Cataract Clinical Trial
Official title:
The Oscillation of Crystalline and Intraocular Lenses: a Feasibility Study of the Lens' Movements in the Eye
The crystalline lens of the human eye helps to sharpen vision. There can be issues with the
support/stability of the lens. This could be seen with the naked eye of an external observer
or with the use of a slit lamp.
Certain eye conditions can predispose to issues with lens stability. If patients have
stability issues with their natural lens- this would be termed as "phakodonesis". However, in
patients who have had prior cataract surgery with implantation of an artificial lens (IOL)-
this would be termed as "pseudophakodonesis". Eye conditions such as pseudoexfoliation or
Marfan-syndrome can lead to unstable lens support- this can be detected if there are advanced
stability issues.
However, small instability in the eye's would not be detected with present descriptive
methods. The authors have designed a high-speed camera which is able to detect stability of
the lens, especially during eye movements. The high-speed camera can detect variation in the
change of light reflex from the lens and calculate the amount of lens
instability/oscillation. The results (in normal eyes) of this high-speed camera has already
been published in a peer-review journal. It is non-contact and measures lens movement. The
test lasts less than 5 minutes.
Further research is required to assess the amount of lens oscillation (wobbling) in different
eye populations - patients with previous cataract surgery (an artificial implant is used to
replace the lens) or eye conditions (such as pseudoexfoliation, Marfan syndrome). The amount
of lens stability has a role in the planning of further intraocular surgery - especially
cataract extraction - however, at present, there is no approved quantitative measurement for
this.
Participants will be recruited through Anglia Ruskin University (educational establishment),
local community groups, and through Southend University Hospital eye clinics (NHS
organisation). Participants' data will remain anonymous.
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