UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000040684
Receipt number R000046435
Scientific Title IOL calculation by ray tracing using ARGOS
Date of disclosure of the study information 2020/06/08
Last modified on 2023/02/22 11:51:15

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Basic information

Public title

IOL calculation by ray tracing using ARGOS

Acronym

IOL calculation by ray tracing using ARGOS

Scientific Title

IOL calculation by ray tracing using ARGOS

Scientific Title:Acronym

IOL calculation by ray tracing using ARGOS

Region

Japan


Condition

Condition

Cataract (crystalline lens reconstructive operation by phacoemulsification)

Classification by specialty

Ophthalmology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Most of the existing intraocular lens (hereinafter referred to as IOL) calculation formulas calculate the IOL power by approximating the cornea and IOL as one refraction plane, while the ray tracing method uses the front and back surfaces of the cornea, which calculate IOL power by thick optic model which treat front and back of IOL as curved surface, and is theoretically most accurate method to calculate IOL power.
IOL power calculation requires axial length measurement, but conventional axial length measuring device calculates the axial length using the equivalent refractive index obtained from the average composition ratio of the intraocular component.
On the other hand, SS-OCT biometer ARGOS calculates the axial length as the sum of values obtained by dividing the optical path length of each part of corneal thickness, aqueous humor, lens, and vitreous by the refractive index of each tissue, and it is known that the axial length can be more accurately calculated theoretically even with an eye with irregular ratio such as long or short axis.
With the spread of premium IOL, more accurate IOL power calculation is being demanded, but IOL power calculation performed by the combination of ARGOS, which measures the axial length using the segmental refractive index, and the ray tracing method has not been reported yet. Therefore, we decided to study the predicted refraction error by calculating IOL power using ARGOS and ray tracing method.

Basic objectives2

Others

Basic objectives -Others

we decided to study the predicted refraction error by calculating IOL power using ARGOS and ray tracing method.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Predicted refractive error calculated by each IOL calculation formula (ray tracing, SRK/T,Haigis,Barrett Universal II)

Predicted refractive error: spherical equivalent difference between predicted refractive value and manifest refraction 1-3 months after surgery

Key secondary outcomes

1.Measurable rate(all eyes, nucleus hardness greater than 4)
2.Best corrected visual acuity
3.As subanalysis, axial length of eye is divided into groups (shorter than 22mm, 22-26mm, longer than 26mm) and predicted refractive error is compared


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) 1 case/1 eye of patient who had crystalline lens reconstructive operation by phacoemulsification7
(2) Patient with SN60WF (AcrySof IQ) inserted and fixed in lenticular capsule.
(3) Patient without opacity in optic media except for crystalline lens with cataract
(4) Patient who can expect to obtain postoperative best corrected vision more than 0.8
(5) Patient who can be followed-up postoperatively

Key exclusion criteria

(1)Patient who is planning to have other ocular surgery within 3 months after cataract surgery
(2)Patient who underwent ocular surgery such as uncontrolled glaucoma, progressive diabetic retinopathy, uveitis, retinal detachment, rubeosis iridis, pterygium, corneal dystrophy, corneal transplant, keratorefractive surgery, or with severe dry eye.
(3)Corneal astigmatism more than 2.0D
(4)Patient with ocular disease or takes medication which may affect visual acuity.
(5)Patient who experienced Zinn's zonule rupture, posterior capsule rupture, vitreous prolapse, hyphema, and unable to completely fix IOL optic and haptics in lens capsule during surgery.
(6)Patient who physician considers unsuitable due to systemic or ophthalmic disease

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Kazuo
Middle name
Last name Ichikawa

Organization

Chukyo Eye Clinic

Division name

Chukyo Eye Clinic

Zip code

456-0032

Address

12-22 Sanbonmatsu-cho, Atsuta-ku, Nagoya, Aichi

TEL

052-883-1543

Email

ichikawa@chukyogroup.jp


Public contact

Name of contact person

1st name Kazuo
Middle name
Last name Ichikawa

Organization

Chukyo Eye Clinic

Division name

Chukyo Eye Clinic

Zip code

456-0032

Address

12-22 Sanbonmatsu-cho, Atsuta-ku, Nagoya, Aichi

TEL

052-883-1543

Homepage URL


Email

ichikawa@chukyogroup.jp


Sponsor or person

Institute

Chukyo Eye Clinic

Institute

Department

Personal name



Funding Source

Organization

Alcon

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Chukyo Eye Clinic, REC

Address

12-22 Sanbonmatsu-cho, Atsuta-ku, Nagoya, Aichi

Tel

052-883-1543

Email

rec@chukyogroup.jp


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



Other administrative information

Date of disclosure of the study information

2020 Year 06 Month 08 Day


Related information

URL releasing protocol

none

Publication of results

Unpublished


Result

URL related to results and publications

none

Number of participants that the trial has enrolled

568

Results

.

Results date posted

2023 Year 02 Month 22 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

.

Participant flow

.

Adverse events

none

Outcome measures

Predicted refractive error calculated by each IOL calculation formula (ray tracing, SRK/T,Haigis,Barrett Universal II)

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 05 Month 11 Day

Date of IRB

2020 Year 05 Month 11 Day

Anticipated trial start date

2020 Year 05 Month 11 Day

Last follow-up date

2021 Year 10 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

There is no additional test for this study, and all tests are routinely done before and after surgery as evaluation.


Management information

Registered date

2020 Year 06 Month 08 Day

Last modified on

2023 Year 02 Month 22 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046435


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name