ClinicalTrials.gg
RecruitingNCT07713069Updated Nov 12, 2026

OCT-PRO Model vs. Clinicians: Cataract Surgery Outcome Prediction

An interventional study of OCT-PRO prediction model and Routine Preoperative Counseling in Cataract, sponsored by Zhongshan Ophthalmic Center, Sun Yat-sen University. Recruiting at 1 site in China. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by Zhongshan Ophthalmic Center, Sun Yat-sen University · Not applicable, Interventional, and Other

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.
Updated Nov 12, 2026Now RecruitingFirst site in China+3 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
534
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 19 studies in Cataract by Zhongshan Ophthalmic Center, Sun Yat-sen University — 10 open to participants now, 10 under way, none of them phase 3. Cataract · Zhongshan Ophthalmic Center, Sun Yat-sen University.

Planned enrollment
Largest of 13
534 · median 128
Started
2026
with 3 others
No phase
13 of 19
5 open now
Registered
19th of 19
by date

Among the 19 studies in Cataract by Zhongshan Ophthalmic Center, Sun Yat-sen University, this one has the largest planned enrollment of the 13 interventional ones that give a count, is one of 4 that started in 2026, is one of 13 with no phase, and was the 19th registered.

Cataract

1,630 studies on the registry are indexed under Cataract; 235 are open to participants now.

Browse Cataract studies →

Open to participants now

10 of the 19 studies in Cataract by Zhongshan Ophthalmic Center, Sun Yat-sen University are open now, in 1 country. Recruiting first, the newest first:

4 more — sign in →

By country, each count listing its studies:

All 10 open studies →

Where they have run

Who these studies take

Of the 142 Cataract studies recruiting now, 88 (62%) set no upper age limit and 8 (6%) stop at 75 or younger; 10 take children under 18; 16 take healthy volunteers.

This study: 18 Years to 90 Years · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

Cataract is the leading cause of blindness worldwide, yet 5-20% of patients fail to achieve satisfactory visual recovery after surgery. Current methods for predicting postoperative visual acuity lack accuracy, particularly in patients with co-morbid fundus diseases. The OCT-PRO model, developed by our team, uses artificial intelligence (AI) to integrate optical coherence tomography (OCT) images and clinical data to forecast surgical outcomes. This multi-center, randomized, single-blind trial aims to compare the predictive accuracy of OCT-PRO-assisted predictions versus standard clinician predictions. A total of 534 participants will be randomized 1:1 to either the experimental group (OCT-PRO-assisted prediction) or the control group (routine care). The primary outcome is the mean absolute error (MAE) between predicted and actual postoperative best-corrected visual acuity (BCVA). Secondary outcomes include patient satisfaction, informed decision-making scores, and clinician acceptance of the AI tool. This study will provide high-level evidence on the clinical utility of AI in optimizing cataract surgical decision-making and patient communication.

Read the detailed description

Cataract is the leading cause of blindness worldwide, yet 5-20% of patients fail to achieve satisfactory visual recovery after surgery. Accurate preoperative prediction remains challenging, particularly for eyes with co-morbid retinal pathologies, as current methods relying on clinician experience and traditional tests (e.g., laser interferometry) often lack reproducibility. Although AI models like OCT-PRO show promise, prospective RCT evidence comparing their accuracy against clinicians is lacking.

This multi-center, randomized, assessor-blinded trial will enroll 534 adults scheduled for cataract surgery. Participants are allocated 1:1 to either the Experimental Group or the Control Group via centralized randomization. In the Experimental Group, clinicians use the OCT-PRO model-integrating OCT images and clinical data-to obtain a predicted postoperative BCVA. Physicians may confirm or adjust this prediction, and the final value is communicated to patients during preoperative counseling. The Control Group receives standard care, where predictions are based solely on conventional clinical assessments without AI assistance. Outcome assessors will be blinded to group allocation.

The primary endpoint is the Mean Absolute Error (MAE) between predicted and actual postoperative BCVA. Secondary endpoints include patient-reported outcomes (expectations, informed choice, satisfaction), clinician acceptance of the model, and correlation analyses. Analysis will follow the Intention-to-Treat principle. This study aims to provide high-level evidence on integrating AI into clinical workflows to enhance prognostic accuracy and optimize shared decision-making in cataract surgery.

03

Conditions studied

  • Cataract

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Keywords

  • Cataract
  • Post-operative prognosis
  • Artificial intelligence
  • Multimodal data fusion
  • Clinical decision support
04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Age ≥18 years scheduled to undergo phacoemulsification with intraocular lens (Phaco+IOL) implantation.
  • Outpatient diagnosis of senile, complicated, or metabolic cataract.
  • For bilateral cataracts, the eye with more advanced disease will be included.

Exclusion criteria

Exclusion Criteria:

  • History of amblyopia or neuro-ophthalmic disease in the operative eye.
  • Poor-quality OCT images precluding clear visualization of fundus structures.
  • Previous intraocular surgery in the operative eye.
  • Hearing or intellectual impairment preventing adequate cooperation.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
534 participants (estimated)

Study arms

  • Experimental
    OCT-PRO Assisted Prediction

    Clinicians input preoperative OCT images and clinical data into the OCT-PRO model to generate a predicted postoperative BCVA. Physicians may confirm or adjust this AI prediction to determine a final value. This final prediction value is then communicated to the patient as supplementary information during routine preoperative counseling.

    Device: OCT-PRO prediction model

  • Active comparator
    Routine Clinical Prediction

    Clinicians perform standard preoperative assessments based on clinical experience and examination results. Predictions of postoperative visual acuity are made solely by physician judgment without AI assistance. Patients receive routine preoperative counseling regarding surgical risks and expected outcomes.

    Behavioral: Routine Preoperative Counseling

Interventions

  • DeviceOCT-PRO prediction model

    The OCT-PRO model integrates optical coherence tomography (OCT) images and clinical data to predict postoperative best-corrected visual acuity (BCVA). In the experimental group, clinicians input preoperative data into the model, confirm or adjust the prediction, and communicate the final value to patients during preoperative counseling.

  • BehavioralRoutine Preoperative Counseling

    Standard preoperative communication based on clinical experience and conventional examinations without AI assistance.

06

What researchers measure

Primary outcomes

  1. The Mean Absolute Error (MAE) between the predicted postoperative BCVA and the actual measured BCVA at 1 month post-surgery.

    Time frame: Baseline, 1 month post-surgery

Secondary outcomes

  1. Patient-reported consistency between surgical outcomes and expectations

    Patient-perceived alignment between actual surgical outcomes and preoperative expectations, measured via a validated questionnaire using a 5-point Likert scale (strongly disagree to strongly agree).

    Time frame: Baseline, 1 month post-surgery

  2. Patient-reported psychological impact of preoperative prognostic disclosure

    Psychological response to receiving preoperative prognostic information (e.g., anxiety, reassurance), measured via a validated questionnaire using a 5-point Likert scale (strongly disagree to strongly agree).

    Time frame: Baseline, 1 month post-surgery

  3. Patient-reported willingness to recommend prognostic information to others

    Willingness to recommend cataract surgery prognostic information to others (e.g., family or friends), measured via a validated questionnaire using a 5-point Likert scale (strongly disagree to strongly agree).

    Time frame: Baseline, 1 month post-surgery

  4. Patient-reported satisfaction with healthcare services

    Patient satisfaction with overall healthcare services received during cataract surgery (e.g., communication, care quality, information clarity), measured via a validated questionnaire using a 5-point Likert scale (strongly disagree to strongly agree).

    Time frame: Baseline, 1 month post-surgery

  5. Clinician-reported outcomes assessing the satisfaction of using OCT-PRO in cataract treatment decision-making

    Clinician-reported satisfaction with incorporating OCT-PRO into preoperative decision-making (e.g., ease of use, confidence in prediction, communication aid), measured via a validated questionnaire using a 5-point Likert scale (strongly disagree to strongly agree).

    Time frame: Baseline, 1 month post-surgery

  6. Correlation coefficients (Pearson/Spearman) between predicted and actual BCVA in both groups

    Time frame: From before surgery to 1 month (±1 week) post-surgery

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2026 (actual). Primary completion is estimated for Nov 2026, 4 months after the start.

Of 302 non-industry interventional studies with no phase under Cataract, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 30. This study's planned 4 months is below that.

Counting every sponsor, half of 492 studies reached it within 17 months; a quarter within 9 and three quarters within 28.

Primary completion moved once since we started tracking on Sep 25, 2026: Oct 2026 → Nov 2026, on Nov 12, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Jul 14, 2026
First posted
Jul 20, 2026
StartActual
Jul 21, 2026
Primary completionEst.
Nov 30, 2026was Oct 2026
CompletionEst.
Dec 31, 2026
Last update
Nov 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Recruiting
changed Nov 12, 2026
Sites
1 site added — first site in China
Show site
  • Zhongshan Ophthalmic Center · Guangzhou, China
Nov 12, 2026
Start date
Jul 20, 2026→Jul 21, 2026 (actual)
Nov 12, 2026
Primary completion
Oct 31, 2026→Nov 30, 2026
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    Not yet recruiting→Recruiting
    1 site added — first site in China
    Show site
    • Zhongshan Ophthalmic Center · Guangzhou, China
    Start date Jul 20, 2026→Jul 21, 2026 (now actual)
    Primary completion Oct 31, 2026→Nov 30, 2026

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07713069
Responsible party
Haotian Lin (Professor, Zhongshan Ophthalmic Center, Sun Yat-sen University) — Principal investigator
First posted
Jul 20, 2026
Start date
Jul 21, 2026
Primary completion
Nov 30, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Nov 12, 2026

Oversight

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

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