Lens Implantation, Intraocular Clinical Trial
Official title:
Wavefront Analysis and Contrast Sensitivity After Cataract Surgery With Akreos AO Intraocular Lens Implantation: Clinical Comparative Study
Purpose: To determine whether implantation of an intraocular lens (IOL) with a modified
anterior and posterior aspherical surface (Akreos AO, Bausch & Lomb,Inc) results in reduced
ocular aberrations (spherical aberration) and in improved contrast sensitivity after
cataract surgery.
Study hypothesis: the implantation of an intraocular lens (IOL) with a modified anterior and
posterior aspherical surface (Akreos AO, Bausch & Lomb,Inc) results in reduced ocular
aberrations (spherical aberration) and improved contrast sensitivity after cataract surgery.
Setting: Department of ophthalmology, Hospital das Clínicas, University of São Paulo, São
Paulo, Brazil.
Overall Study design: This will be an intraindividual randomized double-blinded prospective
study. Patients will be randomized to receive an aspheric IOL Akreos AO in one eye (25 eyes;
Bausch & Lomb, Inc), and an spheric IOL Akreos Fit (25 eyes; Bausch & Lomb, Inc.) in the
fellow eye. Ocular aberrations with a 5.0 mm and 6.0 mm pupil will be measured with a
dynamic retinoscopy aberrometer after 1 and 3 months. Uncorrected and best-corrected visual
acuity, out-focus performance and contrast sensitivity under mesopic and photopic conditions
will be also measured. All patients will be followed for 3 months.
Patients with bilateral visually significant cataract with corneal astigmatism lower than
2.0D (diopters) will be eligible for inclusion in the study. Exclusion criteria will be any
ocular diseases, such as corneal opacities or irregularity, dry eye, amblyopia,
anisometropia, glaucoma, retinal abnormalities, surgical complications, IOL tilt, IOL
decentration greater than 0.4 mm (estimated by retroillumination), or incomplete follow-up.
Patients will be examined before surgery and at 1, 7, 30, 90 days after surgery.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
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