About this trial
To compare the effect of Limbal relaxing incisions (LRIs) plus spectacle correction versus spectacle correction alone on subjective and objective improvement in visual function for correcting post phacoemulsification high astigmatism .
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Conventional phacoemulsification was done at least one month earlier.
Clear cornea with corneal astigmatism more than 3.0 D.
Disqualifiers
History of corneal surgeries (e.g., keratoplasty, refractive surgery, and corneal wound repair).
Ocular trauma.
Other intraocular surgery.
Patient with corneal opacities.
Trial design
Single group
Treatments tested in this trial
Limbal relaxing incisions
Procedure/SurgeryA fixed depth diamond-guarded knife (Gemcision LRI 600 Microns Blade, Katalyst Surgical, chesterfield, MO, USA) will be used to create a paired circumferential corneal incision, following the limbal curvature, 1-1.5mm anterior to the limbus centered on the steep corneal meridian. The incision arc length will be ninety degree according to the Nichamin Age and Pachymetry Adjusted (NAPA) nomogram.
Treatment groups
Trial outcomes
Primary outcomes
visual acuity improvement
assessment the improvement in visual acuity ,which will be measured by Landolt Cs chart with decimal notation.
contrast sensitivity improvement
Assessment the improvement in contrast sensitivity using Pelli-Robson contrast sensitivity test .
Locations
Sponsors and contacts
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