The goal of this clinical trial is to analyze the protective effects of oral ascorbic acid on the corneal endothelial layer undergoing oxidative stress due to phacoemulsification in patients with hard cataracts. The main questions it aims to answer are: 1. Will oral vitamin C administration provide better protection to the corneal endothelium in hard cataract phacoemulsification by comparing preoperative and postoperative administration, preoperative only, and no administration? 2. How does oxidative stress (MDA levels) in the aqueous humour increase after oral vitamin C administration compared to no administration? 3. Will there any changes in MDA levels in the aqueous humour and blood after oral vitamin C administration compared to no administration? 4. Does MDA levels in the aqueous humour correlate with MDA levels in the blood? Researchers will compare vitamin C to a placebo to see if vitamin C as an antioxidant works in preventing corneal endothelial damage due to phacoemulsification. Participants will: * Take 500 mg of oral vitamin C or placebo three times a day for seven days prior to phacoemulsification * Undergo phacoemulsification * Take vitamin C or placebo three times a day for 28 days after phacoemulsification * Visit the ophthalmology clinic 1, 7, 28, and 42 days post-operative for checkups * Keep a logbook to record the drug they take and to write symptoms of possible side effect of the drug
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
120
Patients will be given 500 mg of oral vitamin C, tid, for 7 days prior to phacoemulsification and 4 weeks after phacoemulsification
Patients will be given placebo, tid, for 7 days prior to phacoemulsification and 4 weeks after phacoemulsification
Pharmacology Laboratory of the University of Indonesia
Jakarta, DKI Jakarta, Indonesia
NOT_YET_RECRUITINGRSUD Sayang
Cianjur, West Java, Indonesia
RECRUITINGEndothelial cell loss
Difference of endothelial cell density before and after phacoemulsification
Time frame: From the start of the study to six weeks after intervention
Serum ascorbic acid levels
Level of ascorbic acid in serum
Time frame: From the start of the study to seven days after intervention
Serum total antioxidant capacity levels
Level of total antioxidant capacity in serum
Time frame: From the start of the study to seven days after intervention
Serum malondialdehyde levels
Levels of malondialdehyde in serum
Time frame: From the start of the study to seven days after intervention
Aqueous ascorbic acid levels
Level of aqueous ascorbic acid
Time frame: Right before phacoemulsification
Aqueous total antioxidant capacity levels
Levels of total antioxidant capacity in aqueous humour
Time frame: Right before phacoemulsification
Aqueous malondialdehyde levels
Levels of malondialdehyde in aqueous humour
Time frame: Right before phacoemulsification to 3 minutes after phacoemulsification
Central corneal thickness
Thickness of the central part of the cornea
Time frame: rom the start of the study to six weeks after intervention
Grading of cells in anterior chamber
Collection of white blood cells in the anterior chamber
Time frame: From the start of the study to six weeks after intervention
Visual acuity of patients
A measure of the ability of the eye to distinguish shapes and the details of objects at a given distance
Time frame: From the start of the study to six weeks after intervention
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