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Contralateral Comparison of Three Excimer Laser Systems in Performing LASIK (WLCVLV-001)

Primary Purpose

Myopia, Astigmatism

Status
Completed
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
Excimer Laser
AMO/VISX CustomVue™
LADARVision 4000 excimer laser
Sponsored by
Durrie Vision
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Myopia focused on measuring Myopia, LASIK, Astigmatism, Laser Vision Correction, Excimer Laser

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subjects who have up to -7.00D of spherical equivalent myopia or myopia with astigmatism, with up to -7.00D of spherical component and up to 3.00 D of astigmatic component at the spectacle plane in both eyes.
  • Subjects must have a stable refraction as documented by previous clinical records. Spherical equivalent has not progressed at a rate of more than 0.50D per year prior to the baseline examination in both eyes or as documented by clinical judgment by the investigator.
  • Subjects who wear contact lenses must discontinue wear at least 3 days for soft and at least 3 weeks for RGP prior to the preoperative evaluation or surgery, in either eye.
  • Subjects must have visual acuity correctable to at least 20/20 in both eyes.
  • Subjects must be at least 18 years of age.
  • Subjects must be willing and able to return for scheduled follow up examinations for twelve months after LASIK surgery.
  • Subjects must sign and be given a copy of the written Informed Consent form.

Exclusion Criteria:

  • Subjects for whom both eyes do not meet all inclusion criteria and either eye meets any exclusion criteria.
  • Subjects for whom the combination of their baseline corneal thickness and the planned operative parameters for the LASIK procedure would result in less than 250 microns of remaining posterior corneal thickness below the flap postoperatively in either eye.
  • Eyes for which the baseline standard manifest refraction exhibits greater than 1.00D more minus in sphere power, or a difference of greater than 0.75 D in cylinder power.
  • Subjects desiring spherical under correction in one eye (i.e. no monovision correction is permitted).
  • Subjects for whom the preoperative assessment of the ocular topography and /or aberrations indicates that either eye is not a suitable candidate for LASIK vision correction procedure. Examples include frank or forme frust keratoconus, corneal warpage, pellucid marginal degeneration, etc.
  • Subjects with clinically significant dry eye syndrome or clinically significant blepharitis in either eye.
  • Subjects with anterior segment pathology, including clinically significant cataracts or corneal scarring or neovascularization in either eye.
  • Subjects with residual, recurrent, active ocular or eyelid disease, including any corneal abnormality (specifically, recurrent corneal erosion, severe basement membrane disease) in either eye.
  • Subjects with ophthalmoscopic signs of progressive or unstable myopia or keratoconus (or keratoconus suspect) in either eye.
  • Subjects with unstable (distorted/not clear) corneal mires on central keratometry in either eye.
  • Subjects who have undergone previous intraocular or corneal surgery of any kind, including any type of surgery for either refractive or therapeutic purposes in either eye.
  • Subjects who have a history of Herpes zoster or Herpes simplex keratitis.
  • Subjects on chronic systemic corticosteroid or other immunosuppressive therapy that may affect wound healing, any immunocompromised subjects, and subjects with clinically significant atopic disease, connective tissue disease, or diabetes.
  • Subjects with a history of steroid-responsive rise in intraocular pressure, glaucoma, or preoperative Intraocular pressure>23 mm Hg in either eye.
  • Subjects with macular pathology in either eye.
  • Subjects who are pregnant, lactating, or planning to be pregnant during the course of the study.
  • Subjects with known sensitivity to planned study concomitant medications.
  • Subjects participating in any other ophthalmic drug or device clinical trial during the time of this clinical investigation.

Sites / Locations

  • Durrie Vision
  • Karl G. Stonecipher, MD

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Active Comparator

Arm Label

Wavelight

AMO/VISX CustomVue

LADARVision 4000 excimer laser

Arm Description

WaveLight ALLEGRETTO WAVE™ wavefront guided or optimized excimer laser treatment

AMO/VISX CustomVue™

LADARVision 4000 excimer laser

Outcomes

Primary Outcome Measures

1 Day Postoperative Lasik Uncorrected Visual Acuity
Visual acuity measured without glasses or contact lenses. LogMar is a method of measuring visual acuity. Generally speaking, the U.S. population is familiar with 20/20 visual acuity reference. Samples of LogMar equivalent values would be 20/20=0.0 LogMar, 20/25=0.1 LogMar, 20/16=-0.1, etc.
1 Week Postoperative Lasik Uncorrected Visual Acuity
Visual acuity measured withouth glasses or contact lenses. LogMar is a method of measuring visual acuity. Generally speaking, the U.S. population is familiar with 20/20 visual acuity reference. Samples of LogMar equivalent values would be 20/20=0.0 LogMar, 20/25=0.1 LogMar, 20/16=-0.1, etc.
1 Month Postoperative Lasik Visual Acuity
Visual acuity measured without glasses or contact lenses. LogMar is a method of measuring visual acuity. Generally speaking, the U.S. population is familiar with 20/20 visual acuity reference. Samples of LogMar equivalent values would be 20/20=0.0 LogMar, 20/25=0.1 LogMar, 20/16=-0.1, etc.

Secondary Outcome Measures

Full Information

First Posted
January 9, 2009
Last Updated
January 25, 2013
Sponsor
Durrie Vision
Collaborators
Alcon Research
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1. Study Identification

Unique Protocol Identification Number
NCT00821236
Brief Title
Contralateral Comparison of Three Excimer Laser Systems in Performing LASIK
Acronym
WLCVLV-001
Official Title
A Prospective, Multi Center Clinical Comparison of Fellow Eyes Undergoing Lasik Using the Wavelight Allegretto Wave™ Excimer Laser in One Eye and the Amo/Visx Customvue™ or the Ladarvision 4000 Excimer Laser System in the Contralateral Eye
Study Type
Interventional

2. Study Status

Record Verification Date
January 2013
Overall Recruitment Status
Completed
Study Start Date
January 2009 (undefined)
Primary Completion Date
February 2010 (Actual)
Study Completion Date
February 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Durrie Vision
Collaborators
Alcon Research

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to compare LASIK outcomes using the WaveLight ALLEGRETTO WAVE™ wavefront guided or optimized excimer laser treatment with the AMO/VISX CustomVue™ and the LADARVision 4000 excimer laser treatment. Standard refractive outcomes such as uncorrected and best corrected visual acuity, and intended vs. achieved postoperative refractions will be evaluated; in addition, high order optical aberrations, contrast sensitivity, and topography will be measured.
Detailed Description
The primary objective of this study is to compare WaveLight ALLEGRETTO WAVE™ wavefront guided or optimized excimer laser treatment with the AMO/VISX CustomVue™ and the LADARVision 4000 excimer laser treatment using both subjective and objective outcome measures. This comparison will be made between fellow eyes of the same patient following excimer laser ablation using the WaveLight ALLEGRETTO WAVE™ Excimer Laser System in one eye and the AMO/VISX CustomVue™ or the LADARVision 4000 excimer laser in the contralateral eye .

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Myopia, Astigmatism
Keywords
Myopia, LASIK, Astigmatism, Laser Vision Correction, Excimer Laser

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Wavelight
Arm Type
Active Comparator
Arm Description
WaveLight ALLEGRETTO WAVE™ wavefront guided or optimized excimer laser treatment
Arm Title
AMO/VISX CustomVue
Arm Type
Active Comparator
Arm Description
AMO/VISX CustomVue™
Arm Title
LADARVision 4000 excimer laser
Arm Type
Active Comparator
Arm Description
LADARVision 4000 excimer laser
Intervention Type
Device
Intervention Name(s)
Excimer Laser
Intervention Description
WaveLight ALLEGRETTO WAVE™ wavefront guided or optimized excimer laser treatment
Intervention Type
Device
Intervention Name(s)
AMO/VISX CustomVue™
Intervention Description
Excimer Laser
Intervention Type
Device
Intervention Name(s)
LADARVision 4000 excimer laser
Intervention Description
Excimer Laser
Primary Outcome Measure Information:
Title
1 Day Postoperative Lasik Uncorrected Visual Acuity
Description
Visual acuity measured without glasses or contact lenses. LogMar is a method of measuring visual acuity. Generally speaking, the U.S. population is familiar with 20/20 visual acuity reference. Samples of LogMar equivalent values would be 20/20=0.0 LogMar, 20/25=0.1 LogMar, 20/16=-0.1, etc.
Time Frame
1 Day
Title
1 Week Postoperative Lasik Uncorrected Visual Acuity
Description
Visual acuity measured withouth glasses or contact lenses. LogMar is a method of measuring visual acuity. Generally speaking, the U.S. population is familiar with 20/20 visual acuity reference. Samples of LogMar equivalent values would be 20/20=0.0 LogMar, 20/25=0.1 LogMar, 20/16=-0.1, etc.
Time Frame
1 week post op
Title
1 Month Postoperative Lasik Visual Acuity
Description
Visual acuity measured without glasses or contact lenses. LogMar is a method of measuring visual acuity. Generally speaking, the U.S. population is familiar with 20/20 visual acuity reference. Samples of LogMar equivalent values would be 20/20=0.0 LogMar, 20/25=0.1 LogMar, 20/16=-0.1, etc.
Time Frame
1 Month Postoperative

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects who have up to -7.00D of spherical equivalent myopia or myopia with astigmatism, with up to -7.00D of spherical component and up to 3.00 D of astigmatic component at the spectacle plane in both eyes. Subjects must have a stable refraction as documented by previous clinical records. Spherical equivalent has not progressed at a rate of more than 0.50D per year prior to the baseline examination in both eyes or as documented by clinical judgment by the investigator. Subjects who wear contact lenses must discontinue wear at least 3 days for soft and at least 3 weeks for RGP prior to the preoperative evaluation or surgery, in either eye. Subjects must have visual acuity correctable to at least 20/20 in both eyes. Subjects must be at least 18 years of age. Subjects must be willing and able to return for scheduled follow up examinations for twelve months after LASIK surgery. Subjects must sign and be given a copy of the written Informed Consent form. Exclusion Criteria: Subjects for whom both eyes do not meet all inclusion criteria and either eye meets any exclusion criteria. Subjects for whom the combination of their baseline corneal thickness and the planned operative parameters for the LASIK procedure would result in less than 250 microns of remaining posterior corneal thickness below the flap postoperatively in either eye. Eyes for which the baseline standard manifest refraction exhibits greater than 1.00D more minus in sphere power, or a difference of greater than 0.75 D in cylinder power. Subjects desiring spherical under correction in one eye (i.e. no monovision correction is permitted). Subjects for whom the preoperative assessment of the ocular topography and /or aberrations indicates that either eye is not a suitable candidate for LASIK vision correction procedure. Examples include frank or forme frust keratoconus, corneal warpage, pellucid marginal degeneration, etc. Subjects with clinically significant dry eye syndrome or clinically significant blepharitis in either eye. Subjects with anterior segment pathology, including clinically significant cataracts or corneal scarring or neovascularization in either eye. Subjects with residual, recurrent, active ocular or eyelid disease, including any corneal abnormality (specifically, recurrent corneal erosion, severe basement membrane disease) in either eye. Subjects with ophthalmoscopic signs of progressive or unstable myopia or keratoconus (or keratoconus suspect) in either eye. Subjects with unstable (distorted/not clear) corneal mires on central keratometry in either eye. Subjects who have undergone previous intraocular or corneal surgery of any kind, including any type of surgery for either refractive or therapeutic purposes in either eye. Subjects who have a history of Herpes zoster or Herpes simplex keratitis. Subjects on chronic systemic corticosteroid or other immunosuppressive therapy that may affect wound healing, any immunocompromised subjects, and subjects with clinically significant atopic disease, connective tissue disease, or diabetes. Subjects with a history of steroid-responsive rise in intraocular pressure, glaucoma, or preoperative Intraocular pressure>23 mm Hg in either eye. Subjects with macular pathology in either eye. Subjects who are pregnant, lactating, or planning to be pregnant during the course of the study. Subjects with known sensitivity to planned study concomitant medications. Subjects participating in any other ophthalmic drug or device clinical trial during the time of this clinical investigation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Daniel S. Durrie, MD
Official's Role
Principal Investigator
Facility Information:
Facility Name
Durrie Vision
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66211
Country
United States
Facility Name
Karl G. Stonecipher, MD
City
Greensboro
State/Province
North Carolina
ZIP/Postal Code
27410
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Contralateral Comparison of Three Excimer Laser Systems in Performing LASIK

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