Clinical Study to Compare Visual Performance of Two Trifocal IOLs

Study Overview
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Brief Summary
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Prospective, randomised, controlled, single-surgeon, single-center post-market clinical follow up study to compare the clinical outcomes of two trifocal IOLs with different material

Detailed Description
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This is a prospective, randomised, controlled, single-surgeon, single-center post-market clinical follow up study whereby patients undergoing routine cataract surgery will have bilateral implantation of trifocal intraocular lenses. The patients will either be implanted with the hydrophobic IOL FineVision POD F GF or the hydrophilic IOL FineVision Pod F. The primary and secondary effectiveness data for visual acuity, contrast sensitivity, halometry, aberrometry, questionnaire outcomes and any adverse events will be collected. Subjects participating in the trial will attend a total of 10 study visits (1 preoperative, 2 operative and 7 postoperative) over a period of 3 months. Subjects would have the option for unscheduled visits if required medically. Primary endpoint data will be collected at the 3 months follow up visit. Data analyses will be done after the last patient finished the final examination to support the study publication plan.

Official Title
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Clinical Study to Compare Visual Performance of Two Trifocal IOLs With Different Material (Hydrophobic and Hydrophilic)

Conditions
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Cataract, Lens Opacities, Presbyopia

Intervention / Treatment
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* Device: IOL implantation experimental
* Device: IOL implantation active comparator


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Cataractous eyes with no comorbidity Spontaneously emitting the desire for spectacle independence after surgery and with realistic expectation. Availability, willingness and sufficient cognitive awareness to comply with examination procedures Signed informed consent Exclusion Criteria: Irregular astigmatism Age of patient < 50 years Regular corneal astigmatism >1.00 dioptres by an automatic keratometer or biometer or >1.25 dioptres if the steep axis of cylinder is between 90° and 120° in one or both eyes Difficulty for cooperation (distance from their home, general health condition) Acute or chronic disease or illness that would increase risk or confound study results (e.g. diabetes mellitus (with retinopathy), immunocompromised, glaucoma etc…) Any ocular comorbidity History of ocular trauma or prior ocular surgery including refractive procedures Capsule or zonular abnormalities that may affect postoperative centration or tilt of the lens (e.g. pseudoexfoliation syndrome, chronic Uveitis, Marfan's syndrome) Pupil abnormalities (non-reactive, tonic pupils, abnormally shaped pupils or pupils that do not dilate under mesopic/scotopic conditions) AMD suspicious eyes (determined by OCT) Complicated surgery

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: IOL implantation experimental<br>hydrophobic, trifocal intraocular lens POD F GF | Device: IOL implantation experimental<br>* Implantation of trifocal IOL POD F GF consisting of hydrophobic material<br>|
| Active Comparator: IOL implantation active comparator<br>hydrophilic, trifocal intraocular lens POD F | Device: IOL implantation active comparator<br>* Implantation of trifocal IOL POD F consisting of hydrophilic material<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| monocular Uncorrected Distance Visual Acuity (UDVA) under photopic light conditions. | The primary study end point is to show statistically equal visual acuity outcomes between both study groups. The primary study endpoint parameter is monocular Uncorrected Distance Visual Acuity (UDVA) under photopic light conditions. UDVA is measured with ETDRS charts placed in 4m distance according to ISO 11979-7:2014 | 3 months postoperative | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Manifested refraction - Sphere | The spherical part of the manifested refraction is measured by means of a phoropter. The examination is done according to ISO 11979-7:2014. | 3 months postoperative | 
| Manifested refraction - Cylinder | The cylindrical part of the manifested refraction is measured by means of a phoropter. Amount of cylinder and cylinder axis will be noted. The examination is done according to ISO 11979-7:2014. This data will also be used to calculate the manifested refractive spherical equivalent (MRSE) | 3 months postoperative | 
| Uncorrected Distance Visual Acuity (UDVA) | UDVA is measured with ETDRS charts placed in 4m distance according to ISO 11979-7:2014. This assessment is done binocularly. | 3 months postoperative | 
| Corrected Distance Visual Acuity (CDVA) | CDVA is measured with ETDRS charts placed in 4m distance with best aided corrective glasses according to ISO 11979-7:2014. This assessment is done monocularly and binocularly. | 3 months postoperative | 
| Distance Corrected Intermediate Visual Acuity at 80cm (DCIVA) | DCIVA is measured with Radner reading charts placed in 80cm distance with corrective glasses for far distance according to ISO 11979-7:2014. This assessment is done monocularly and binocularly. | 3 months postoperative | 
| Distance Corrected Intermediate Visual Acuity at 63cm (DCIVA) | DCIVA is measured with ETDRS charts placed in 63cm distance with corrective glasses for far distance according to ISO 11979-7:2014. This assessment is done monocularly and binocularly. | 3 months postoperative | 
| Distance Corrected Near Visual Acuity at 40cm (DCNVA) | DCNVA is measured with Radner reading charts placed in 40cm distance with corrective glasses for far distance according to ISO 11979-7:2014. This assessment is done monocularly and binocularly. | 3 months postoperative | 
| Distance Corrected Near Visual Acuity at 25cm (DCNVA) | DCNVA is measured with Radner reading charts placed in 25cm distance with corrective glasses for far distance according to ISO 11979-7:2014. This assessment is done monocularly and binocularly. | 3 months postoperative | 
| Halometry | Halometry outcomes, measurement by halos software v1.0 | 3 months postoperative | 
| Contrast Sensitivity | Contrast Sensitivity under photopic and mesopic light conditions using the standardized contrast sensitivity device CSV-1000 (VectorVision) | 3 months postoperative | 
| Aberrometry - SA | Aberrometry outcomes are measured with a standard aberrometer. In this examination, the following values will be evaluated: Spherical aberration | 3 months postoperative | 
| Aberrometry - HOA | Aberrometry outcomes are measured with a standard aberrometer. In this examination, the following values will be evaluated: High Order Aberrations | 3 months postoperative | 
| Aberrometry - Tilt | Aberrometry outcomes are measured with a standard aberrometer. In this examination, the following values will be evaluated: lens tilt | 3 months postoperative | 
| OQAS II - OSI | Outcomes of OQAS II diagnostic device (Ocular Scatter Index) | 3 months postoperative | 
| OQAS II - MTF | Outcomes of OQAS II diagnostic device (Modular Transfer Function) | 3 months postoperative | 
| OQAS II - Strehl Ratio | Outcomes of OQAS II diagnostic device (Strehl Ratio) | 3 months postoperative | 
| questionnaire | Outcomes measures of a questionnaire to address the general patient satisfaction and possible side effects of the treatment. For this study, the validated and verified questionnaire VFQ-25 (National Eye Institute) will be used. The maximum score for each question is 100. The scoring and evaluation of the questionnaire will be done according to the official guidelines and manual provided by National Eye Institute | 3 months postoperative | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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hydrophilic, Intraocular Lens, trifocal, hydrophobic