Optic Capture Without Anterior Vitrectomy in Pediatric Cataract Surgery

Ege University

Status: Completed

Conditions: Cataract, Juvenile

Treatments: Procedure: In-the-bag implantation of Intraocular lens; Procedure: optic capture

Study type: Interventional

Funder types: Other

Identifiers

NCT05461040

OC3506

Details and patient eligibility

About

Purpose: To compare two pediatric cataract surgery procedures: intraocular lens (IOL) optic capture without anterior vitrectomy (AV) and in-the-bag IOL implantation with AV.

Setting: Ege University Medical School Hospital, Izmir, Turkey. Design: Prospective randomized control clinical trial. Methods: Patients were randomly assigned to two groups: optic capture without AV (Group 1) or in-the-bag implantation with AV (Group 2). The following variables were compared: visual acuity, intraocular pressure, refractive errors, IOL tilt and decentration, lenticular astigmatism, anterior-posterior synechia, inflammatory cell deposits on IOL and post-operative complications.

Enrollment: 37 patients

Sex: All

Ages: 1 to 10 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children with congenital or developmental cataracts who had cataract surgery and primary IOL implantation at a tertiary care referral institute were included.

Exclusion criteria

• Traumatic or uveitic cataract, corneal opacity, iris coloboma, microphthalmia, microcornea, persistent fetal vascularization, congenital glaucoma, and retinopathy of prematurity were all considered exclusion criteria.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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37 participants in 2 patient groups

Optic capture of Intraocular lens without anterior vitrectomy (Group 1)

Experimental group

Treatment:

Procedure: optic capture

in-the-bag implantation of Intraocular lens with anterior vitrectomy (Group 2).

Experimental group

Treatment:

Procedure: In-the-bag implantation of Intraocular lens