Comparison of Gemini III Rev 2 Implanted in Conjunction With an Approved IOL vs Eyes Implanted With an Approved IOL
Primary Purpose
Cataract
Status
Completed
Phase
Not Applicable
Locations
Costa Rica
Study Type
Interventional
Intervention
Omega Gemini III Rev 2 Device
Control Eye
Sponsored by
About this trial
This is an interventional treatment trial for Cataract
Eligibility Criteria
Inclusion Criteria:
- 40 years of age or older at the time of surgery diagnosed with bilateral cataracts
- Able to understand and sign an informed consent
- Willing and able to complete all study visits and assessments required for the study
- Calculated lens power within the available range
- Corrected distance visual acuity is equal to or worse than 20/40 in each eye with or without a glare source present
- Bilateral cataracts eligible for extraction by phacoemulsification and capsular bag fixated IOL implantation
- Potential postop visual acuity of 20/25 or better in the judgment of the surgeon
- Preoperative corneal astigmatism of 4.0 D or less with normal corneal topography
- Clear intraocular media other than cataract
- Preop endothelial cell density of 2000 cells/mm2 or more
Exclusion Criteria:
- Subject's best corrected vision is light perception or no light perception in either eye
- Cataract opacification preventing adequate Binocular Indirect Ophthalmoscopic retinal and macular examination.
- Orbital abnormalities, such as thyroid related orbitopathy, causing significant exophthalmos.
- Eyelid abnormalities causing lagophthalmos.
- Significant anterior blepharitis or meibomian gland dysfunction
- Corneal abnormalities or conditions, other than regular topographic corneal astigmatism
- Krukenburg's spindle (linear pigmentary deposits on the corneal endothelium)
- Abnormalities of the iris including trans-illumination defects
- Pupil abnormalities (abnormally shaped, fixed or non-reactive)
- Pharmacologic dilation less than 7 mm
- Axial length <22.5mm
- Lens thickness <4.1 mm
- Anterior chamber depth >2.8mm
- Extremely shallow anterior chamber <2.0mm
- Prior ocular surgery
- Epiretinal membrane
- Macular edema
- Retinal tears including operculated holes
- Amblyopia
- Glaucoma of any kind
- Pseudoexfoliation syndrome
- History of uveitis/iritis
- Diabetic retinopathy
- Acute, chronic or uncontrolled systemic or ocular disease that may confound the results of the study (including rheumatologic conditions such as Rheumatoid arthritis, ankylosing spondyliltis, Sjögren's syndrome, and neurologic conditions such as optic neuritis or multiple sclerosis).
- Prior or anticipated use of tamsulosin or silodosin (e.g., Flomax, Flomaxtra, Rapaflo) or similar medications
- Average Keratometry <38D or > 48D by topography
- Any pathology of the zonules including evidence of zonular weakness, zonular instability, zonular damage, or coloboma effecting zonules.
- History of ocular trauma
- Pregnant, lactating, or has another condition with associated fluctuation of hormones that could lead to refractive changes
Sites / Locations
- Clinica 20/20
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Study Eye
Control Eye
Arm Description
Study device in conjunction with an approved monofocal or toric IOL after cataract extraction
approved monofocal or toric IOL after cataract extraction
Outcomes
Primary Outcome Measures
Absence of fusion of peripheral anterior and posterior capsule to the intraocular lens
Via dilated slit lamp examination subjects will be assessed for anterior and posterior Via dilated slit lamp examination subjects will be assessed for anterior and posterior fusion of the IOL to the capsular bag with a dichotomous "Yes/No" response.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04059796
Brief Title
Comparison of Gemini III Rev 2 Implanted in Conjunction With an Approved IOL vs Eyes Implanted With an Approved IOL
Official Title
Clinical Investigation of OMEGA Gemini Capsule, Model Gemini Capsule 3 Rev 2 in Combination With a Commercially Available, FDA Approved Monofocal or Toric Intraocular Lens
Study Type
Interventional
2. Study Status
Record Verification Date
September 2020
Overall Recruitment Status
Completed
Study Start Date
February 21, 2020 (Actual)
Primary Completion Date
August 28, 2020 (Actual)
Study Completion Date
August 28, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Omega Ophthalmics
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study is a prospective, observational, randomized, controlled, paired eye, subject-masked design.
Detailed Description
Subjects will be randomly assigned to which eye will receive the Omega capsule Gemini 3 with an approved monofocal or Toric intraocular lens. Fellow eyes will receive an approved monofocal or Toric IOL (no Omega capsule).
Eyes randomized to receive one of the Gemini capsules (both models) will be eligible to have a secondary procedure (post 1-month postoperative visit) to correct refractive error.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cataract
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Masking Description
Subjects will be masked to which eye receives the study device
Allocation
Randomized
Enrollment
6 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Study Eye
Arm Type
Experimental
Arm Description
Study device in conjunction with an approved monofocal or toric IOL after cataract extraction
Arm Title
Control Eye
Arm Type
Active Comparator
Arm Description
approved monofocal or toric IOL after cataract extraction
Intervention Type
Device
Intervention Name(s)
Omega Gemini III Rev 2 Device
Intervention Description
Eyes randomized to receive the Gemini III Rev 2 device will receive the study device in conjunction with an approved monofocal or toric IOL post cataract extraction
Intervention Type
Device
Intervention Name(s)
Control Eye
Intervention Description
Control eyes will receive an approved monofocal or toric IOL post cataract extraction
Primary Outcome Measure Information:
Title
Absence of fusion of peripheral anterior and posterior capsule to the intraocular lens
Description
Via dilated slit lamp examination subjects will be assessed for anterior and posterior Via dilated slit lamp examination subjects will be assessed for anterior and posterior fusion of the IOL to the capsular bag with a dichotomous "Yes/No" response.
Time Frame
6 month Postop Visit
10. Eligibility
Sex
All
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
40 years of age or older at the time of surgery diagnosed with bilateral cataracts
Able to understand and sign an informed consent
Willing and able to complete all study visits and assessments required for the study
Calculated lens power within the available range
Corrected distance visual acuity is equal to or worse than 20/40 in each eye with or without a glare source present
Bilateral cataracts eligible for extraction by phacoemulsification and capsular bag fixated IOL implantation
Potential postop visual acuity of 20/25 or better in the judgment of the surgeon
Preoperative corneal astigmatism of 4.0 D or less with normal corneal topography
Clear intraocular media other than cataract
Preop endothelial cell density of 2000 cells/mm2 or more
Exclusion Criteria:
Subject's best corrected vision is light perception or no light perception in either eye
Cataract opacification preventing adequate Binocular Indirect Ophthalmoscopic retinal and macular examination.
Orbital abnormalities, such as thyroid related orbitopathy, causing significant exophthalmos.
Eyelid abnormalities causing lagophthalmos.
Significant anterior blepharitis or meibomian gland dysfunction
Corneal abnormalities or conditions, other than regular topographic corneal astigmatism
Krukenburg's spindle (linear pigmentary deposits on the corneal endothelium)
Abnormalities of the iris including trans-illumination defects
Pupil abnormalities (abnormally shaped, fixed or non-reactive)
Pharmacologic dilation less than 7 mm
Axial length <22.5mm
Lens thickness <4.1 mm
Anterior chamber depth >2.8mm
Extremely shallow anterior chamber <2.0mm
Prior ocular surgery
Epiretinal membrane
Macular edema
Retinal tears including operculated holes
Amblyopia
Glaucoma of any kind
Pseudoexfoliation syndrome
History of uveitis/iritis
Diabetic retinopathy
Acute, chronic or uncontrolled systemic or ocular disease that may confound the results of the study (including rheumatologic conditions such as Rheumatoid arthritis, ankylosing spondyliltis, Sjögren's syndrome, and neurologic conditions such as optic neuritis or multiple sclerosis).
Prior or anticipated use of tamsulosin or silodosin (e.g., Flomax, Flomaxtra, Rapaflo) or similar medications
Average Keratometry <38D or > 48D by topography
Any pathology of the zonules including evidence of zonular weakness, zonular instability, zonular damage, or coloboma effecting zonules.
History of ocular trauma
Pregnant, lactating, or has another condition with associated fluctuation of hormones that could lead to refractive changes
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Claudio Orlich, MD
Official's Role
Principal Investigator
Facility Information:
Facility Name
Clinica 20/20
City
San José
Country
Costa Rica
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Comparison of Gemini III Rev 2 Implanted in Conjunction With an Approved IOL vs Eyes Implanted With an Approved IOL
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