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CompletedNCT05853978Updated Jul 3, 2025

The Evaluation of Balanced Salt Solution During Cataract Surgery

A Phase 4 interventional study of BSS Plus and BSS in Fuchs Dystrophy and Cataract, sponsored by Adam Fedyk, MD, FACS. Completed at 1 site in United States. Open to participants aged 22 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-07-03.

Sponsored by Adam Fedyk, MD, FACS · Phase 4, Interventional, and Supportive care

From the registry’s dates

  • Primary completion was Feb 2025, 1 year 8 months ago, and no results have been posted to the registry.
Phase
Phase 4
Study type
Interventional
Enrollment
26
Allocation
Randomized
Ages
22 Years and older
Sex
All
01

Study summary

This study aims to identify if the use of BSS PLUS® Sterile Intraocular Irrigating Solution as an irrigation solution leads to improved corneal outcomes vs BSS® Sterile Irrigating Solution in more compromised corneas.

02

Conditions studied

  • Fuchs Dystrophy
  • Cataract

Keywords

  • Fuchs Corneal Endothelial Dystrophy
  • Nuclear Sclerosis
  • Cataract Surgery
  • Paired Eye
  • ARF-23-001
03

In context

Fuchs' Endothelial Dystrophy

92 studies on the registry are indexed under Fuchs' Endothelial Dystrophy; 27 are open to participants now.

This study's enrollment of 26 is below the median of 50 across 62 interventional studies indexed under Fuchs' Endothelial Dystrophy.

Browse Fuchs' Endothelial Dystrophy studies →

Lead sponsor

This is the only study on the registry with Adam Fedyk, MD, FACS as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
22 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Adults, 22 years of age or older, with bilateral visually significant cataracts.
  2. Subjects with Fuch's Dystrophy that present with:

    1. nonconfluent and confluent guttata; and/or
    2. CCT > 580 microns.
  3. Unremarkable systemic health but inclusive of controlled type II diabetes and hypertension
  4. Ability to comprehend and sign a statement of .
  5. Ability to complete all required postoperative visits.
  6. Willingness to use at least one medically acceptable form of throughout the duration of study participation. (for female subjects of only).

Exclusion criteria

Exclusion Criteria

  1. Planned implantation of multifocal intraocular lenses.
  2. Planned secondary procedure(s) to occur in conjunction with cataract surgery (i.e., goniotomy)
  3. History of severe dry eye.
  4. Retinal and retinal vascular pathologies, age-related macular degeneration
  5. Uncontrolled systematic diseases, including: hypertension, diabetes, systemic cardiovascular diseases and hematological diseases.
  6. disease such as rheumatoid arthritis.
  7. Female subjects of who are pregnant, nursing, planning a pregnancy, or not using a medically acceptable form of .
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

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You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 4
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
26 participants (actual)

Study arms

  • Experimental
    BSS Plus

    Drug: BSS Plus

  • Active comparator
    BSS

    Drug: BSS

Interventions

06

What researchers measure

Primary outcomes

  1. Central Corneal Thickness (CCT)

    Changes in central corneal thickness following cataract surgery with BSS PLUS® Sterile Intraocular Irrigating Solution, as compared to BSS® Sterile Irrigating Solution

    Time frame: Postoperative: Day 1

Secondary outcomes

  1. Intraoperative Grading of Corneal Edema

    Intraoperative grading of corneal edema during cataract surgery with BSS PLUS® Sterile Intraocular Irrigating Solution, as compared to BSS® Sterile Irrigating Solution.

    Time frame: Day 0

  2. Number of Intraocular Irrigating Solution Drops Used

    Number of BSS PLUS® Sterile Intraocular Irrigating Solution drops used during cataract surgery to rewet corneal surface and maintain clarity, as compared to BSS® Sterile Irrigating Solution.

    Time frame: Day 0

Other outcomes

  1. Corneal Surface Keratopathy and Conjunctival Staining

    Changes in corneal surface keratopathy and conjunctival staining following cataract surgery with BSS PLUS® Sterile Intraocular Irrigating Solution, as compared to BSS® Sterile Irrigating Solution.

    Time frame: Postoperative: Day 1 and Week 1

  2. Conjunctival Injection

    Changes in conjunctival injection following cataract surgery with BSS PLUS® Sterile Intraocular Irrigating Solution, as compared to BSS® Sterile Irrigating Solution.

    Time frame: Postoperative: Day 1 and Week 1

  3. Ocular Comfort Index (OCI)

    Assessment of Ocular Comfort Index (OCI) following cataract surgery with BSS PLUS® Sterile Intraocular Irrigating Solution, as compared to BSS® Sterile Irrigating Solution.

    Time frame: Postoperative: Day 1 and Week 1

  4. Best Corrected Visual Acuity (BCVA)

    Best Corrected Visual Acuity (BCVA) following cataract surgery with BSS PLUS® Sterile Intraocular Irrigating Solution, as compared to BSS® Sterile Irrigating Solution.

    Time frame: Postoperative: Month 1

  5. Endothelial Cell Density (ECD)

    Endothelial Cell Density (ECD) following cataract surgery with BSS PLUS® Sterile Intraocular Irrigating Solution, as compared to BSS® Sterile Irrigating Solution.

    Time frame: Postoperative: Month 1

07

Study locations

1 site
  • St. Louis Eye Institute
    Town and Country, Missouri 63017, United States
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05853978
Lead sponsor
Adam Fedyk, MD, FACS
Collaborators
Alcon Research
Responsible party
Adam Fedyk, MD, FACS (Owner, St. Louis Eye Institute) — Sponsor-investigator
First posted
May 11, 2023
Start date
Apr 17, 2023
Primary completion
Feb 21, 2025
Completion
Mar 31, 2025
Last update
Jul 3, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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