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Retrospective / Prospective Clinical Study of AcrySof® IQ ReSTOR® +2.5 D Multifocal Toric Intraocular Lenses

Primary Purpose

Cataract, Presbyopia, Corneal Astigmatism

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
AcrySof® IQ ReSTOR® +2.5 D Multifocal Toric IOL
Sponsored by
Alcon Research
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Cataract focused on measuring Cataract, Intraocular lens, ACRYSOF IQ ReSTOR + 2.5 D Multifocal Toric IOL

Eligibility Criteria

21 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Must sign an informed consent form and be willing to come in for a visit at least 3 months and not more than 14 months after IOL implantation with the AcrySof® IQ ReSTOR® +2.5 D Multifocal Toric IOL (Models SV25T2, SV25T3, SV25T4 and SV25T5);
  • Must be implanted with the correct lens based on preoperative corneal astigmatism as specified in the protocol;
  • Must complete a visit within 10 days after IOL implantation;
  • Successful capsular bag implantation with no surgical complications;
  • Other protocol-specified inclusion criteria may apply.

Exclusion Criteria:

  • IOL implanted prior to the AcrySof® IQ ReSTOR® +2.5 D Multifocal Toric IOL;
  • Ocular or intraocular infection or inflammation at the time of the preoperative visit;
  • Any ocular surgery or intraocular laser procedure at or prior to the surgical visit;
  • Any conditions affecting the cornea (eg. corneal dystrophy, severe dry eye) at the preoperative visit;
  • Retinal conditions (e.g. degenerative retinal conditions, history of retinal detachment, diabetic retinopathy) at the preoperative visit;
  • Known history of Type 1 or 2 diabetes for more than 5 years;
  • Any ocular or systemic co-morbidity at the preoperative visit;
  • Pregnant at the preoperative visit or at the time of Postoperative Visit 2;
  • Preoperative corneal astigmatism ≤ 0.50 D;
  • Participation in another clinical study at the preoperative visit or at the time of the final study visit;
  • Other protocol-specified exclusion criteria may apply.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    ReSTOR Toric +2.5

    Arm Description

    AcrySof® IQ ReSTOR® +2.5 D Multifocal Toric IOL previously implanted during cataract surgery

    Outcomes

    Primary Outcome Measures

    Mean Percent Reduction in Cylinder
    Manifest refraction cylinder was measured monocularly (each eye separately) with best correction (phoropter or trial lenses) under photopic (well-lit) lighting conditions using a 100% contrast ETDRS chart at 4 meters (m) from the subject. Percent reduction in cylinder was calculated as the difference between the postoperative magnitude of manifest refractive cylinder and the preoperative magnitude of keratometric cylinder divided by the intended reduction in cylinder [defined as the difference between the intended (from toric calculator) magnitude of the postoperative manifest refractive cylinder and the preoperative keratometric cylinder], multiplied by 100%. One eye (primary eye) contributed to the analysis.
    Percentage of Subjects With Manifest Refraction Cylinder ≤ 0.50 D
    Manifest refraction cylinder was measured monocularly with best correction under photopic lighting conditions using a 100% contrast ETDRS chart at 4 m from the subject. One eye (primary eye) contributed to the analysis.
    Percentage of Subjects (With Preoperative Astigmatism > 1.00 D) With Manifest Refraction Cylinder ≤ 1.00 D
    Manifest refraction cylinder was measured monocularly with best correction under photopic lighting conditions using a 100% contrast ETDRS chart at 4 m from the subject. One eye (primary eye) contributed to the analysis.
    Mean Uncorrected Distance Visual Acuity
    Visual Acuity (VA) was tested monocularly without visual correction under photopic (well-lit) conditions using a 100% contrast ETDRS chart positioned 4 m from the subject. A +0.25 D spherical power additional lens was used to correct for optical infinity. VA was measured in logMAR (logarithm of the minimum angle of resolution), with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity. One eye (primary eye) contributed to the analysis.
    Mean Uncorrected Near Visual Acuity
    VA was tested monocularly without visual correction under photopic lighting conditions using a 100% contrast near ETDRS chart set at 40 cm on the nearpoint rod of the phoropter. VA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity. One eye (primary eye) contributed to the analysis.
    Mean Uncorrected Intermediate Visual Acuity
    VA was tested monocularly without visual correction under photopic lighting conditions using a 100% contrast near ETDRS chart set at 53 cm on the nearpoint rod of the phoropter. VA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity. One eye (primary eye) contributed to the analysis.
    Mean Best Corrected Distance Visual Acuity (BCDVA)
    VA was tested monocularly with best correction under photopic lighting conditions using a 100% contrast ETDRS chart at 4 m away from the subject. VA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity. One eye (primary eye) contributed to the analysis.
    Mean IOL Rotation
    Lens axis orientation (position of the lens within the capsular bag) as indicated by indentations on the IOL was assessed during slit lamp examination. IOL rotation (the difference between the achieved lens axis orientation at visit and achieved axis placement at surgery) was measured in degrees. One eye (primary eye) contributed to the analysis.

    Secondary Outcome Measures

    Full Information

    First Posted
    June 25, 2014
    Last Updated
    May 31, 2018
    Sponsor
    Alcon Research
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02176343
    Brief Title
    Retrospective / Prospective Clinical Study of AcrySof® IQ ReSTOR® +2.5 D Multifocal Toric Intraocular Lenses
    Official Title
    Retrospective / Prospective Clinical Study of AcrySof® IQ ReSTOR® +2.5 D Multifocal Toric Intraocular Lenses
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    July 21, 2014 (Actual)
    Primary Completion Date
    August 22, 2014 (Actual)
    Study Completion Date
    August 22, 2014 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Alcon Research

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    Yes
    Product Manufactured in and Exported from the U.S.
    Yes
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to characterize the safety and effectiveness of the ACRYSOF IQ ReSTOR +2.5 diopter (D) Multifocal Toric Intraocular Lens (IOL) in subjects at least 3 months and no more than 14 months after IOL implantation.
    Detailed Description
    This is a retrospective and prospective clinical study comprised of a retrospective chart review for preoperative, surgical and early postoperative data, and a prospective postoperative visit conducted at least 3 months but not more than 14 months after IOL implantation.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Cataract, Presbyopia, Corneal Astigmatism
    Keywords
    Cataract, Intraocular lens, ACRYSOF IQ ReSTOR + 2.5 D Multifocal Toric IOL

    7. Study Design

    Primary Purpose
    Other
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    37 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    ReSTOR Toric +2.5
    Arm Type
    Experimental
    Arm Description
    AcrySof® IQ ReSTOR® +2.5 D Multifocal Toric IOL previously implanted during cataract surgery
    Intervention Type
    Device
    Intervention Name(s)
    AcrySof® IQ ReSTOR® +2.5 D Multifocal Toric IOL
    Other Intervention Name(s)
    Model SV25T2, Model SV25T3, Model SV25T4, Model SV25T5
    Intervention Description
    Multifocal IOL with extended secondary focal point and astigmatism correction implanted for long-term use over the lifetime of the cataract patient
    Primary Outcome Measure Information:
    Title
    Mean Percent Reduction in Cylinder
    Description
    Manifest refraction cylinder was measured monocularly (each eye separately) with best correction (phoropter or trial lenses) under photopic (well-lit) lighting conditions using a 100% contrast ETDRS chart at 4 meters (m) from the subject. Percent reduction in cylinder was calculated as the difference between the postoperative magnitude of manifest refractive cylinder and the preoperative magnitude of keratometric cylinder divided by the intended reduction in cylinder [defined as the difference between the intended (from toric calculator) magnitude of the postoperative manifest refractive cylinder and the preoperative keratometric cylinder], multiplied by 100%. One eye (primary eye) contributed to the analysis.
    Time Frame
    Preoperative and Postoperative Visit (3 to 14 months after IOL implantation)
    Title
    Percentage of Subjects With Manifest Refraction Cylinder ≤ 0.50 D
    Description
    Manifest refraction cylinder was measured monocularly with best correction under photopic lighting conditions using a 100% contrast ETDRS chart at 4 m from the subject. One eye (primary eye) contributed to the analysis.
    Time Frame
    Preoperative and Postoperative Visit (3 to 14 months after IOL implantation)
    Title
    Percentage of Subjects (With Preoperative Astigmatism > 1.00 D) With Manifest Refraction Cylinder ≤ 1.00 D
    Description
    Manifest refraction cylinder was measured monocularly with best correction under photopic lighting conditions using a 100% contrast ETDRS chart at 4 m from the subject. One eye (primary eye) contributed to the analysis.
    Time Frame
    Preoperative and Postoperative Visit (3 to 14 months after IOL implantation)
    Title
    Mean Uncorrected Distance Visual Acuity
    Description
    Visual Acuity (VA) was tested monocularly without visual correction under photopic (well-lit) conditions using a 100% contrast ETDRS chart positioned 4 m from the subject. A +0.25 D spherical power additional lens was used to correct for optical infinity. VA was measured in logMAR (logarithm of the minimum angle of resolution), with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity. One eye (primary eye) contributed to the analysis.
    Time Frame
    Preoperative and Postoperative Visit (3 to 14 months after IOL implantation)
    Title
    Mean Uncorrected Near Visual Acuity
    Description
    VA was tested monocularly without visual correction under photopic lighting conditions using a 100% contrast near ETDRS chart set at 40 cm on the nearpoint rod of the phoropter. VA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity. One eye (primary eye) contributed to the analysis.
    Time Frame
    Preoperative and Postoperative Visit (3 to 14 months after IOL implantation)
    Title
    Mean Uncorrected Intermediate Visual Acuity
    Description
    VA was tested monocularly without visual correction under photopic lighting conditions using a 100% contrast near ETDRS chart set at 53 cm on the nearpoint rod of the phoropter. VA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity. One eye (primary eye) contributed to the analysis.
    Time Frame
    Preoperative and Postoperative Visit (3 to 14 months after IOL implantation)
    Title
    Mean Best Corrected Distance Visual Acuity (BCDVA)
    Description
    VA was tested monocularly with best correction under photopic lighting conditions using a 100% contrast ETDRS chart at 4 m away from the subject. VA was measured in logMAR, with 0.1 logMAR increment corresponding to 5 letters, or 1 line, on an ETDRS chart. A lower numeric value represents better visual acuity. One eye (primary eye) contributed to the analysis.
    Time Frame
    Preoperative and Postoperative Visit (3 to 14 months after IOL implantation)
    Title
    Mean IOL Rotation
    Description
    Lens axis orientation (position of the lens within the capsular bag) as indicated by indentations on the IOL was assessed during slit lamp examination. IOL rotation (the difference between the achieved lens axis orientation at visit and achieved axis placement at surgery) was measured in degrees. One eye (primary eye) contributed to the analysis.
    Time Frame
    Preoperative and Postoperative Visit (3 to 14 months after IOL implantation)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    21 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Must sign an informed consent form and be willing to come in for a visit at least 3 months and not more than 14 months after IOL implantation with the AcrySof® IQ ReSTOR® +2.5 D Multifocal Toric IOL (Models SV25T2, SV25T3, SV25T4 and SV25T5); Must be implanted with the correct lens based on preoperative corneal astigmatism as specified in the protocol; Must complete a visit within 10 days after IOL implantation; Successful capsular bag implantation with no surgical complications; Other protocol-specified inclusion criteria may apply. Exclusion Criteria: IOL implanted prior to the AcrySof® IQ ReSTOR® +2.5 D Multifocal Toric IOL; Ocular or intraocular infection or inflammation at the time of the preoperative visit; Any ocular surgery or intraocular laser procedure at or prior to the surgical visit; Any conditions affecting the cornea (eg. corneal dystrophy, severe dry eye) at the preoperative visit; Retinal conditions (e.g. degenerative retinal conditions, history of retinal detachment, diabetic retinopathy) at the preoperative visit; Known history of Type 1 or 2 diabetes for more than 5 years; Any ocular or systemic co-morbidity at the preoperative visit; Pregnant at the preoperative visit or at the time of Postoperative Visit 2; Preoperative corneal astigmatism ≤ 0.50 D; Participation in another clinical study at the preoperative visit or at the time of the final study visit; Other protocol-specified exclusion criteria may apply.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Clinical Manager, GCRA, Surgical
    Organizational Affiliation
    Alcon Research
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    Retrospective / Prospective Clinical Study of AcrySof® IQ ReSTOR® +2.5 D Multifocal Toric Intraocular Lenses

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