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N/A N=56 Randomized Double-blind Treatment

Single-center, Double-arm, Prospective Clinical Trial to Compare Visual Performance of Non-diffractive Extended Vision and Neutral Aspheric Monofocal Intraocular Lenses

Cataract · Presbyopia

Enrolled (actual)
56
Serious AEs
0.0%
Results posted
Aug 2023
Primary outcome: Primary: Binocular Intermediate Vision — -0.02; 0.19 logMAR

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Extended Vision IOL (Device); Neutral Aspheric Monofocal IOL (Device)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Milton S. Hershey Medical Center
Primary completion
Jul 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Binocular Intermediate Vision
-0.02; 0.19

Summary

The purpose of this study is to compare the binocular distance, intermediate, and near visual acuity of the Alcon Vivity and Bausch & Lomb enVista IOLs. We hypothesize that the Alcon Vivity and Bausch & Lomb enVista IOLs will have similar distance, intermediate, and near visual acuity. If the null hypothesis is rejected, then the visual performance of the IOLs may be different.

Eligibility Criteria

Inclusion Criteria

  • Male or female, age 18 or older at the time of study enrollment.
  • Visually significant cataract in the study eyes for which phacoemulsification cataract extraction and posterior chamber IOL implantation is indicated.
  • Anticipated to undergo bilateral sequential cataract surgery
  • Projected postoperative CDVA 0.20 logMAR (Snellen 20/32) or better in the study eyes, as determined by an Investigator's medical judgement.
  • Calculated spherical power targeted at emmetropia at distance in the study eyes.
  • Calculated IOL power between +15.0 - +25.0 D, inclusive, in both eyes.
  • Measured against-the-rule astigmatism less than 0.6 D or with-the-rule/oblique astigmatism less than 1.25 D.
  • If wearing rigid gas permeable (RGP) contact lens in the study eye, willingness to discontinue lens wear for ≥ 21 days prior to preoperative biometry.
  • Availability, willingness, and sufficient cognitive awareness to return for study-required visits and comply with examination procedures.
  • Willingness to sign the IRB-approved informed consent form (ICF) for study participation.

Exclusion Criteria

  • Mature cataract in the study eye that is likely to prolong surgical procedure and/or lead to intraoperative complications prior to attempted IOL implantation.
  • Any visually significant intraocular media opacity other than cataract in the study eye (as determined by the investigator). Such opacities might include corneal scar or vitreous hemorrhage.
  • Abnormal corneal findings in the study eye (e.g. keratoconus, pellucid marginal degeneration, irregular astigmatism).
  • Any anterior segment pathology in the study eye that could significantly affect outcomes (e.g. chronic uveitis, iritis, aniridia, clinically significant corneal dystrophies, poor pupil dilation, etc.)
  • Any condition in the study eye that could affect IOL stability (e.g. pseudoexfoliation, zonular dialysis, evident zonular weakness or dehiscence, etc.).
  • History of severe dry eye in the study eye that, in the judgement of the investigator, would impair the ability to obtain reliable study measurements.
  • History of serious corneal disease (e.g. herpes simplex, herpes zoster keratitis, etc.) in the study eye.
  • History of any clinically significant retinal pathology or ocular diagnosis in the study eye that could, in the investigator's best judgement, alter or limit final post-operative visual prognosis (e.g. diabetic retinopathy, ischemic disease, macular degeneration, retinal detachment, optic neuropathy, amblyopia, strabismus, aniridia, epiretinal membrane, etc.).
  • History of cystoid macular edema in either eye.
  • History of uveitis in either eye.
  • History of intraocular or corneal surgery in the study eye besides laser peripheral iridotomy (LPI), selective laser trabeculoplasty (SLT), or argon laser trabeculoplasty (ALT).
  • Uncontrolled glaucoma in the study eye (per Investigator judgement).
  • Current ocular infection in the study eye.
  • Presence of uncontrolled systemic disease that could increase operative risk (e.g. diabetes mellitus, mental illness, dementia, clinically significant atopic disease, etc.).
  • Planned concomitant ocular procedure during cataract surgery inclusive of glaucoma surgery e.g. MIGS or limbal relaxing incisions.
  • Symptoms that might be consistent with active COVID-19 including fever, chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches.
  • If COVID-19 positive, at least two weeks since last symptoms.
  • Unsuitable for study participation for any other reason, as determined by the Investigator's clinical judgement.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04591054). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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