CataractNCT06743594
Measurement of Antioxidant Activity and Oxidative Stress in Patients Undergoing Ophthalmic Surgery.
An observational study of Cataract and Myopia, run by Chang Gung Memorial Hospital at 2 sites in Taiwan.
Trial summary
This trial hypothesized that novel laser refractive surgery techniques (LASIK, KLEx) or laser-assisted cataract surgery (FLACAS) could suppress postoperative inflammation and improve recovery in patients by reducing oxidative stress generated by the surgical procedure. Read more about this study
- Who is it for?
- Ages 20 years and older
- How many people
- 60 participants
- Where
- 2 sitesTaiwan
- Study dates
- 14 Mar 2025to 29 Mar 2026
- Phase
- Observational
- 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 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: This study included patients with the following conditions: (1) at least 20 years old, (2) expected to undergo corneal refractive surgery or cataract surgery.
Who may be able to join
- at least 20 years old
- corneal refractive surgery or cataract surgery patients
Who cannot join
- patients with eye infections
- presence of severe retinal disease
- presence of severe eye injury or severe ptosis
Trial locations and contacts
2 sites in 1 country.
Taiwan2 sites
Taipei Nobel Eye Clinic
Taipei, 100
Chang Gung Memorial Hospital
Taoyuan, 333
About this study
Official title: Effects of Laser Species and Ocular Antioxidant Activity on Postoperative Inflammation, Oxidative Stress and Visual Prognosis in Patients Undergoing Ophthalmic Surgery - a Comparative Study.
This trial hypothesized that novel laser refractive surgery techniques (LASIK, KLEx) or laser-assisted cataract surgery (FLACAS) could suppress postoperative inflammation and improve recovery in patients by reducing oxidative stress generated by the surgical procedure. It is also intended to verify whether the new laser technology is necessary for clinical use in groups with low antioxidant activity through the detection of antioxidant activity in the eyes of patients.
Read the detailed description
Simultaneously measure total reactive oxygen species (ROS), antioxidant capacity (TAC) and ascorbic acid (AA) in aqueous humor (cataract surgery only) or tears. All patients underwent the same examination at our institution, including uncorrected visual acuity (UCVA), intraocular pressure (IOP), as well as central corneal thickness (CCT) with pneumatic tonometer, apparent refraction with autorefractor, and corneal curvature with keratometer. The axial length (AXL), anterior chamber depth (ACD) and lens thickness (LT) were measured by optical biometer.
- Keywords
- antioxidants
- Medical subject headings
- Cataract, Myopia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| LASIK | Femtosecond-LASIK in myopia | |
| KLEx | Kerato-lenticule Extraction in myopia | |
| Traditional Cataract Surgery | Cataract Surgery with Phacoemulsification | |
| Laser-Assisted Cataract Surgery | Cataract Surgery with LenSx Femtosecond Laser |
What is being measured
The primary outcome is the main question the study is designed to answer.
TAC in tears at 1 week
Change of Total Antioxidant Capacity (TAC) from Baseline to 1 week after surgery.
Measured: Before the operation and 1 week after surgery.
TAC in tears at 1 month
Change of Total Antioxidant Capacity (TAC) from Baseline to 1 month after surgery.
Measured: Before the operation and 1 month after surgery.
TAC in tears at 2 months
Change of Total Antioxidant Capacity (TAC) from Baseline to 2 months after surgery.
Measured: Before the operation and 2 months after surgery.
TAC in tears at 3 months
Change of Total Antioxidant Capacity (TAC) from Baseline to 3 months after surgery.
Measured: Before the operation and 3 months after surgery.
AA in tears at 1 week
Change of Ascorbic Acid (AA) from Baseline to 1 week after surgery.
Measured: Before the operation and 1 week after surgery.
AA in tears at 1 month
Change of Ascorbic Acid (AA) from Baseline to 1 month after surgery.
Measured: Before the operation and 1 month after surgery.
AA in tears at 2 months
Change of Ascorbic Acid (AA) from Baseline to 2 months after surgery.
Measured: Before the operation and 2 months after surgery.
AA in tears at 3 months
Change of Ascorbic Acid (AA) from Baseline to 3 months after surgery.
Measured: Before the operation and 3 months after surgery.
ROS in tears at 1 week
Change of Reactive Oxygen Species (ROS) from Baseline to 1 week after surgery.
Measured: Before the operation and 1 week after surgery.
ROS in tears at 1 month
Change of Reactive Oxygen Species (ROS) from Baseline to 1 month after surgery.
Measured: Before the operation and 1 month after surgery.
ROS in tears at 2 months
Change of Reactive Oxygen Species (ROS) from Baseline to 2 moths after surgery.
Measured: Before the operation and 2 months after surgery.
ROS in tears at 3 months
Change of Reactive Oxygen Species (ROS) from Baseline to 3 months after surgery.
Measured: Before the operation and 3 months after surgery.
TAC in aqueous humor at the next day
Change of Total Antioxidant Capacity (TAC) in aqueous humor from Baseline to one day after surgery
Measured: Before the operation and one day after surgery.
AA in aqueous humor at the next day
Change of Ascorbic Acid (AA) in aqueous humor from Baseline to one day after surgery
Measured: Before the operation and one day after surgery.
ROS in aqueous humor at the next day
Change of Reactive Oxygen Species (ROS) in aqueous humor from Baseline to one day after surgery
Measured: Before the operation and one day after surgery.
Secondary outcomes (5)
BCVA
Examination of best corrected visual acuity (BCVA)
Measured: Before surgery
UCVA at 1 week
Examination of uncorrected visual acuity (UCVA)
Measured: 1 week after surgery
UCVA at 1 month
Examination of uncorrected visual acuity (UCVA)
Measured: 1 month after surgery
UCVA at 2 months
Examination of uncorrected visual acuity (UCVA)
Measured: 2 months after surgery
UCVA at 3 months
Examination of uncorrected visual acuity (UCVA)
Measured: 3 months after surgery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Dec 2024
- Study start14 Mar 2025
- Primary completion13 Oct 2025
- Study completion29 Mar 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for CataractStudies of the same condition, open and under way.
- More trials run by Chang Gung Memorial HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Chang Gung Memorial Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Taipei Nobel Eye Clinic
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06743594
- Sponsor's protocol ID
- 202401405A3
- Status last verified
- Mar 2026
- First submitted
- 17 Dec 2024
- Last updated
- 6 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Umapathy A, Donaldson P, Lim J. Antioxidant delivery pathways in the anterior eye. Biomed Res Int. 2013;2013:207250. doi: 10.1155/2013/207250. Epub 2013 Sep 26.
PubMed 24187660Merida S, Villar VM, Navea A, Desco C, Sancho-Tello M, Peris C, Bosch-Morell F. Imbalance Between Oxidative Stress and Growth Factors in Human High Myopia. Front Physiol. 2020 May 14;11:463. doi: 10.3389/fphys.2020.00463. eCollection 2020.
PubMed 32477165Tsao YT, Wu WC, Chen KJ, Liu CF, Hsueh YJ, Cheng CM, Chen HC. An Assessment of Cataract Severity Based on Antioxidant Status and Ascorbic Acid Levels in Aqueous Humor. Antioxidants (Basel). 2022 Feb 16;11(2):397. doi: 10.3390/antiox11020397.
PubMed 35204279Kato K, Miyake K, Hirano K, Kondo M. Management of Postoperative Inflammation and Dry Eye After Cataract Surgery. Cornea. 2019 Nov;38 Suppl 1:S25-S33. doi: 10.1097/ICO.0000000000002125.
PubMed 31498249Hsueh YJ, Meir YJ, Lai JY, Huang CC, Lu TT, Ma DH, Cheng CM, Wu WC, Chen HC. Ascorbic acid ameliorates corneal endothelial dysfunction and enhances cell proliferation via the noncanonical GLUT1-ERK axis. Biomed Pharmacother. 2021 Dec;144:112306. doi: 10.1016/j.biopha.2021.112306. Epub 2021 Oct 15.
PubMed 34656060Dong Z, Zhou X, Wu J, Zhang Z, Li T, Zhou Z, Zhang S, Li G. Small incision lenticule extraction (SMILE) and femtosecond laser LASIK: comparison of corneal wound healing and inflammation. Br J Ophthalmol. 2014 Feb;98(2):263-9. doi: 10.1136/bjophthalmol-2013-303415. Epub 2013 Nov 13.
PubMed 24227802Seen S, Tong L. Dry eye disease and oxidative stress. Acta Ophthalmol. 2018 Jun;96(4):e412-e420. doi: 10.1111/aos.13526. Epub 2017 Aug 21.
PubMed 28834388Vallabh NA, Romano V, Willoughby CE. Mitochondrial dysfunction and oxidative stress in corneal disease. Mitochondrion. 2017 Sep;36:103-113. doi: 10.1016/j.mito.2017.05.009. Epub 2017 May 23.
PubMed 28549842Wong AHY, Cheung RKY, Kua WN, Shih KC, Chan TCY, Wan KH. Dry Eyes After SMILE. Asia Pac J Ophthalmol (Phila). 2019 Sep-Oct;8(5):397-405. doi: 10.1097/01.APO.0000580136.80338.d0.
PubMed 31490199Nair S, Kaur M, Sharma N, Titiyal JS. Refractive surgery and dry eye - An update. Indian J Ophthalmol. 2023 Apr;71(4):1105-1114. doi: 10.4103/IJO.IJO_3406_22.
PubMed 37026241
Study at a glance
From the registry record, last updated by the sponsor on 6 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Laser Species and Ocular Antioxidant Activity on Postoperative Inflammation, Oxidative Stress and Visual Prognosis in Patients Undergoing Ophthalmic Surgery - a Comparative Study.
- ClinicalTrials.gov ID
- NCT06743594
- Acronym / sponsor ID
- 202401405A3
- Keywords
- antioxidants
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Chang Gung Memorial HospitalUniversity, hospital or other
- Collaborators
- Taipei Nobel Eye Clinic
- Study start
- 14 Mar 2025 (actual)
- Primary completion
- 13 Oct 2025 (actual)
- Study completion
- 29 Mar 2026 (actual)
- First posted
- 20 Dec 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This trial hypothesized that novel laser refractive surgery techniques (LASIK, KLEx) or laser-assisted cataract surgery (FLACAS) could suppress postoperative inflammation and improve recovery in patients by reducing oxidative stress generated by the surgical procedure. It is also intended to verify whether the new laser technology is necessary for clinical use in groups with low antioxidant activity through the detection of antioxidant activity in the eyes of patients.
Detailed description
Simultaneously measure total reactive oxygen species (ROS), antioxidant capacity (TAC) and ascorbic acid (AA) in aqueous humor (cataract surgery only) or tears. All patients underwent the same examination at our institution, including uncorrected visual acuity (UCVA), intraocular pressure (IOP), as well as central corneal thickness (CCT) with pneumatic tonometer, apparent refraction with autorefractor, and corneal curvature with keratometer. The axial length (AXL), anterior chamber depth (ACD) and lens thickness (LT) were measured by optical biometer.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| LASIK | – | –Femtosecond-LASIK in myopia |
| KLEx | – | –Kerato-lenticule Extraction in myopia |
| Traditional Cataract Surgery | – | –Cataract Surgery with Phacoemulsification |
| Laser-Assisted Cataract Surgery | – | –Cataract Surgery with LenSx Femtosecond Laser |
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- This study included patients with the following conditions: (1) at least 20 years old, (2) expected to undergo corneal refractive surgery or cataract surgery.
Key inclusion criteria (2 listed)
- at least 20 years old
- corneal refractive surgery or cataract surgery patients
Key exclusion criteria (3 listed)
- patients with eye infections
- presence of severe retinal disease
- presence of severe eye injury or severe ptosis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
TAC in tears at 1 week
Time frame: Before the operation and 1 week after surgery.
Change of Total Antioxidant Capacity (TAC) from Baseline to 1 week after surgery.
TAC in tears at 1 month
Time frame: Before the operation and 1 month after surgery.
Change of Total Antioxidant Capacity (TAC) from Baseline to 1 month after surgery.
TAC in tears at 2 months
Time frame: Before the operation and 2 months after surgery.
Change of Total Antioxidant Capacity (TAC) from Baseline to 2 months after surgery.
TAC in tears at 3 months
Time frame: Before the operation and 3 months after surgery.
Change of Total Antioxidant Capacity (TAC) from Baseline to 3 months after surgery.
AA in tears at 1 week
Time frame: Before the operation and 1 week after surgery.
Change of Ascorbic Acid (AA) from Baseline to 1 week after surgery.
AA in tears at 1 month
Time frame: Before the operation and 1 month after surgery.
Change of Ascorbic Acid (AA) from Baseline to 1 month after surgery.
AA in tears at 2 months
Time frame: Before the operation and 2 months after surgery.
Change of Ascorbic Acid (AA) from Baseline to 2 months after surgery.
AA in tears at 3 months
Time frame: Before the operation and 3 months after surgery.
Change of Ascorbic Acid (AA) from Baseline to 3 months after surgery.
ROS in tears at 1 week
Time frame: Before the operation and 1 week after surgery.
Change of Reactive Oxygen Species (ROS) from Baseline to 1 week after surgery.
ROS in tears at 1 month
Time frame: Before the operation and 1 month after surgery.
Change of Reactive Oxygen Species (ROS) from Baseline to 1 month after surgery.
ROS in tears at 2 months
Time frame: Before the operation and 2 months after surgery.
Change of Reactive Oxygen Species (ROS) from Baseline to 2 moths after surgery.
ROS in tears at 3 months
Time frame: Before the operation and 3 months after surgery.
Change of Reactive Oxygen Species (ROS) from Baseline to 3 months after surgery.
TAC in aqueous humor at the next day
Time frame: Before the operation and one day after surgery.
Change of Total Antioxidant Capacity (TAC) in aqueous humor from Baseline to one day after surgery
AA in aqueous humor at the next day
Time frame: Before the operation and one day after surgery.
Change of Ascorbic Acid (AA) in aqueous humor from Baseline to one day after surgery
ROS in aqueous humor at the next day
Time frame: Before the operation and one day after surgery.
Change of Reactive Oxygen Species (ROS) in aqueous humor from Baseline to one day after surgery
5 secondary outcomes
BCVA
Time frame: Before surgery
UCVA at 1 week
Time frame: 1 week after surgery
UCVA at 1 month
Time frame: 1 month after surgery
UCVA at 2 months
Time frame: 2 months after surgery
UCVA at 3 months
Time frame: 3 months after surgery
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Oct 2026.
- Results publication: PubMed 24187660Umapathy A, Donaldson P, Lim J. Antioxidant delivery pathways in the anterior eye. Biomed Res Int. 2013;2013:207250. doi: 10.1155/2013/207250. Epub 2013 Sep 26.
- Results publication: PubMed 32477165Merida S, Villar VM, Navea A, Desco C, Sancho-Tello M, Peris C, Bosch-Morell F. Imbalance Between Oxidative Stress and Growth Factors in Human High Myopia. Front Physiol. 2020 May 14;11:463. doi: 10.3389/fphys.2020.00463. eCollection 2020.
- Results publication: PubMed 35204279Tsao YT, Wu WC, Chen KJ, Liu CF, Hsueh YJ, Cheng CM, Chen HC. An Assessment of Cataract Severity Based on Antioxidant Status and Ascorbic Acid Levels in Aqueous Humor. Antioxidants (Basel). 2022 Feb 16;11(2):397. doi: 10.3390/antiox11020397.
- Results publication: PubMed 31498249Kato K, Miyake K, Hirano K, Kondo M. Management of Postoperative Inflammation and Dry Eye After Cataract Surgery. Cornea. 2019 Nov;38 Suppl 1:S25-S33. doi: 10.1097/ICO.0000000000002125.
- Results publication: PubMed 34656060Hsueh YJ, Meir YJ, Lai JY, Huang CC, Lu TT, Ma DH, Cheng CM, Wu WC, Chen HC. Ascorbic acid ameliorates corneal endothelial dysfunction and enhances cell proliferation via the noncanonical GLUT1-ERK axis. Biomed Pharmacother. 2021 Dec;144:112306. doi: 10.1016/j.biopha.2021.112306. Epub 2021 Oct 15.
- Results publication: PubMed 24227802Dong Z, Zhou X, Wu J, Zhang Z, Li T, Zhou Z, Zhang S, Li G. Small incision lenticule extraction (SMILE) and femtosecond laser LASIK: comparison of corneal wound healing and inflammation. Br J Ophthalmol. 2014 Feb;98(2):263-9. doi: 10.1136/bjophthalmol-2013-303415. Epub 2013 Nov 13.
- Results publication: PubMed 28834388Seen S, Tong L. Dry eye disease and oxidative stress. Acta Ophthalmol. 2018 Jun;96(4):e412-e420. doi: 10.1111/aos.13526. Epub 2017 Aug 21.
- Results publication: PubMed 28549842Vallabh NA, Romano V, Willoughby CE. Mitochondrial dysfunction and oxidative stress in corneal disease. Mitochondrion. 2017 Sep;36:103-113. doi: 10.1016/j.mito.2017.05.009. Epub 2017 May 23.
- Results publication: PubMed 31490199Wong AHY, Cheung RKY, Kua WN, Shih KC, Chan TCY, Wan KH. Dry Eyes After SMILE. Asia Pac J Ophthalmol (Phila). 2019 Sep-Oct;8(5):397-405. doi: 10.1097/01.APO.0000580136.80338.d0.
- Results publication: PubMed 37026241Nair S, Kaur M, Sharma N, Titiyal JS. Refractive surgery and dry eye - An update. Indian J Ophthalmol. 2023 Apr;71(4):1105-1114. doi: 10.4103/IJO.IJO_3406_22.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Cataract and Myopia, run by Chang Gung Memorial Hospital at 2 sites in Taiwan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 3 exclusion criteria. 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: finished, as of the sponsor's last update on 6 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.
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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
TAC in tears at 1 week (time frame: Before the operation and 1 week after surgery.). The study lists 15 primary outcomes in all. 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 NCT06743594, which also lists 10 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 6 Oct 2026.