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Negative DysphotopsiaNCT02724553

Comparison of Haptic Orientation in Negative Dysphotopsia

A study testing Acrylic lens implantation in people with Negative Dysphotopsia, run by Loma Linda University.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

Previous studies attempted to understand the dysphotopsia phenomenon by examining intraocular lens type, anterior capsule depth, iris-to-lens depth, lens refractive material, clear cornea incision wounds and anterior capsulorrhexis. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Negative Dysphotopsia
What is being tested?
Acrylic lens implantation
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
No sites listed yet
Study dates
Apr 2016to Nov 2016
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Inclusion Criteria: Patients with bilateral cataracts that are visually significant meeting standard criteria for removal and select standard monofocal lens implantation.

Exclusion Criteria: Patients with any prior refractive surgery including prior cataract surgery, corneal ocular pathology, iris atrophy/damage, retinal or optic nerve pathology. Patients with history of peripheral vision loss. Patients selecting multifocal or toric lens implantation.

About this study

Official title: Comparison of Horizontal and Vertical IOL Haptic Orientation in Negative Dysphotopsia.

Previous studies attempted to understand the dysphotopsia phenomenon by examining intraocular lens type, anterior capsule depth, iris-to-lens depth, lens refractive material, clear cornea incision wounds and anterior capsulorrhexis. However, there is limited literature in understanding haptic orientation and negative dysphotopsia; postulated theories and anecdotal reports relate to horizontal haptic orientation and the lateralization of rays such that light is received both in smaller width and anterior to the peripheral retina; however, no formal studies currently exist.

Being tested
Acrylic lens implantation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Acrylic lens implantationDevice

Study groups in NCT02724553
Study groupRoleWhat they receive
Vertical orientation of Haptic orientationOtherThe orientation of the IOL haptic will be implanted in the vertical position during routine cataract surgery
Receives: Device: Acrylic lens implantation
Horizontal orientation of Haptic orientationOtherThe orientation of the IOL haptic will be implanted in the horizontal position during routine cataract surgery
Receives: Device: Acrylic lens implantation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Presence of negative dysphotopsia after cataract surgery at 6 months

    Presence of negative dysphotopsia in the vertical IOL placement compared to horizontal IOL placement

    Measured: 6 months

Secondary outcomes (2)
  1. Presence of negative dysphotopsia after cataract surgery at 1 week

    Presence of negative dysphotopsia in the vertical IOL placement compared to horizontal IOL placement

    Measured: 1 week

  2. Presence of negative dysphotopsia after cataract surgery at 1 month

    Presence of negative dysphotopsia in the vertical IOL placement compared to horizontal IOL placement

    Measured: 1 month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Mar 2016 (estimated)
  2. Study startApr 2016
  3. Primary completionNov 2016
  4. Study completionNov 2016

Why it stopped: A recent publication answered the study question being asked

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02724553
Sponsor's protocol ID
5150345
Status last verified
Nov 2016
First submitted
26 Feb 2016
Last updated
30 Nov 2016
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Holladay JT, Zhao H, Reisin CR. Negative dysphotopsia: the enigmatic penumbra. J Cataract Refract Surg. 2012 Jul;38(7):1251-65. doi: 10.1016/j.jcrs.2012.01.032.

    PubMed 22727295
  • Narvaez J, Banning CS, Stulting RD. Negative dysphotopsia associated with implantation of the Z9000 intraocular lens. J Cataract Refract Surg. 2005 Apr;31(4):846-7. doi: 10.1016/j.jcrs.2004.08.059.

    PubMed 15899465
  • Masket S, Fram NR. Pseudophakic negative dysphotopsia: Surgical management and new theory of etiology. J Cataract Refract Surg. 2011 Jul;37(7):1199-207. doi: 10.1016/j.jcrs.2011.02.022.

    PubMed 21700100
  • Vamosi P, Csakany B, Nemeth J. Intraocular lens exchange in patients with negative dysphotopsia symptoms. J Cataract Refract Surg. 2010 Mar;36(3):418-24. doi: 10.1016/j.jcrs.2009.10.035.

    PubMed 20202539
  • Osher RH. Negative dysphotopsia: long-term study and possible explanation for transient symptoms. J Cataract Refract Surg. 2008 Oct;34(10):1699-707. doi: 10.1016/j.jcrs.2008.06.026.

    PubMed 18812121
  • Burke TR, Benjamin L. Sulcus-fixated intraocular lens implantation for the management of negative dysphotopsia. J Cataract Refract Surg. 2014 Sep;40(9):1469-72. doi: 10.1016/j.jcrs.2013.11.037. Epub 2014 Jun 20.

    PubMed 24957929
  • Trattler WB, Whitsett JC, Simone PA. Negative dysphotopsia after intraocular lens implantation irrespective of design and material. J Cataract Refract Surg. 2005 Apr;31(4):841-5. doi: 10.1016/j.jcrs.2004.12.044.

    PubMed 15899464
  • Cooke DL. Negative dysphotopsia after temporal corneal incisions. J Cataract Refract Surg. 2010 Apr;36(4):671-2. doi: 10.1016/j.jcrs.2010.01.004.

    PubMed 20362862

Questions about this trial

What is this clinical trial studying?

A study testing Acrylic lens implantation in people with Negative Dysphotopsia, run by Loma Linda University.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 30 Nov 2016. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Presence of negative dysphotopsia after cataract surgery at 6 months (time frame: 6 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02724553, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Nov 2016.

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