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A Clinical Assessment of the Full Range of Functional Vision With Three Tecnis Multifocal IOL 1-Piece Models in Bilateral Cataract Extraction

Primary Purpose

Cataract

Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Tecnis Multifocal 1-Piece IOL
Sponsored by
Dell Laser Consultants
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Cataract

Eligibility Criteria

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

Inclusion Criteria:

  • A patient with bilateral cataracts for which phacoemulsification extraction and a posterior multifocal IOL implantation has been planned for both eyes.
  • Male or female in good general health, 21 years of age or older at the time of the pre-operative examination and willing to have surgery on their second eye within 7 to 30 days of their first eye.
  • A patient must be willing to comply with study instructions, agree to make all office appointments, and complete the entire course of the study.
  • A patient has the visual potential of 20/32 or better in each eye after cataract removal and IOL implantation in the judgment of the investigator.
  • A patient with a preoperative corneal astigmatism of ≤ 1.5D in each eye [intraoperative management of corneal astigmatism is permissible, and may include arcuate incision(s) or LRI(s).]
  • A patient has a post-operative astigmatism target of ≤ 0.5D in each eye.
  • A patient with clear ocular media other than cataract in each eye.
  • A patient with normal OCT of the macula in each eye or a macula judged to be normal by the investigator by clinical examination.
  • A patient with naturally dilated pupil sizes of > 3.5mm, evaluated under mesopic illumination.
  • A patient must be able to read, comprehend and be willing to give HIPAA and Informed Consent.

Exclusion Criteria:

  • A patient with a known pathology that may affect visual acuity (as determined by the investigator); particularly retinal changes that affect vision (macular degeneration, cystoid macular edema, proliferative diabetic retinopathy, etc.) in either eye.
  • A patient with amblyopia or strabismus.
  • A patient with capsular or zonular abnormalities that may affect postoperative centration or tilt of the lens (e.g. pseudoexfoliation syndrome) in either eye.
  • A patient with pupil abnormalities (non-reactive, tonic pupils, abnormally shaped pupils, or pupils that do not dilate as least 3.5mm under mesopic/scotopic conditions) in either eye.
  • A patient with evidence of Epithelial Basement Membrane Dystrophy on slit-lamp examination in either eye.
  • A patient with evidence of keratoconus or significant irregular astigmatism on pre-operative topography in either eye.
  • A patient with a history of ocular trauma, or ocular surgery in either eye.
  • A patient that may, or is expected to undergo surgical intervention and/or ocular laser treatment prior to or during the study period in either eye.
  • A patient that had refractive surgery (LASIK, LASEK, RK, PRK, etc.) prior to cataract surgery in either eye.
  • A patient with a history of wearing PMMA lenses within 6 months, gas permeable lenses within one month, or extended wear daily soft contact lenses within seven days of their scheduled surgery.
  • A patient that requires the use of systemic or ocular medications that may affect vision.
  • A patient with an uncontrolled acute or chronic disease or illness that would increase risk or confound study results (e.g. diabetes, immunocompromised, etc.).
  • A patient with any uncontrolled systemic disease. A potential patient in whom therapy for a systemic disease is not yet stabilized will not be considered for entry into the study.
  • A patient currently participating or who has participated within 30 days prior to the start of this study in a drug or other investigational research study.

Sites / Locations

  • Dell Laser ConsultantsRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Treatment Group 1

Treatment Group 2

Arm Description

50 qualified study patients will receive the +2.75D (ZKB00) in their dominant eye and the +3.25D (ZLB00) in their non-dominant eye.

50 qualified study patients will receive the +2.75D (ZKB00) in their dominant eye and the +4.00D (ZMB00) in their non-dominant eye.

Outcomes

Primary Outcome Measures

Measurements of uncorrected and best corrected visual acuities under mesopic illumination at distance, intermediate, and near using the ETDRS chart.
Uncorrected visual acuity measured under mesopic illumination using the ETDRS chart at 4 meters, 66.7cm, and 40.0 cm. Best-corrected visual acuity measured under mesopic illumination using the ETDRS chart at 4 meters, 66.7 cm, and 40.0 cm.

Secondary Outcome Measures

Full Information

First Posted
March 8, 2016
Last Updated
August 8, 2016
Sponsor
Dell Laser Consultants
Collaborators
Abbott Medical Optics
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1. Study Identification

Unique Protocol Identification Number
NCT02863159
Brief Title
A Clinical Assessment of the Full Range of Functional Vision With Three Tecnis Multifocal IOL 1-Piece Models in Bilateral Cataract Extraction
Official Title
A Clinical Assessment of the Full Range of Functional Vision (Distance, Intermediate, Near) With Three Tecnis Multifocal IOL 1-Piece Models [+2.75D (ZKB00), +3.25D (ZLB00), +4.00D (ZMB00)] in Subjects Undergoing Bilateral Cataract Extraction
Study Type
Interventional

2. Study Status

Record Verification Date
August 2016
Overall Recruitment Status
Unknown status
Study Start Date
August 2015 (undefined)
Primary Completion Date
December 2016 (Anticipated)
Study Completion Date
July 2017 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Dell Laser Consultants
Collaborators
Abbott Medical Optics

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The objective of this study is to evaluate the uncorrected binocular distance, intermediate, and near visual acuities, and assess patient's spectacle independence and satisfaction in individuals undergoing bilateral cataract extraction that have received two different arms of near add design IOLs of the same diffractive multifocal model.
Detailed Description
This will be a multi-center, parallel comparison clinical study design with two treatment groups. One hundred (100) qualified study patients will receive a +2.75D (ZKB00) Tecnis Multifocal 1-Piece IOL in their dominant eye. Of these study patients, 50 patients will receive the +3.25D (ZLB00) Tecnis Multifocal 1-Piece IOL in their non-dominant eye and the other 50 patients will receive the +4.00D (ZMB00) Tecnis Multifocal 1-Piece IOL in their non-dominant eye. each study patient will undergo the same routine cataract extraction procedures for each eye, with the second eye scheduled to undergo cataract extraction within 7 to 30 days after the first eye. In addition, as is customary for the surgeon, each study patient will receive the same open-label pre-operative, operative and post-operative medications over the course of the study period.

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
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
100 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Treatment Group 1
Arm Type
Active Comparator
Arm Description
50 qualified study patients will receive the +2.75D (ZKB00) in their dominant eye and the +3.25D (ZLB00) in their non-dominant eye.
Arm Title
Treatment Group 2
Arm Type
Active Comparator
Arm Description
50 qualified study patients will receive the +2.75D (ZKB00) in their dominant eye and the +4.00D (ZMB00) in their non-dominant eye.
Intervention Type
Device
Intervention Name(s)
Tecnis Multifocal 1-Piece IOL
Intervention Description
+2.75D (ZKB00), +3.25D (ZKB00), +4.00D (ZMB00)
Primary Outcome Measure Information:
Title
Measurements of uncorrected and best corrected visual acuities under mesopic illumination at distance, intermediate, and near using the ETDRS chart.
Description
Uncorrected visual acuity measured under mesopic illumination using the ETDRS chart at 4 meters, 66.7cm, and 40.0 cm. Best-corrected visual acuity measured under mesopic illumination using the ETDRS chart at 4 meters, 66.7 cm, and 40.0 cm.
Time Frame
90 days post-operative

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: A patient with bilateral cataracts for which phacoemulsification extraction and a posterior multifocal IOL implantation has been planned for both eyes. Male or female in good general health, 21 years of age or older at the time of the pre-operative examination and willing to have surgery on their second eye within 7 to 30 days of their first eye. A patient must be willing to comply with study instructions, agree to make all office appointments, and complete the entire course of the study. A patient has the visual potential of 20/32 or better in each eye after cataract removal and IOL implantation in the judgment of the investigator. A patient with a preoperative corneal astigmatism of ≤ 1.5D in each eye [intraoperative management of corneal astigmatism is permissible, and may include arcuate incision(s) or LRI(s).] A patient has a post-operative astigmatism target of ≤ 0.5D in each eye. A patient with clear ocular media other than cataract in each eye. A patient with normal OCT of the macula in each eye or a macula judged to be normal by the investigator by clinical examination. A patient with naturally dilated pupil sizes of > 3.5mm, evaluated under mesopic illumination. A patient must be able to read, comprehend and be willing to give HIPAA and Informed Consent. Exclusion Criteria: A patient with a known pathology that may affect visual acuity (as determined by the investigator); particularly retinal changes that affect vision (macular degeneration, cystoid macular edema, proliferative diabetic retinopathy, etc.) in either eye. A patient with amblyopia or strabismus. A patient with capsular or zonular abnormalities that may affect postoperative centration or tilt of the lens (e.g. pseudoexfoliation syndrome) in either eye. A patient with pupil abnormalities (non-reactive, tonic pupils, abnormally shaped pupils, or pupils that do not dilate as least 3.5mm under mesopic/scotopic conditions) in either eye. A patient with evidence of Epithelial Basement Membrane Dystrophy on slit-lamp examination in either eye. A patient with evidence of keratoconus or significant irregular astigmatism on pre-operative topography in either eye. A patient with a history of ocular trauma, or ocular surgery in either eye. A patient that may, or is expected to undergo surgical intervention and/or ocular laser treatment prior to or during the study period in either eye. A patient that had refractive surgery (LASIK, LASEK, RK, PRK, etc.) prior to cataract surgery in either eye. A patient with a history of wearing PMMA lenses within 6 months, gas permeable lenses within one month, or extended wear daily soft contact lenses within seven days of their scheduled surgery. A patient that requires the use of systemic or ocular medications that may affect vision. A patient with an uncontrolled acute or chronic disease or illness that would increase risk or confound study results (e.g. diabetes, immunocompromised, etc.). A patient with any uncontrolled systemic disease. A potential patient in whom therapy for a systemic disease is not yet stabilized will not be considered for entry into the study. A patient currently participating or who has participated within 30 days prior to the start of this study in a drug or other investigational research study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Melissa Ciccarelli
Phone
512-347-0255
Email
mciccarelli@dellvision.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Steven J Dell, MD
Organizational Affiliation
Dell Laser Consultants
Official's Role
Principal Investigator
Facility Information:
Facility Name
Dell Laser Consultants
City
Austin
State/Province
Texas
ZIP/Postal Code
78746
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Melissa Ciccarelli
Phone
512-347-0255
Email
mciccarelli@dellvision.com
First Name & Middle Initial & Last Name & Degree
Marga Lee
Phone
512-347-0255
Email
marga@dellvision.com
First Name & Middle Initial & Last Name & Degree
Steven J Dell, MD

12. IPD Sharing Statement

Plan to Share IPD
Undecided
Citations:
PubMed Identifier
33061276
Citation
Dell SJ. Evaluation of Visual and Subjective Outcomes with Mix-and-Match of Three One-Piece Tecnis Multifocal IOLs of Varying Add Powers. Clin Ophthalmol. 2020 Sep 29;14:2903-2911. doi: 10.2147/OPTH.S266120. eCollection 2020.
Results Reference
derived

Learn more about this trial

A Clinical Assessment of the Full Range of Functional Vision With Three Tecnis Multifocal IOL 1-Piece Models in Bilateral Cataract Extraction

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