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Trial registered on ANZCTR
Registration number
ACTRN12611000663954
Ethics application status
Approved
Date submitted
15/12/2008
Date registered
29/06/2011
Date last updated
29/06/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
The presence of cystoid macular oedema after cataract extraction as measured by optical coherence tomography.
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Scientific title
The presence of cystoid macular oedema after cataract extraction as measured by optical coherence tomography.
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Secondary ID [1]
262532
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Nil
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Universal Trial Number (UTN)
N/A
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cystoid macular oedema
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Condition category
Condition code
Eye
4333
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0
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
100 eyes of 80 consecutive cataract patients were included in this study. All participants were diagnosed with cataract which required extraction which was performed by one of two surgeons. Routine surgical protocols for cataract extraction were observed. Participants were examined prior to surgery and both best corrected visual acuity and 'Optical Coherence Tomography' (OCT) was performed pre-operatively, 1 week post-operatively and 4 weeks post operatively. OCT is a non-invasive, in vivo cross-sectional imaging of the retina.
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Intervention code [1]
3846
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Not applicable
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Comparator / control treatment
None
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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OCT was performed within 1 month pre-operatively in addition to 1 week, 4 weeks and 6 months post-operatively. OCT was acquired using the fast macular thickness scan protocol of the Time-Domain Stratus OCT (Carl Zeiss Pty Ltd) to obtain six consecutive macular scans centred on the fovea. The Retinal Thickness Tabular Output Report was used to generate mean CFT in the circle at 1mm diameter (central fovea), 3mm (inner macular) and 6mm (outer macula)
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Assessment method [1]
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Timepoint [1]
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1 month pre-operatively in addition to 1 week, 4 weeks and 6 months post-operatively
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Secondary outcome [1]
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Best corrected visual acuity (non-illuminated logMAR)
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Assessment method [1]
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Timepoint [1]
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1 month pre-operatively in addition to 1 week, 4 weeks and 6 months post-operatively
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Eligibility
Key inclusion criteria
Participants with cataract suitable for surgical extraction.
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Minimum age
40
Years
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Maximum age
90
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Unsuccessful pre-operative OCT scanning.
Surgical complications.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
12/01/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
80
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
1347
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3000
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Dr Meri Vukicevic
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Address [1]
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Department of Clinical Vision Sciences
Division of Allied Health
La Trobe University Victoria 3086
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Country [1]
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Eye Surgery Associates
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Address
Level 5, 200 High Street
Doncaster Victoria 3108
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
3873
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Country [1]
3873
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
6348
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La Trobe University Faculty Human Ethics Committee
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Ethics committee address [1]
6348
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Faculty of Health Sciences La Trobe University Victoria 3086
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Ethics committee country [1]
6348
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Australia
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Date submitted for ethics approval [1]
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01/02/2009
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Approval date [1]
6348
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24/03/2009
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Ethics approval number [1]
6348
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FHEC09/01
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Summary
Brief summary
Background: Post-operative cystoid macular oedema (CMO) is a complication of uneventful cataract surgery. While improved surgical techniques have decreased the incidence of CMO, it remains a cause of unfavourable visual outcome following surgery. Fundus fluorescein angiography has been the ‘gold standard’ for diagnosing sub-clinical CMO, however non-invasive cross-sectional imaging of the retina with optical coherence tomography (OCT) may be equally effective at detecting the condition and offers the ability to quantify and repeat results over time. Design: Prospective pre-post case series of patients undergoing routine phacoemulsification surgery. Participants: Eighty consecutive patients (100 eyes) with cataracts and an age range of 40 to 90 years (M 76.18). Methods: Macular thickness of participants was determined using time-domain OCT pre-operatively and after surgery at 1 day, 1 week, 4 weeks and 6 months. OCT was used to diagnose post-operative CMO. Main outcome measures: Presence of cysts at the macula, identified by OCT, in addition to foveal and macular thickness (µm). Results: CMO was present in 5% of eyes. Macular thickness increased after surgery and central foveal thickness (CFT) increased by almost 7% but returned to pre-operative levels after 6 months. Findings also indicate that patients who developed post-operative CMO had significantly thicker CFT of approximately 5% compared with those that did not. Conclusions: OCT is a useful, non-invasive diagnostic tool in determining sub-clinical CMO in uncomplicated cataract surgery patients and detects the presence of retinal thickening and intra-retinal cysts very soon after surgery, thereby facilitating earlier diagnosis and treatment of post-operative CMO.
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Trial website
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Trial related presentations / publications
Publications: Vukicevic M, Gin T & Al-Qureshi S. Prevalence of optical coherence tomography-diagnosed post-operative cystoid macular oedema in patients following uncomplicated phacoemulsification cataract surgery. Clinical and Experimental Ophthalmology. (in print)
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Meri Vukicevic
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Address
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Department of Clinical Vision Sciences
Division of Allied Health
La Trobe University Victoria 3086
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Country
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Australia
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Phone
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+61 3 9479 1807
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Meri Vukicevic
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Address
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Department of Clinical Vision Sciences
Division of Allied Health
La Trobe University Victoria 3086
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Country
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Australia
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Phone
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+61 3 9479 1807
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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