Mind over scalpel: could guided breathing replace sedatives during eye surgery?
NCT ID NCT07715591
First seen Jul 20, 2026 · Last updated Jul 24, 2026 · Updated 3 times
Summary
This trial tests whether a combination of pain education, guided imagery, and paced breathing—called the STEIN Protocol—can help people undergoing awake cataract surgery need less pain and anxiety medication. Participants wear open-ear headphones that play audio prompts every few minutes, asking if they want more relaxing or pain medication, while still being able to hear the surgical team. The study compares this approach to standard care in 300 adults to see if it improves comfort and reduces drug-related side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a perioperative neuroplastic intervention called the STEIN Protocol, combining pain neuroscience education, guided imagery, and paced breathing
- What this could lead to
- If effective, this drug-free approach could reduce reliance on sedatives and painkillers during cataract surgery, lowering side effects and improving patient comfort.
- What could go wrong
- This is a relatively small, early-stage trial, and the intervention may not significantly reduce medication needs or improve outcomes for all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Sep 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Adults undergoing elective cataract surgery under topical anesthesia who are able to provide informed consent and complete study procedures. Exclusion Criteria: Inability to provide informed consent Inability to comply with study procedures Complex or combined cataract surgery General anesthesia Medical, neurologic, psychiatric, or respiratory conditions interfering with study participation Requirement for modified anesthetic protocols Inability to complete postoperative breathing exercises or follow-up assessments
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Stein Eye Institute - University of California Los Angeles
RECRUITINGLos Angeles, California, 90025, United States
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- Can a steroid outperform a standard antiemetic to stop Post-Surgery sickness?