Skip to main content
OpenTrials
Recruiting

NCT Number: NCT05654025

Follow up Study on Visual Prognosis and Complications of Ectopia Lentis Lens

This is a single-centre, observational cohort study with the following objectives: Firstly, the investigators aim to evaluate the vision-related quality of life and mental health status in congenital ectopia lentis patients. Secondly, the investigators target to investigate the correlations between genotype and clinical phenotype in patients of congenital ectopia lentis. Thirdly, to explore the metabolic profiles in the aqueous humor (AH) of patients with congenital ectopia lentis. Lastly, this study aims to explore the longitudinal changes of ocular biological parameters and complications in patients with postoperative congenital ectopia lens in the Chinese population.

Recruiting

Interested in participating?

Request Info

Key information

Age range

3 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Guangdong Provincial Clinical Research Center for Ocular Diseases, State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science

Guangzhou, Guangdong, 510060, China

Location status: Recruiting

Location contact

Dangying Zheng, MD

PRINCIPAL_INVESTIGATOR

Yizhi Liu, PhD

CONTACT

About this study

Congenital ectopia lens is a rare ophthalmic disease that seriously harms the physical and mental health of patients. Surgery is the only definite treatment at present. However, the changes in vision-related quality of life, mental health status, ocular biological parameters postoperative congenital dislocation of lens have not been systematically studied in the Chinese population.

In this trial, the investigators aim to evaluate the vision-related quality of life and mental health status in congenital ectopia lentis patients, investigate the correlations between genotype and clinical phenotype in patients of congenital ectopia lentis, explore the metabolic profiles in the aqueous humor (AH) of patients with congenital ectopia lentis, and explore the longitudinal changes of ocular biological parameters and complications in patients with postoperative congenital ectopia lens in the Chinese population.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosed with congenital lens dislocation and age ≥ 3 years old.
  • Agree to participate in this study with written informed consent from patients or legal guardians.

Exclusion criteria

  • History of ophthalmic trauma or other ophthalmic surgeries.
  • Combined with other ophthalmic diseases such as primary glaucoma, uveitis and corneal disease.
  • Patients who could not cooperate in the examinations.

Treatment and study plan

Primary outcomes

  1. Change of best corrected visual acuity

    Time frame: Non-surgical group is evaluated at first visit, and 1, 2, 3 years after enrollment. Surgical group is evaluated at preoperation, 3 months, and 1, 2, 3 years postoperation

    Best corrected visual acuity (BCVA) is evaluated with an ETDRS chart at each visit.

  2. Incidence of complications

    Time frame: Non-surgical group is evaluated at first visit, and 1, 2, 3 years after enrollment. Surgical group is evaluated at preoperation, 3 months, and 1, 2, 3 years postoperation.

    Estimate the incidence of complications for both non-surgical group and surgical group.

Secondary outcomes

  1. Change of axial length

    Time frame: Non-surgical group is evaluated at first visit, and 1, 2, 3 years after enrollment. Surgical group is evaluated at preoperation, 3 months, and 1, 2, 3 years postoperation.

    Axial length will be evaluated with ZEISS IOLMaster 700 at each visit.

  2. High order aberrations

    Time frame: Non-surgical group is evaluated at first visit, and 1, 2, 3 years after enrollment. Surgical group is evaluated at preoperation, 3 months, and 1, 2, 3 years postoperation

    High order aberrations will be assessed with Nidek OPD-Scan III at each visit.

  3. Central cornea endothelial cell loss

    Time frame: Preoperation, and 3 months, and 1, 2, 3 years postoperation

    Central cornea endothelial cell loss will be calculated with endokeratoscope in surgical group.

  4. The state of zonules

    Time frame: Non-surgical group is assessed at first visit, and 1, 2, 3 years after enrollment. Surgical group will be assessed preoperation.

    The state of zonules will be assessed using ultrasound biomicroscopy.

  5. Anterior chamber angle.

    Time frame: Non-surgical group is assessed at first visit, and 1, 2, 3 years after enrollment. Surgical group will be assessed preoperation, 3 months, and 1, 2, 3 years postoperation.

    Anterior chamber angle will be assessed using Tomey Casia 2 anterior segment optical coherence tomography (OCT).

  6. Tilt and eccentricity of intraocular lens

    Time frame: 3 months, and 1, 2, 3 years postoperation

    Tilt and eccentricity of intraocular lens was evaluated with Pentacam in surgical group.

  7. Intraocular pressure

    Time frame: Non-surgical group is evaluated at first visit, and 1, 2, 3 years after enrollment. Surgical group is evaluated at preoperation, 3 months, and 1, 2, 3 years postoperation.

    Intraocular pressure with non-contact-tonometer at each visit.

  8. Aortic root diameter

    Time frame: Non-surgical group is evaluated at first visit, and 1, 2, 3 years after enrollment. Surgical group is evaluated at preoperation and 1, 2, 3 years postoperation

    Aortic root diameter will be measured using echocardiography.

  9. Aortic Root (Sinuses of Valsalva) Z-score, adjusted by body-surface-area (Z-score)

    Time frame: Non-surgical group is evaluated at first visit, and 1, 2, 3 years after enrollment. Surgical group is evaluated at preoperation and 1, 2, 3 years postoperation

    Z-Score will be calculated using the Marfan foundation's calculator (https://marfan.org/dx/zscore-children/). Normal Z-score range from -2 to 2. A dilated aortic root is defined as a Z-score ≥2.0. A larger Z-score is associated with an increased risk of aortic complications such as dissection, rupture, and valvular regurgitation.

  10. Incidence of valvular heart disease

    Time frame: Non-surgical group is evaluated at first visit, and 1, 2, 3 years after enrollment. Surgical group is evaluated at preoperation and 1, 2, 3 years postoperation

    The incidence of valvular heart disease (VHD) is defined as the ratio of patients diagnosed with VHD to the total number of patients enrolled.

  11. Body mass index (BMI)

    Time frame: Non-surgical group is evaluated at first visit, and 1, 2, 3 years after enrollment. Surgical group is evaluated at preoperation and 1, 2, 3 years postoperation.

    Body mass index (BMI) is a person's weight in kilograms divided by the square of height in meters. The normal range for the Chinese population is 18.5 to 23.9. A high BMI can indicate high body fatness.

  12. Metacarpophalangeal joint length

    Time frame: Non-surgical group is evaluated at first visit, and 1, 2, 3 years after enrollment. Surgical group is evaluated at preoperation and 1, 2, 3 years postoperation.

    Metacarpophalangeal joint length will be measured using palmar radiograph.

  13. Choroidal thickness

    Time frame: Non-surgical group is evaluated at first visit and 3 years after enrollment. Surgical group is evaluated at preoperation and 3 years postoperation.

    Choroidal thickness will be measured with optical coherence tomography (OCT) images.

  14. Choriocapillaris flow deficits

    Time frame: Non-surgical group is evaluated at first visit and 3 years after enrollment. Surgical group is evaluated at preoperation and 3 years postoperation.

    Choriocapillaris flow deficits will be measured with optical coherence tomography angiography (OCTA) images.

  15. Genetic mutation state of patients

    Time frame: Preoperation

    Draw blood to detect the exact gene mutations in patients via whole-exome sequencing.

  16. Vision-related quality of life

    Time frame: Non-surgical group is evaluated at first visit and 3 years after enrollment. Surgical group is evaluated at preoperation and 3 years postoperation.

    Vision-related quality of life will be assessed with the Pediatric Eye Questionnaire (PedEyeQ).

Study contacts

Contact information is provided by the study sponsor or research team.

Dangying Zheng, M.D

CONTACT

[email protected]

020-87330478

Sponsors and collaborators

Lead sponsor

Zhongshan Ophthalmic Center, Sun Yat-sen University

Other

Registry information

Important dates

Study start
2022
Primary completion
2027
Study completion
2027
First posted
Dec 16, 2022
Registry last updated
Aug 7, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.