An Assessment of Residual Spherical Aberration, Postoperative Total High Order Aberrations, and Functional Vision Correlation Following Intraocular Lens (IOL) Implantation

Study Overview
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Brief Summary
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The purpose of this study was to evaluate total residual spherical aberration (TSA) post-IOL implantation, and to determine if an association exists between TSA, postoperative high order aberrations (HOA), and functional vision following IOL implantation in patients grouped by pre-operative corneal spherical aberration (CSA).

Detailed Description
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Patients will be grouped by pre-operative corneal spherical aberration (CSA) measures, i.e., ≤0.230 micron and ≥0.270 micron.

Official Title
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An Assessment of Residual Spherical Aberration, Postoperative Total High Order Aberrations, and Functional Vision Correlation After SN60WF IOL Implantation

Conditions
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Cataracts

Intervention / Treatment
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* Device: Acrysof IQ (SN60WF) IOL


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age-related cataract grade 3 or lower in at least one eye; Planned cataract removal via phacoemulsification with an implantation of an aspheric IOL; Able to have an operation within 30 days of preoperative evaluation; Good ocular health, with the exception of cataracts; ≤ 1.50 diopter (D) of preoperative astigmatism by keratometry; Willing and able to understand and sign an informed consent; Willing and able to attend postoperative examinations per protocol schedule; Able to achieve 6.5mm dilated pupil; Other protocol-defined inclusion criteria may apply. Exclusion Criteria: Preoperative ocular pathology as specified in protocol; Preoperative corneal pathology as specified in protocol; Keratometric astigmatism exceeding 1.50 diopter; Planned postoperative refraction for mono-vision; Uncontrolled diabetes; Use of any systemic or topical drug known to interfere with visual performance; Contact lens use during the active treatment portion of the trial; Any concurrent infectious/non infectious conjunctivitis, keratitis or uveitis; Any clinically significant, serious or severe medical or psychiatric condition that may increase the risk associated with study participation or study device implantation or may interfere with the interpretation of study results; Participation in (or current participation) any investigational drug or device trial within the previous 30 days prior to the start date of this trial; Intraocular conventional surgery within the past three months or intraocular laser surgery within one month in the operated eye; Pregnant or nursing mothers and females of childbearing potential not practicing a reliable and medically acceptable method of birth control; Other protocol-defined exclusion criteria may apply.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Acrysof IQ (SN60WF) IOL<br>AcrySof IQ SN60WF intraocular lens (IOL) implanted in one eye only during cataract surgery. | Device: Acrysof IQ (SN60WF) IOL<br>* Acrysof IQ (SN60WF) intraocular lens implanted in the capsular bag of the eye during cataract surgery. The IOL is intended for the lifetime of the patient. Unilateral (one eye only) implantation is planned.<br>* Other names: Acrysof® IQ Model SN60WF;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Contrast Sensitivity | Contrast sensitivity is the measurement of one's ability to detect slight changes in luminance before it becomes indistinguishable. It is measured in logarithmic units by means of an illuminated box, the CSV 1000 by Vector Vision. A higher value for the logarithmic units translates to better contrast sensitivity. | Day 90 postoperative | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total Higher Order Aberrations | A higher order aberration is a distortion acquired by a wavefront light when it passes through an eye with irregularities of its refractive components (tear film, cornea, aqueous humor, crystalline lens and vitreous humor). It is measured via wavefront measurements according to manufacturer's instructions with a LADARWave (Alcon Laboratories, Inc., Ft. Worth TX). | Day 90 postoperative | 
| Corneal Spherical Aberration | Corneal spherical aberration is the blurring of an image that occurs when light from the margin of a lens or mirror with a spherical surface comes to a shorter focus than light from the central portion. The changing focal length is caused by deviations in the lens or mirror surface from a true sphere and is measured by corneal topography with a commercially available topographer in accordance with manufacturer's guidelines. | Day 90 postoperative | 
| Uncorrected Visual Acuity (UCVA) | Uncorrected visual acuity, i.e., visual acuity without any type of corrective lenses, is measured in logMAR. LogMAR is the logarithm of the minimum angle of resolution, and a lower logMAR value indicates better visual acuity. | Day 90 postoperative | 
| Best Corrected Visual Acuity (BCVA) | Best corrected visual acuity, i.e., visual correction utilizing a phoropter or trial frames, is measured in logMAR. LogMAR is the logarithm of the minimum angle of resolution, and a lower logMAR value indicates better visual acuity. | Day 90 postoperative | 
| Low Contrast (10%) Visual Acuity | Visual acuity is tested using 10% contrast ETDRS (Early Treatment Diabetic Retinopathy Study) charts under photopic conditions. Testing is performed using the correction from the manifest refraction at a distance calibrated for the chart. Visual acuity (VA) is measured in logMAR. LogMAR is the logarithm of the minimum angle of resolution, and a lower logMAR value indicates better visual acuity. | Day 90 postoperative | 
| Quality of Vision Questionnaire | As completed by the participant. | Day 90 postoperative | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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intraocular lens, cataracts, total residual spherical aberration, high order aberrations