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Influence of DisCoVisc Ophthalmic Viscosurgical Device (OVD) on Intraoperative Aberrometry Readings

Primary Purpose

Cataract

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
BSS
DiscoVisc
Sponsored by
Clinical Research Consultants, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Cataract focused on measuring Cataract Extraction

Eligibility Criteria

22 Years - 95 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • In good general health
  • Between 22 and 95 years of age and diagnosed with cataract(s)
  • Able to comprehend and sign a written statement of informed consent for participation in the study, including HIPAA
  • Undergoing cataract extraction surgery with an Alcon SN6 platform intraocular lens implantation into the posterior chamber
  • Clear intraocular media, other than cataract
  • Potential postoperative best-corrected visual acuity (BSCVA) of 20/30 or better
  • Axial length of ≥ 22.00 and ≤ 28.00

Exclusion Criteria:

  • Concurrent participation in another investigational drug or device study or participation in another study within the last 30 days prior to Screening
  • Has had prior laser vision correction and/or corneal surgery
  • Has a complication during surgery unrelated to ORA use
  • Conditions associated with increased risk of zonular rupture, including capsular or zonular abnormalities that may lead to IOL decentration, including pseudoexfoliation, trauma or posterior capsule defects
  • History of infectious corneal disease (e.g., herpes simplex, herpes zoster, etc.) or other conditions which may result in corneal scarring
  • Significant central opacity/scar
  • Irregular astigmatism based upon investigator judgment
  • Inability to achieve keratometric stability
  • Will require another procedure, such as iris hooks, use of a Malyugin ring or insertion of a capsular tension ring during surgery
  • Will require significant sedation during surgery
  • Subject who is unable to maintain adequate fixation for image capture with ORA
  • Keratopathy/Kerectasia - any corneal abnormality, other than regular corneal astigmatism, including, but not limited to the following: corneal leukoma and pterygium
  • Any inflammation or edema (swelling) of the cornea, including but not limited to the following: keratitis, keratoconjunctivitis, and keratouveitis
  • May reasonably be expected to require a secondary surgical intervention at any time during the study (other than YAG capsulotomy)
  • Amblyopia
  • Corneal dystrophy (e.g., epithelial, stromal, or endothelial dystrophy)
  • Endothelial disease that may potentially affect visual outcome
  • Subjects with diagnosed degenerative visual disorders (e.g. macular degeneration or other retinal disorders) that are predicted (by subjective assessment of the retina) to cause future acuity losses to a level worse than 20/30 and/or that the investigator deems would interfere with acquiring images or determining a precise postoperative refraction
  • Shallow anterior chamber, not due to swollen cataract
  • History of retinal detachment or macular pucker
  • Ocular conditions such as keratoconus, forme fruste keratoconus or recurrent erosion syndrome that may predispose the subject to complications
  • Microphthalmos
  • Previous corneal transplant
  • Recurrent severe anterior or posterior segment inflammation of unknown etiology
  • Rubella or traumatic cataract
  • Iris neovascularization
  • Uncontrolled glaucoma or glaucoma with visual field defects
  • Poorly dilating pupil or other defect of the pupil that prevents the iris from adequate retraction peripherally
  • Ectopic pupil
  • Pupil abnormalities (nonreactive, fixed pupils; abnormally shaped pupils)
  • Prior, current, or anticipated use during the course of the study of tamsulosin or silodosin (e.g., Flomax, Flomaxtra, Rapaflo) likely, in the opinion of the Investigator, to cause poor dilation or lack of adequate iris structure to perform standard cataract surgery
  • Aniridia
  • Optic nerve atrophy
  • Uncontrolled systemic disease or acute or chronic disease or illness that would increase the operative risk or confound the outcome(s) of the study (e.g., immunocompromised, connective tissue disease, clinically significant atopic disease, multiple sclerosis, lupus, hepatitis, rheumatoid arthritis, etc.)
  • Uncontrolled/poorly controlled diabetes
  • Uncontrolled ocular hypertension (≥ 22 mmHg)
  • Active intraocular inflammation or recurrent ocular inflammatory \ condition (e.g., recurrent or persistent iritis, iridocyclitis, posterior uveitis, etc.)
  • Use of systemic or ocular medications that may affect vision
  • Recent ocular trauma that is not resolved/stable or may affect visual outcomes
  • Previous ocular surgery such as pterygium removal, tear duct surgery, radial keratectomy, etc.
  • Pregnant women, nursing women and subjects suspected of being pregnant
  • Subjects who, in the judgment of the investigator or sub-investigator, are inadequate for the study

Sites / Locations

  • Advanced Vision Care
  • Cleveland Eye Clinic
  • The Eye Institute of Utah

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

BSS and DisCoVisc

Arm Description

Following lens removal and removal of all OVD from the anterior chamber during cataract surgery, the chamber will be filled with BSS and the main incision hydrated with BSS. Intraoperative aberrometry, using the Optiwave® Refractive Analysis with VerifEye+ (ORA), will be performed, and the results of aphakic refraction and suggested IOL power will be recorded in triplicate. Immediately following, the BSS will be replaced with DisCoVisc; and, triplicate readings will be measured under the same conditions.

Outcomes

Primary Outcome Measures

Differences in aphakic refractive measurements with BSS versus DiscoVisc
The differences in spherical equivalents will be evaluated using a nonparametric approach (Friedman chi-square test).

Secondary Outcome Measures

Difference between suggested IOL power selections with BSS versus DiscoVisc
The differences in IOL power will be evaluated using a nonparametric approach (Friedman chi-square test).

Full Information

First Posted
October 24, 2018
Last Updated
April 20, 2020
Sponsor
Clinical Research Consultants, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03751033
Brief Title
Influence of DisCoVisc Ophthalmic Viscosurgical Device (OVD) on Intraoperative Aberrometry Readings
Official Title
Influence of DisCoVisc OVD on Intraoperative Aberrometry Readings for Intraocular Lens (IOL) Calculations After Cataract Extraction
Study Type
Interventional

2. Study Status

Record Verification Date
April 2020
Overall Recruitment Status
Completed
Study Start Date
September 7, 2018 (Actual)
Primary Completion Date
January 6, 2020 (Actual)
Study Completion Date
January 6, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Clinical Research Consultants, Inc.

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.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the study is to develop a nomogram that correlates intraoperative, aphakic refraction measurements when the anterior chamber is pressurized with either balanced salt solution (BSS) or DisCoVisc; and to understand how suggested IOL power selection may differ.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cataract
Keywords
Cataract Extraction

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
BSS and DisCoVisc
Arm Type
Experimental
Arm Description
Following lens removal and removal of all OVD from the anterior chamber during cataract surgery, the chamber will be filled with BSS and the main incision hydrated with BSS. Intraoperative aberrometry, using the Optiwave® Refractive Analysis with VerifEye+ (ORA), will be performed, and the results of aphakic refraction and suggested IOL power will be recorded in triplicate. Immediately following, the BSS will be replaced with DisCoVisc; and, triplicate readings will be measured under the same conditions.
Intervention Type
Device
Intervention Name(s)
BSS
Intervention Description
Intraoperative aberrometry measurements for BSS will be performed.
Intervention Type
Device
Intervention Name(s)
DiscoVisc
Intervention Description
Intraoperative aberrometry measurements for DiscoVisc will be performed.
Primary Outcome Measure Information:
Title
Differences in aphakic refractive measurements with BSS versus DiscoVisc
Description
The differences in spherical equivalents will be evaluated using a nonparametric approach (Friedman chi-square test).
Time Frame
1 Day
Secondary Outcome Measure Information:
Title
Difference between suggested IOL power selections with BSS versus DiscoVisc
Description
The differences in IOL power will be evaluated using a nonparametric approach (Friedman chi-square test).
Time Frame
1 Day

10. Eligibility

Sex
All
Minimum Age & Unit of Time
22 Years
Maximum Age & Unit of Time
95 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: In good general health Between 22 and 95 years of age and diagnosed with cataract(s) Able to comprehend and sign a written statement of informed consent for participation in the study, including HIPAA Undergoing cataract extraction surgery with an Alcon SN6 platform intraocular lens implantation into the posterior chamber Clear intraocular media, other than cataract Potential postoperative best-corrected visual acuity (BSCVA) of 20/30 or better Axial length of ≥ 22.00 and ≤ 28.00 Exclusion Criteria: Concurrent participation in another investigational drug or device study or participation in another study within the last 30 days prior to Screening Has had prior laser vision correction and/or corneal surgery Has a complication during surgery unrelated to ORA use Conditions associated with increased risk of zonular rupture, including capsular or zonular abnormalities that may lead to IOL decentration, including pseudoexfoliation, trauma or posterior capsule defects History of infectious corneal disease (e.g., herpes simplex, herpes zoster, etc.) or other conditions which may result in corneal scarring Significant central opacity/scar Irregular astigmatism based upon investigator judgment Inability to achieve keratometric stability Will require another procedure, such as iris hooks, use of a Malyugin ring or insertion of a capsular tension ring during surgery Will require significant sedation during surgery Subject who is unable to maintain adequate fixation for image capture with ORA Keratopathy/Kerectasia - any corneal abnormality, other than regular corneal astigmatism, including, but not limited to the following: corneal leukoma and pterygium Any inflammation or edema (swelling) of the cornea, including but not limited to the following: keratitis, keratoconjunctivitis, and keratouveitis May reasonably be expected to require a secondary surgical intervention at any time during the study (other than YAG capsulotomy) Amblyopia Corneal dystrophy (e.g., epithelial, stromal, or endothelial dystrophy) Endothelial disease that may potentially affect visual outcome Subjects with diagnosed degenerative visual disorders (e.g. macular degeneration or other retinal disorders) that are predicted (by subjective assessment of the retina) to cause future acuity losses to a level worse than 20/30 and/or that the investigator deems would interfere with acquiring images or determining a precise postoperative refraction Shallow anterior chamber, not due to swollen cataract History of retinal detachment or macular pucker Ocular conditions such as keratoconus, forme fruste keratoconus or recurrent erosion syndrome that may predispose the subject to complications Microphthalmos Previous corneal transplant Recurrent severe anterior or posterior segment inflammation of unknown etiology Rubella or traumatic cataract Iris neovascularization Uncontrolled glaucoma or glaucoma with visual field defects Poorly dilating pupil or other defect of the pupil that prevents the iris from adequate retraction peripherally Ectopic pupil Pupil abnormalities (nonreactive, fixed pupils; abnormally shaped pupils) Prior, current, or anticipated use during the course of the study of tamsulosin or silodosin (e.g., Flomax, Flomaxtra, Rapaflo) likely, in the opinion of the Investigator, to cause poor dilation or lack of adequate iris structure to perform standard cataract surgery Aniridia Optic nerve atrophy Uncontrolled systemic disease or acute or chronic disease or illness that would increase the operative risk or confound the outcome(s) of the study (e.g., immunocompromised, connective tissue disease, clinically significant atopic disease, multiple sclerosis, lupus, hepatitis, rheumatoid arthritis, etc.) Uncontrolled/poorly controlled diabetes Uncontrolled ocular hypertension (≥ 22 mmHg) Active intraocular inflammation or recurrent ocular inflammatory \ condition (e.g., recurrent or persistent iritis, iridocyclitis, posterior uveitis, etc.) Use of systemic or ocular medications that may affect vision Recent ocular trauma that is not resolved/stable or may affect visual outcomes Previous ocular surgery such as pterygium removal, tear duct surgery, radial keratectomy, etc. Pregnant women, nursing women and subjects suspected of being pregnant Subjects who, in the judgment of the investigator or sub-investigator, are inadequate for the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nicole Fram, MD
Organizational Affiliation
Advanced Vision Care
Official's Role
Principal Investigator
Facility Information:
Facility Name
Advanced Vision Care
City
Los Angeles
State/Province
California
ZIP/Postal Code
90067
Country
United States
Facility Name
Cleveland Eye Clinic
City
Brecksville
State/Province
Ohio
ZIP/Postal Code
44141
Country
United States
Facility Name
The Eye Institute of Utah
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84107
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Influence of DisCoVisc Ophthalmic Viscosurgical Device (OVD) on Intraoperative Aberrometry Readings

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