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AzTrials

Bilateral CataractCatquestCBSNCT05069753

Patient Reported Visual Satisfaction Following Same Day or Delayed Bilateral Cataract Surgery

A study testing Immediate sequential bilateral cataract surgery (ISBCS) and Delayed sequential bilateral cataract surgery (DSBCS) in people with Bilateral Cataract and Charles Bonnet Syndrome, run by Copenhagen University Hospital, Rigshospitalet at 1 site in Denmark.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Cataract is currently the leading cause of visual impairment worldwide with age being the most common cause of lenticular opacification. As cataract surgery is the most commonly performed elective surgery worldwide, forecasts of an increasing number of elderly individuals make it clear that efficient and evidence… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Bilateral Cataract, Charles Bonnet Syndrome
What is being tested?
Immediate sequential bilateral cataract surgery (ISBCS) and Delayed sequential bilateral cataract surgery (DSBCS)
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
300 participants
Where
1 siteDenmark
Study dates
1 Nov 2021to 31 Aug 2022
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

Who may be able to join

  • Patients planned for bilateral cataract surgery with monofocal intraocular lens implantation in the bag.
  • Patients who agree to be randomly allocated to either ISBCS or DSBCS

Who cannot join

  • Patients at risk of intra- og postoperative complications or where delayed visual rehabilitation is expected (e.g. glaucoma, anterior chamber depth 2,3 or less, corneal endothelial dystrophy)
  • Patients with axial lengths < 21 mm or > 27 mm
  • Patients in need of immediate surgery
  • Patients only eligible to one group, e.g. those requiring general anesthesia where ISBCS is the preferred approach
  • Patients unable to read, understand or fill out the questionnaire

Trial locations and contacts

1 site in 1 country.

Amardeep Singh, MD, PhD contact

+45 20 93 09 49

a.singh.opth@gmail.com

Denmark1 site
  • Department of Ophthalmology, Rigshospitalet-Glostrup

    Glostrup Municipality, Capital Region, 2600

Other trials in Denmark

About this study

Official title: Patient Reported Visual Function Outcome Following Bilateral Cataract Surgery

Cataract is currently the leading cause of visual impairment worldwide with age being the most common cause of lenticular opacification. As cataract surgery is the most commonly performed elective surgery worldwide, forecasts of an increasing number of elderly individuals make it clear that efficient and evidence based models for managing cataract in the future need to be implemented to manage the broadening gap between intervention and available resources.

Bilateral cataract is currently treated using same day separate surgical procedures (immediate sequential bilateral cataract surgery (ISBCS) or on separate days (delayed sequential bilateral cataract surgery (DSBCS). Whether one approach is more ideal than the other is an ongoing debate. There is, however, a clear advantage of same day surgery on resource management.

The primary purpose of this clinical study is to measure the patient reported satisfaction regarding vision in a group of 300 participants following either same day or delayed bilateral cataract surgery.

Read the detailed description

In this study, patient reported satisfaction in regards to vision is measured using a questionnaire based on the validated Catquest-7SF questionnaire. This is a 7-item self-report scale with both general questions related to difficulties in performing daily activities and satisfaction with vision, as well as questions assessing performance in specific daily activities. Each question has multiple predefined response categories ranging from "very great difficulty" to "no difficulty". One question has response categories ranging from "very dissatisfied" to "very satisfied". All questions have a "can't say"-response category. Each response will be translated to a numerical value used to score the participants.

In addition to the Catquest-7SF, the questionnaire used will also include questions related to satisfaction with the surgical approach (same day or delayed) and experiences with and knowledge of complex visual hallucinations.

The additional questions about complex visual hallucinations are used to measure prevalence and knowledge of Charles Bonnet Syndrome among participants referred to elective cataract surgery.

The study is a prospective, randomized cohort study and will include 300 consecutive patients referred to our department for elective bilateral cataract surgery. Eligible patients who provide consent will be randomly allocated in a group of either same day bilateral surgery or surgery on two days separated by one week. In case of serious surgical complications in the same day group, surgery of the second eye will be postponed and the participant will be placed in a new, separate group.

During a preoperative visit to the department, participants will fill out the questionnaire regarding vision and be subjected to the routine clinical ophthalmic examination which includes biometry and refraction status. One day post-surgery, participants will be contacted by phone regarding their vision. One-week post-surgery, participants will undergo a check-up visit that includes the same examinations as the preoperative visit, except for biometry. Three months post-surgery, participants will once again be contacted by phone or letter and asked to fill out the questionnaire again.

Being tested
Immediate sequential bilateral cataract surgery (ISBCS), Delayed sequential bilateral cataract surgery (DSBCS)
Medical subject headings
Cataract, Charles Bonnet Syndrome

What participants receive

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

  • Immediate sequential bilateral cataract surgery (ISBCS)Procedure or surgery

    Surgery on both eyes will be performed on the same day as separate procedures: Once surgery on the first eye is completed, a new sterile procedure on the second eye will commence.

  • Delayed sequential bilateral cataract surgery (DSBCS)Procedure or surgery

    The group will undergo bilateral cataract surgery on two separate days with a time period of one week between the two procedures.

Study groups in NCT05069753
Study groupRoleWhat they receive
Immediate sequential bilateral cataract surgery (ISBCS)Active comparatorNot described
Receives: Procedure: Immediate sequential bilateral cataract surgery (ISBCS)
Delayed sequential bilateral cataract surgery (DSBCS)Active comparatorNot described
Receives: Procedure: Delayed sequential bilateral cataract surgery (DSBCS)

What is being measured

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

  1. Change in patient reported visual function outcome following either ISBCS or DSBCS

    Change in participant satisfaction in regards to visual function measured using the Catquest 7-SF questionnaire at the preoperative visit as well as 1 week and 3 months after either ISBCS or 2nd eye surgery in DSBCS

    Measured: Baseline at the preoperative visit, 1 week post-surgery, and 3 months post-surgery

Secondary outcomes (7)
  1. Objective change in visual acuity

    Measured using autorefractor

    Measured: At the preoperative visit and 1 week after ISBCS or 2nd eye surgery in DSBCS

  2. Objective change in refraction status

    Measured using autorefractor

    Measured: At the preoperative visit and 1 week after ISBCS or 2nd eye surgery in DSBCS

  3. Intraocular pressure (IOP)

    Measured using I-Care Tonometry

    Measured: At the preoperative visit and 1 week after ISBCS or 2nd eye surgery in DSBCS

  4. Complications

    Incidence of intraoperative and postoperative complications

    Measured: Intraoperatively, one day after surgery and up to one week after ISBCS or 2nd eye surgery in DSBCS

  5. Presence of corneal edema

    Determined during clinical examination using slit lamp

    Measured: One week after ISBCS or 2nd eye surgery in DSBCS

  6. Presence of Charles Bonnet Syndrome

    Participants will be asked if they have experienced complex, visual hallucinations during the time in which their vision has been affected by cataract. In case of presence of complex visual hallucinations, patients will be further interviewed regarding the characteristics of the hallucinations.

    Measured: At the preoperative visit

  7. Knowledge of Charles Bonnet Syndrome

    Participants will be asked about previous knowledge of hallucinations caused by loss of vision.

    Measured: At the preoperative visit

Timeline

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

  1. First posted6 Oct 2021
  2. Study start1 Nov 2021 (estimated)
  3. Primary completion31 Aug 2022 (estimated)
  4. Study completion31 Aug 2022 (estimated)

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
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomly allocated to one of two groups using a digital coin toss. Thus they will either undergo same day-surgery of both eyes or have the two surgical procedures separated by one week.
Masking
None (open label)
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05069753
Sponsor's protocol ID
CatQuestCBS
Acronym
CatquestCBS
Status last verified
Oct 2021
First submitted
14 Sep 2021
Last updated
21 Oct 2021
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Arshinoff SA, Odorcic S. Same-day sequential cataract surgery. Curr Opin Ophthalmol. 2009 Jan;20(1):3-12. doi: 10.1097/ICU.0b013e32831b6daf.

    PubMed 19077823
  • Arshinoff SA. Same-day cataract surgery should be the standard of care for patients with bilateral visually significant cataract. Surv Ophthalmol. 2012 Nov;57(6):574-9. doi: 10.1016/j.survophthal.2012.05.002. Epub 2012 Sep 18.

    PubMed 22995967
  • Arshinoff SA, Claoue C, Mehta C, Johanssen B, Mota SH. Bilateral Pseudomonas endophthalmitis after immediately sequential bilateral cataract surgery: primum non nocere. Arq Bras Oftalmol. 2020 Aug;83(4):346-349. doi: 10.5935/0004-2749.20200073. Epub 2020 Jul 29. No abstract available.

    PubMed 32756782
  • Cetinkaya S, Dadaci Z, Aksoy H, Acir NO, Yener HI, Kadioglu E. Toxic anterior-segment syndrome (TASS). Clin Ophthalmol. 2014 Oct 9;8:2065-9. doi: 10.2147/OPTH.S71541. eCollection 2014.

    PubMed 25336907
  • Coyle D, Drummond M. The economic burden of glaucoma in the UK. The need for a far-sighted policy. Pharmacoeconomics. 1995 Jun;7(6):484-9. doi: 10.2165/00019053-199507060-00003. No abstract available.

    PubMed 10155334
  • Hartney KE, Catalano G, Catalano MC. Charles Bonnet syndrome: are medications necessary? J Psychiatr Pract. 2011 Mar;17(2):137-41. doi: 10.1097/01.pra.0000396067.87343.fb.

    PubMed 21430494
  • Henderson BA, Schneider J. Same-day cataract surgery should not be the standard of care for patients with bilateral visually significant cataract. Surv Ophthalmol. 2012 Nov;57(6):580-3. doi: 10.1016/j.survophthal.2012.05.001. Epub 2012 Sep 18.

    PubMed 22995968
  • Herrinton LJ, Liu L, Alexeeff S, Carolan J, Shorstein NH. Immediate Sequential vs. Delayed Sequential Bilateral Cataract Surgery: Retrospective Comparison of Postoperative Visual Outcomes. Ophthalmology. 2017 Aug;124(8):1126-1135. doi: 10.1016/j.ophtha.2017.03.034. Epub 2017 Apr 21.

    PubMed 28438415
  • Jones L, Ditzel-Finn L, Potts J, Moosajee M. Exacerbation of visual hallucinations in Charles Bonnet syndrome due to the social implications of COVID-19. BMJ Open Ophthalmol. 2021 Feb 11;6(1):e000670. doi: 10.1136/bmjophth-2020-000670. eCollection 2021.

    PubMed 33628948
  • Leivo T, Sarikkola AU, Uusitalo RJ, Hellstedt T, Ess SL, Kivela T. Simultaneous bilateral cataract surgery: economic analysis; Helsinki Simultaneous Bilateral Cataract Surgery Study Report 2. J Cataract Refract Surg. 2011 Jun;37(6):1003-8. doi: 10.1016/j.jcrs.2010.12.050.

    PubMed 21596243
  • Lundstrom M, Albrecht S, Roos P. Immediate versus delayed sequential bilateral cataract surgery: an analysis of costs and patient value. Acta Ophthalmol. 2009 Feb;87(1):33-8. doi: 10.1111/j.1755-3768.2008.01343.x. Epub 2008 Sep 11.

    PubMed 18786128
  • Lundstrom M, Pesudovs K. Catquest-9SF patient outcomes questionnaire: nine-item short-form Rasch-scaled revision of the Catquest questionnaire. J Cataract Refract Surg. 2009 Mar;35(3):504-13. doi: 10.1016/j.jcrs.2008.11.038.

    PubMed 19251145
  • Morley AM, Murdoch I. The future of glaucoma clinics. Br J Ophthalmol. 2006 May;90(5):640-5. doi: 10.1136/bjo.2005.085522.

    PubMed 16622096
  • Niazi S, Krogh Nielsen M, Singh A, Sorensen TL, Subhi Y. Prevalence of Charles Bonnet syndrome in patients with age-related macular degeneration: systematic review and meta-analysis. Acta Ophthalmol. 2020 Mar;98(2):121-131. doi: 10.1111/aos.14287. Epub 2019 Oct 26.

    PubMed 31654492
  • Nielsen E, Lundstrom M, Pesudovs K, Hjortdal J. Validation of Catquest-9SF in Danish: developing a revised form of the Catquest-9SF - the Danish Catquest-7SF. Acta Ophthalmol. 2019 Mar;97(2):173-177. doi: 10.1111/aos.13921. Epub 2018 Sep 21.

    PubMed 30242976

Questions about this trial

What is this clinical trial studying?

A study testing Immediate sequential bilateral cataract surgery (ISBCS) and Delayed sequential bilateral cataract surgery (DSBCS) in people with Bilateral Cataract and Charles Bonnet Syndrome, run by Copenhagen University Hospital, Rigshospitalet at 1 site in Denmark.

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 5 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: status not confirmed, as of the sponsor's last update on 21 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Denmark. 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?

Results are not available in the source record.

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

Contact Amardeep Singh, MD, PhD (+45 20 93 09 49, a.singh.opth@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in patient reported visual function outcome following either ISBCS or DSBCS (time frame: Baseline at the preoperative visit, 1 week post-surgery, and 3 months post-surgery). 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 NCT05069753, which also lists 26 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 21 Oct 2021.

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