title: The Madurai Intraocular Lens Study. I: A randomized clinical trial comparing complications and vision outcomes of intracapsular cataract extraction and extracapsular cataract extraction with posterior chamber intraocular lens.
abstract: OBJECTIVE
  The Madurai Intraocular Lens Study (MIOLS) was designed to compare safety, efficacy, and quality of life outcomes after either intracapsular cataract extraction with aphakic glasses (ICCE-AG) or extracapsular cataract extraction with posterior chamber intraocular lens (ECCE/ PC-IOL).
  
  
  METHODS
  The Madurai Intraocular Lens Study was a nonmasked randomized controlled clinical trial conducted at a single hospital. Thirty-four hundred patients with age-related cataracts and having a best-corrected visual acuity less than or equal to 20/120 in the better eye were randomly assigned to either of the two cataract operative procedures. The main clinical outcomes were safety (complication rates) and efficacy (best-corrected visual acuity at 1 year equal to or better than 20/40). In addition, a subset of 1,700 trial participants received questionnaires before surgery, at 6 months after surgery, and at 1 year after surgery to measure visual functioning and vision-related quality of life.
  
  
  RESULTS
  Details of study design, study organization, clinical and quality of life outcome variables, sample size calculations, patient eligibility criteria and recruitment, randomization and masking, participant flow, adherence to follow-up, quality assurance, and statistical methods are presented.
  
  
  CONCLUSIONS
  The Madurai Intraocular Lens Study has sufficient power to detect clinically significant differences between the treatment options. There were no statistically significant differences between the two treatment groups for any of the major study variables at baseline. A high level of quality assurance was maintained throughout the October 1993 to June 1996 study period. The results should be applicable to all settings where the requisite expertise and resources are present.
authors.affiliation: Aravind Eye Hospital, Madurai, India.
authors.forename: G N
authors.initials: GN
authors.lastname: Natchiar
authors.forename: R D
authors.initials: RD
authors.lastname: Thulasiraj
authors.forename: A D
authors.initials: AD
authors.lastname: Negrel
authors.forename: S
authors.initials: S
authors.lastname: Bangdiwala
authors.forename: R
authors.initials: R
authors.lastname: Rahmathallah
authors.forename: N V
authors.initials: NV
authors.lastname: Prajna
authors.forename: L B
authors.initials: LB
authors.lastname: Ellwein
authors.forename: C
authors.initials: C
authors.lastname: Kupfer
mesh_terms: D000328:Adult; D000368:Aged; D002387:Cataract Extraction / Q000379:methods*; D005139:Eyeglasses; D005260:Female; D006801:Humans; D007194:India; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011788:Quality of Life; D012449:Safety; D011795:Surveys and Questionnaires; D014792:Visual Acuity / Q000502:physiology*