PhysTilt: Crystalline Lens Tilt Evaluation Using Swept-source Optical Coherence Tomography
Study Details
Study Description
Brief Summary
This retrospective epidemiological study aims to quantify the physiological lens tilt of the phakic eye. Measurements were obtained using high-resolution swept-source optical coherence tomography. The influence of biometric measurements on tilt is analyzed.
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Detailed Description
The human (crystalline or phakic) lens is located in the capsular bag which is attached to zonules. Zonules are fibres, that hold the lens in place. In the course of life, an opacification on the lens occurs, which is called cataract. To replace the cloudy lens, cataract surgery is being performed and an artificial intraocular lens (IOL) is implanted in the eye, after the phakic lens is removed. Misalignment or tilting of IOLs can result in reduction of visual quality, therefore prediction of the position may be beneficial. Modern optical coherence tomography (OCT) devices already provide profound information about phakic lens tilt. Still there is little data on the values that influence the tilt of the crystalline lens. Before each cataract surgery, each eye is measured using biometry (IOL Master 700). However, a statement about the tilt cannot be made with this device. For this purpose, an anterior segment OCT is required (CASIA 2). In our study, preoperative biometry data are compared with anterior segment OCT data. A statistical analysis will then be performed to identify the biometric parameters that can predict phakic lens tilt.
Study Design
Outcome Measures
Primary Outcome Measures
- Physiological lens tilt [June 2020 - October 2022]
SS-OCT measurements (IOLMaster700 and Casia2) to investigate axial eye length, anterior chamber depth and lens thickness and their influence on lens tilt
Secondary Outcome Measures
- Correlation of biometric data [June 2020 - October 2022]
Correlation of other biometric data (lens thickness, anterior chamber depth, white-to-white) with lens tilt
Eligibility Criteria
Criteria
Inclusion Criteria:
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Planned cataract surgery in one or both eyes
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Minimum age of 21 years
Exclusion Criteria:
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Opacities of the refracting media
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Measurement error in the context of preliminary investigation
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pseudophakia
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Johannes Kepler University of Linz
Investigators
- Principal Investigator: Nino Hirnschall, MD, Johannes Kepler University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- KUK-Ophthalmology-010