Five-Year Visual Function and Refractive Outcomes After Congenital Cataract Surgery

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeUp to 18
SponsorJin Yang

About this trial

This prospective multicenter observational study aims to evaluate the 5-year visual function and refractive outcomes in children undergoing surgery for congenital cataract. Key outcomes include best-corrected visual acuity, stereopsis, refractive error, and axial length growth. The study will help identify long-term trends and prognostic indicators after early cataract intervention in pediatric patients.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosis of congenital cataract

Underwent cataract extraction before 1 year of age

Available for regular follow-up for at least 5 years postoperatively

Written informed consent from legal guardian

Disqualifiers

Acquired cataract or traumatic origin

Associated ocular malformations (e.g., microphthalmia, coloboma)

Systemic syndromes affecting vision (e.g., Down syndrome)

History of secondary surgery affecting visual outcome

Trial population

This study will enroll pediatric patients diagnosed with congenital cataract who underwent cataract extraction with or without intraocular lens (IOL) implantation. Participants must be able to complete regular postoperative follow-up assessments from the time of surgery up to 5 years. Both unilateral and bilateral cases are eligible. The study population is recruited from multiple tertiary eye centers in China.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

400 Participants
are grouped into 1 trial group
Group A: congenital cataract

Trial outcomes

Primary outcomes

1

Visual Acuity

UDVA and BCVA will be assessed using age-appropriate optotypes (e.g., Snellen chart, ETDRS chart, or Lea symbols) and recorded in logMAR units at the last available follow-up, with a minimum duration of 5 years postoperatively.

Time frame
Participants will be followed at 1 week, 1 month, 3 months, 6 months, and annually from 1 to 5 years postoperatively.
2

axial length

AL

Time frame
Participants will be followed at 1 week, 1 month, 3 months, 6 months, and annually from 1 to 5 years postoperatively.
3

Refractive Error

Refractive Error

Time frame
Participants will be followed at 1 week, 1 month, 3 months, 6 months, and annually from 1 to 5 years postoperatively.

Secondary outcomes

1

IOP

intraocular pressure

Time frame
Participants will be followed at 1 week, 1 month, 3 months, 6 months, and annually from 1 to 5 years postoperatively.
2

Corneal Curvature (K1 and K2) by Pentacam

Flat (K1) and steep (K2) corneal curvature values will be measured using Pentacam and recorded in diopters (D).

Time frame
Participants will be followed at 1 week, 1 month, 3 months, 6 months, and annually from 1 to 5 years postoperatively.
3

Stereopsis

Stereopsis will be assessed using age-appropriate tools (e.g., Randot Preschool or Titmus Fly Test) and reported in seconds of arc. Loss of stereopsis is defined as \>3000 arcsec.

Time frame
Participants will be followed at 1 week, 1 month, 3 months, 6 months, and annually from 1 to 5 years postoperatively.
4

white to white

WTW (mm)

Time frame
Participants will be followed at 1 week, 1 month, 3 months, 6 months, and annually from 1 to 5 years postoperatively.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Jin Yang

Lead sponsor

Eye & ENT Hospital of Fudan University

Sponsor institution