Clinical Outcomes of Sedation in Cataract Surgery Performed Under Topical Anesthesia
NCT07347886 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2026-01-16
Summary
This study aims to evaluate the clinical outcomes of different sedation strategies in patients undergoing cataract surgery performed under topical anesthesia. Cataract surgery is commonly performed under topical anesthesia; however, some patients may experience anxiety, discomfort, or inadequate cooperation during the procedure. Sedation may improve patient comfort and surgical conditions, but it may also be associated with potential adverse effects.
In this randomized, prospective study, patients will be assigned to one of three groups: topical anesthesia alone, topical anesthesia combined with midazolam, or topical anesthesia combined with midazolam and fentanyl. Intraoperative sedation levels, hemodynamic parameters, patient satisfaction, and surgeon satisfaction will be assessed and compared among the groups.
The results of this study are expected to provide evidence regarding the effectiveness and safety of sedation during cataract surgery performed under topical anesthesia and to help optimize perioperative sedation strategies for these patients.
Conditions
- Cataract
Interventions
- DRUG
-
Normal Saline
Intravenous normal saline administered in an identical volume as placebo to maintain blinding. No sedative or opioid medication will be given.
- DRUG
-
Midalozam
Intravenous midazolam administered for procedural sedation during cataract surgery performed under topical anesthesia. The medication will be prepared and administered in standardized doses and identical volumes to maintain blinding.
- DRUG
-
Fentanyl (IV)
intravenous fentanyl administered in combination with midazolam to provide analgesia and sedation during cataract surgery under topical anesthesia. The medication will be prepared and administered in standardized doses and equal volumes to ensure blinding across study groups.
Sponsors & Collaborators
-
Istanbul University - Cerrahpasa
lead OTHER
Principal Investigators
-
Gürcan Güngör, MD, Associate professor · İstanbul University-Cerrahpaşa
-
Cezmi Doğan, MD, Associate professor · İstanbul University-Cerrahpaşa
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 50 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-01-31
- Primary Completion
- 2026-07-31
- Completion
- 2026-10-31
Countries
- Turkey (Türkiye)
Study Locations
More Related Trials
-
Evaluation of the Effectiveness of Stress Ball Practice During Cataract Surgery
NCT05847114 ·Status: COMPLETED ·Phase: NA
-
Atracurium Versus Atracurium and Magnesium Sulphate As Adjuvants to Local Anesthetic
NCT06600945 ·Status: RECRUITING
-
Effect of Hyaluronidase on Intraocular Pressure
NCT03266406 ·Status: UNKNOWN ·Phase: NA
-
Oct Angiography Changes After Local Anesthesia in Cataract Surgery
NCT07298746 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Preoperative Fasting for Ambulatory Cataract Surgery: The PRACTICE Study
NCT03828500 ·Status: UNKNOWN ·Phase: NA
-
The Impact of Physiologic Cataract Surgery on Patient Comfort and Medication Usage
NCT07223866 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Impact of Different Modes of Ventilation With Laryngeal Mask Airway on Pediatric Cataract Surgery
NCT04241653 ·Status: COMPLETED ·Phase: NA
-
Combined Intracameral Lidocaine for Manual Small Incision Cataract Surgery Under Topical Anesthesia
NCT01023334 ·Status: COMPLETED ·Phase: NA
-
Cataract Surgery In Patients With Advanced Age
NCT04140383 ·Status: COMPLETED
-
Evaluation of Topical Anesthesia Alone Versus Combined With Intracameral LIdocaine 1%
NCT02215057 ·Status: COMPLETED ·Phase: NA
-
Perioperative Stress and Pain Perception of Second Eye Cataract Surgery
NCT03749759 ·Status: UNKNOWN ·Phase: NA
-
Incisional Correction of Corneal Astigmatism During Phacoemulsification
NCT04418986 ·Status: COMPLETED ·Phase: PHASE4
-
Comparing the Efficiency of Two Approaches in Patients at Risk of Developing Intraoperative Floppy Iris Syndrome
NCT06266962 ·Status: COMPLETED ·Phase: PHASE4
-
Cataract Surgery Technique and Ocular Clarity
NCT05489198 ·Status: UNKNOWN ·Phase: NA
-
Trying a New Device for Performing Capsulorhexis in Cataract Surgery Surgery
NCT01396967 ·Status: UNKNOWN ·Phase: PHASE1
-
The Safety of Cataract Removal by Phacoemulsification Surgery in Patients Under Anti-aggregant and Coumadin Treatment
NCT00564356 ·Status: UNKNOWN ·Phase: NA
-
A Comparative Study Between Preservative With Benzalkonium Chloride vs Preservative Free Eye Drops on the Ocular Surface
NCT06404541 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE4
-
Effect Of Reusing the Operative Supplies On Cataract Surgery and Climate Change
NCT06102265 ·Status: RECRUITING
-
New Technique in Congenital/Pediatric Cataract Surgery
NCT05278936 ·Status: COMPLETED ·Phase: NA
-
Limbal Relaxing Incisions Versus Paired 4 mm Clear Corneal Incisions on Steep Meridian During Phacoemulsification
NCT05593263 ·Status: UNKNOWN ·Phase: NA
-
Mydriatic Drops After Combined Surgery
NCT05614622 ·Status: COMPLETED ·Phase: NA
-
Effect of the Timing of Cataract Surgery on Complications in Patients With Bilateral Congenital Cataracts
NCT02581046 ·Status: COMPLETED ·Phase: NA
-
Performance and Safety of Routine Cataract Surgery With Visiol
NCT04866706 ·Status: COMPLETED
-
Outcomes Following Phacoemulsification With 1.8 & 2.2mm Incision: Randomized Clinical Trial
NCT01385878 ·Status: UNKNOWN ·Phase: NA
-
Posterior Capsulotomy in Cataract Complicated With Primary Posterior Capsule Opacification.
NCT03701139 ·Status: UNKNOWN ·Phase: NA