Cataract Clinical Trial
Official title:
Evaluation of Staged and Combined Phacoemulsification With Intraocular Lens (IOL) Implantation and Descemet Membrane Endothelial Keratoplasty (DMEK) for Cataract Patients With Corneal Endothelial Dysfunction
The purpose of this study is to evaluate the safety and efficacy of staged and combined phacoemulsification with intraocular lens implantation and Descemet membrane endothelial keratoplasty (DMEK) to treat cataract patients with corneal endothelial dysfunction. Surgical and postoperative complications, visual acuity and corneal endothelial cell density are evaluated.
The prospective, randomized, controlled study involves the enrollment of cataract patients
with corneal endothelial dysfunction. All the patients will be randomly assigned with equal
probability to the following two groups: 1. Staged group: phacoemulsification + IOL
implantation is performed individually and DMEK is performed secondarily according to the
corneal status of patients. During cataract surgery, viscoelastic materials and anterior
lens capsule are used to protect the compromised corneal endothelium during
phacoemulsification. After phacoemulsification and removal of all the lens material, a
one-piece foldable IOL is implanted into the lens capsule. 2: Combined group:
phacoemulsification + IOL implantation and DMEK is performed simultaneously. Standard
procedures of phacoemulsification + IOL implantation are the same as in the staged group.
Patients enrolled into the study will be followed for one year and will have study visits at
1 day, 1 week, 2 weeks, 1 month, 3 months, 6 months and 12 months after each surgery.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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