Microincision Versus Smallincision Combined Surgery
Study Details
Study Description
Brief Summary
The purpose of this study is to compare refractive outcomes after two different types of combined cataract surgery, namely microinscision cataract surgery and smallincision cataract surgery, and sutureless 23-gauge vitrectomy in patients presenting with vitreoretinal disorders and coexisting cataracts.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Purpose:
To compare refractive outcomes after combined cataract and vitreoretinal surgery.
Methods:
Patients with a diagnosis of vitreoretinal disorder and a coexisting significant cataract were randomly assigned to be treated with a microincision cataract surgery and a 23-gauge vitrectomy (treatment group 1) or with a smallincision cataract surgery and a 23-gauge vitrectomy (treatment group 2).
Main outcome measures:
Refractive outcomes, stability of the intraocular lens (IOL), intraocular pressure (IOP) and functional outcomes.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Micro Microincision cataract surgery |
Procedure: Combined Micro- Surgery
Microincision Cataract Surgery combined with 23-gauge/25-gauge/27 gauge Vitrectomy
|
Active Comparator: Small Smallincision cataract surgery |
Procedure: Combined Small-Surgery
Smallincision cataract surgery combined with 23 gauge vitrectomy
|
Outcome Measures
Primary Outcome Measures
- Refractive outcome [12 weeks after surgery]
Refractive outcome includes autorefraction using Humphrey Automatic Refractor/Keratometer(Carl Zeiss AG, Oberkochen, Germany) and subjective manifest refraction.
Secondary Outcome Measures
- measurements of anterior chamber depth (ACD) [12 weeks after surgery]
measurements of anterior chamber depth (ACD )to evalute the stability of the intraocular lens (IOL) using the Pentacam (OCULUS GmbH, Wetzlar, Germany)
- intraocular pressure (IOP) [12 weeks after surgery]
to evaluate the stability of the eye after sutureless 23-gauge vitrectomy
- functional outcome [12 weeks after surgery]
Functional outcome includes testing of best corrected distance and near visual acuity (Logarithm of the minimum angle of resolution (logMAR) charts and Radner Reading charts)and optical coherence tomography (OCT)
Eligibility Criteria
Criteria
Inclusion Criteria:
-
diagnosis vitreoretinal disorder with coexisting cataract
-
combined surgery
-
age over 60 years
-
IOL master for preoperative intraocularlens (IOL) calculation
Exclusion Criteria:
-
ultrasound for IOL calculation due to hazy media (dense cataract,vitreous hemorrhage)
-
macular edema, proliferative diabetic retinopathy
-
myopia or hyperopia more than 5 diopters, astigmatism more than 2 diopters
-
previous refractive surgery, retinal detachment surgery, glaucoma surgery and vitrectomy
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Rudolf Foundation Clinic | Vienna | Austria | 1030 |
Sponsors and Collaborators
- The Ludwig Boltzmann Institute of Retinology and Biomicroscopic Laser Surgery
Investigators
- Principal Investigator: Susanne Binder, Univ.Prof.Dr., Ludwig Boltzmann Institute of Retinology and biomicroscopic Lasersurgery
- Study Chair: Christiane I Falkner-Radler, M.D., Ludwig Boltzmann Institut of Retinology and biomicroscopic Lasersurgery
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- FR-6-CI-2010