Cataract Surgery In Patients With Advanced Age

Cataract Senile Clinical Trial

Official title:

Outcomes of Cataract Surgeries in Patients With Advanced Age

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04140383
• Other study ID #: Sakarya Ophthalmology
• Status: Completed
• Start date: October 2, 2017
• Est. completion date: February 25, 2018

Study information

• Verified date: October 2019
• Source: Sakarya University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This study evaluates and compares clinical outcomes of < 85 and ≥ 85 year old patients who underwent cataract surgeries.

Description:

The medical records of patients who were underwent cataract surgery between January 2014 and October 2017 were investigated retrospectively and patients 65 years and older were recruited. Two groups were made according to age: group1 composed of patients age range between 65 and 85 years and group 2 composed of patients 85 years and older. Gender, presence of diabetes mellitus (DM), hypertension (HT), drug use were noted.

The results of best corrected visual acuity (BCVA) converted to LogMar, intraocular pressure (IOP) before and 3 months after operation, biomicroscopic and fundus examinations were investigated.

Additional ocular diseases such as glaucoma, age related macular degeneration (AMD), pseudoexfoliation syndrome, retinopathies and maculopathies related to systemic diseases were noted. Pupil dilation properties were also noted as poor, mid or full pupil dilation.

Cataract surgery techniques such as phacoemulsification, extra- and intracapsular lens extractions, peroperative complications, intracameral drug use were investigated.

these aforementioned outcomes evaluated and compared between groups.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 152
• Est. completion date: February 25, 2018
• Est. primary completion date: December 2, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 65 Years to 95 Years

Eligibility

Inclusion Criteria:

• patients aged 65 years and older patients who underwent cataract surgery

Exclusion Criteria:

• patients aged below 65 years who underwent cataract surgery

Related Conditions & MeSH terms

• Cataract
• Cataract Senile

Intervention

Procedure:
• Cataract Surgery
Cataract surgery was performed by using phacoemulsification technique, routinely. But other techniques for instance extra or intracapsular cataract extraction (ECCE, ICCE) techniques were performed when needed. Phacoemulsification technique was performed by 2 experienced surgeon (G.A. and E.C.) under topical anesthesia, thorough limbal incision. Foldable single piece hydrophobic acrylic intraocular lens (IOL) was inserted in the bag. In the presence of complications related to anterior or posterior capsules, 3 pieces IOL was preferred. When ECCE technique was chosen, single piece polymethyl methacrylate IOL was inserted.

Locations

Country	Name	City	State
Turkey	Sakarya University Ophthalmology Department	Sakarya

Sponsors (1)

Lead Sponsor	Collaborator
Sakarya University

Country where clinical trial is conducted

Turkey, 

References & Publications (1)

Syam PP, Eleftheriadis H, Casswell AG, Brittain GP, McLeod BK, Liu CS. Clinical outcome following cataract surgery in very elderly patients. Eye (Lond). 2004 Jan;18(1):59-62. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Best corrected visual acuity	Best corrected visual acuity converted to LogMar	Before cataract surgery
Primary	Best corrected visual acuity	Best corrected visual acuity converted to LogMar	three months after cataract surgery
Secondary	presence of Diabetes Mellitus	number of participants who have diabetes mellitus	Baseline (Before cataract surgery)
Secondary	presence of essential hypertension	number of participants who have essential hypertension	before cataract surgery
Secondary	oral acetylsalicylic acid use	number of participants who have a history of acetylsalicylic acid use	before cataract surgery
Secondary	oral flomax use	number of participants who have a history of oral flomax use	before cataract surgery
Secondary	presence of age related macular degeneration	number of participants who have age related macular degeneration	Baseline (Before cataract surgery)
Secondary	presence of glaucoma	number of participants who have glaucoma	before cataract surgery
Secondary	presence of pseudoexfoliation	number of participants who have pseudoexfoliation	before cataract surgery
Secondary	presence of poor pupil dilation	number of participants who have poor pupil dilation	During cataract surgery
Secondary	presence of zonule deficiency	number of participants who have zonule deficiency	During cataract surgery
Secondary	Cataract types in patients who underwent cataract surgery	number of participants who have nuclear, posterior subcapsular, corticonuclear, mature, nigra, traumatic cataract	Baseline (Before cataract surgery)
Secondary	measurement of effective phacoemulsification time	measurement of effective phacoemulsification time in participants who underwent cataract surgery	During cataract surgery
Secondary	presence of posterior capsule rupture	participants who had posterior capsule rupture during surgery	During cataract surgery
Secondary	anterior vitrectomy	number of participants who needed anterior vitrectomy during cataract surgery	during surgery
Secondary	presence of aphakia	number of participants who left aphakic after cataract surgery	3 months after cataract surgery
Secondary	intracameral adrenalin use	number of participants who needed intracameral adrenalin use	during surgery

External Links

•   Sussex Eye Hospital, Brighton, United Kingdom