Fukuoka) 


Other administrative information

Date of disclosure of the study information

2016 Year 12 Month 21 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2015 Year 10 Month 28 Day

Date of IRB


Anticipated trial start date

2015 Year 10 Month 30 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2016 Year 12 Month 21 Day

Last modified on

2017 Year 06 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029150


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name