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After cataract surgery, the lens is surgically extracted, after which a clear artificial intraocular lens is implanted. For patients, it is critical that they regain functional vision as soon as possible after surgery, as a poor vision can increase the risk of falling and increases dependence on others. The key differences between phacoemulsification methods are the used pump model, the way the needle oscillates, and the system's fluid dynamics.
Source link: https://clinicaltrials.gov/ct2/show/NCT05489198
The study will also investigate the construct validity of assessment scores generated by the VR simulator for novices versus experts. Desai Eye Hospital, Pune, India The First Central Hospital in Ulaanbaatar, Mongolia Shenyang He Eye Specialist Hospital, China, Shenyang He Eye Specialist Hospital, China. Study Participants According to the inclusion and exclusion criteria, trainees who joined between January and December of 2021 in all nine training organizations will be selected according to the inclusion and exclusion criteria. Informed Consent Potential participant trainees will be notified of the training opportunity and the study. Trainee participants will be told in detail about the nature of the education intervention study, that the course has no official qualification and will not be reported in their annual clinical training review. *** Pre-Course Assignment Using the Philips MSICS model eye and following the OSSCAR's steps, three complete MSICS cases are completed and verified for three MSICS cases. Upload the three recorded simulated surgical procedures to the Cybersight platform The Orbis-FVR Virtual Reality MSICS simulator has 19 steps in total. Course Description This course will introduce autonomous learning and live mentorship. During the day's session, a mentor will provide periodic reminders. This will include: An outline of the day's training plan Outlining the day's learning objectives An overview of the day's training plan Introduction of the day's curriculum The day's training plan An introduction to the day's training plan An overview of the day's curriculum The day's training plan An summary of the day's training plan An outlining of the day's training plan An introduction to the day's Each trainee will complete each interactive step on the VR simulator a minimum of 5 times with a reliability gate and minimum score of 85. Each trainee will complete at least five full cases on the VR simulator with a reliability gate and a minimum score of 85 Attendance will be reported as follows: Confirmation of three video uploads pre-intervention Simulator use and evaluation logs Attendance records obtained per daily session The local mentor, as well as research staff, will conduct at least three full cases. Connectivity issues undermining access to the VR headset, orientation, and training New technologies: user satisfaction with taking part in new technology Civil strife with rising civil strife.
Source link: https://clinicaltrials.gov/ct2/show/NCT04908072
With simultaneous implantation of an expanded depth of focus IOL, the Vivity IOL, the purpose of this research is to report in detail: the aim of this research is to document in detail how visual function and patient satisfaction in patients with glaucoma and ocular hypertension undergoing cataract surgery with increased depth of focus. The investigation also looks to see if there are any differences in the speed of visual improvement between patients undergoing isolated cataract surgery and those undergoing simultaneous i-Stent implantation. With a group of patients with no ocular pathology undergoing cataract surgery with Vivity implantation, the results can also be compared to a group of patients with no ocular pathology undergoing cataract surgery. Patients will be invited to enroll in the trial after the type of surgery and the type of lens to be implanted has been decided between the ophthalmologist and patient.
Source link: https://clinicaltrials.gov/ct2/show/NCT05392738
Eye drops administered following cataract surgery for the prevention of post-operative inflammation can have several drawbacks, including cost and poor medication use. Following manual small incision cataract surgery in Guatemala, manual small incision cataract surgery is a randomized controlled trial comparing the results of single-dose subjunctival triamcinolone administration at the time of surgery to the usual 4-week taper of topical prednisolone drops. Patients will be screened at post-operative weeks 6 and 12, using the key outcome measures of intraocular pressure and best corrected visual acuity. Data on the occurrence and amount of corneal edema, anterior chamber inflammation, and the formation of macular edema will also be obtained.
Source link: https://clinicaltrials.gov/ct2/show/NCT05248139
A short outpatient course with topical anesthesia is the most effective for cataract surgery for patients treated for cataract surgery. Often waiting in a waiting room with other patients can escalate this anxiety. Patient anxiety can rise blood pressure, possibly leading to the prescription of nicardipine to encourage surgery. Patients with anxiety are unlikely to have many choices beyond the drug use. In several studies, the effects of music on preoperative anxiety has been studied, and it has resulted in a significant decrease in anxiety prior to surgery. MusicCareU00ae is a "digital therapy" based on the principles of hypnoanalgesia, which has been tried in the treatment of patients with a variety of pathologies and has demonstrated relative success. Patients' anxiety about absence in the aftermath of cataract surgery with topical anesthesia, we would like to investigate the impact of providing the MusicCareu00ae listening device on patients' anxiety about absence.
Source link: https://clinicaltrials.gov/ct2/show/NCT04781231
Dry Eye Disease is a disorder of the ocular surface that can be related to a variety of conditions, including cataract surgery. In addition, it is a risk factor for DED exacerbation after cataract surgery, which can be present in approximately 40% of cases. Hence, the ocular surface before cataract surgery should be stable to ensure improved post-operative comfort and a more stable refractive result. The introduction of LipiFlow thermal pulsation treatment provides a controlled means of squeezing the obstructed Meibomian glands by applying heat to the upper and lower eyelids and simultaneously applying pulsatile pressure to the eyelid skin surfaces. In lowering postoperative DED, the aim of our research will be to determine the effects of preoperative LipiFlow therapy in patients with age-related cataracts and mild to moderate MGD.
Source link: https://clinicaltrials.gov/ct2/show/NCT05062564
The femtosecond laser is a new technology that is being used for cataract surgery. The LenSx laser is one of the most commonly used LFS for cataract surgery and is part of the CENTURION Vision system. Optical Coherence Tomography's high-resolution, real-time visualization of ocular structures and their dimensions is provided by the Frequency Domain - Optical Coherence Tomography optical imaging system. The traditional handpiece is named OZil and is part of the Infiniti Vision System, which was launched in 2006 and has since revolutionized the phaco technique with its new rotational technology. However, a new generation of handpieces, Active Sentry, which is part of the new Active Fluidics, has the capability of measuring the pressure inside the eye in real time and adjusting it to prevent significant variations. The number of endothelial cell death as well as the amount of energy needed to fragment the lens are both measures of collateral damage caused by cataract surgery. FLACS can reduce the eye's corneal damage caused by phacotic phaco. When compared to standard phaco, few studies have shown an increase in ECL as well as CDE in patients undergoing FLACS, as well as CDE, but long-term results were not conclusive. In addition, the investigators predict that patients receiving standard phacoemulsification with the Active Sentry handpiece will have less corneal endothelial cell damage and require less CDE than those who receive standard phacoemulsification with OZil.
Source link: https://clinicaltrials.gov/ct2/show/NCT05119270
The most common surgical procedure in France is cataract surgery by ultrasonic phacoemulsification. This is a presbyopia compensation scheme that aims to produce a small myopization of one eye for nearsightedness, with the other eye being intended for distance vision. Patients' expectations regarding vision and freedom from glasses are likely to remain high, though patients themselves are increasingly aware of the presence of multifocal implants. In addition, there is also a lack of scientific consensus regarding implants, during a surgical treatment of cataract lenses by phakoexeresis, for otherwise healthy eyes, and in a field that seeks to no longer wear glasses postoperatively. Different studies have appeared comparing the bilateral implantation of various types of multifocal implants with each other, but no research has been conducted into mixed batches of'mix - match' implants.
Source link: https://clinicaltrials.gov/ct2/show/NCT05376917
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