Visual Outcomes of a Segmental Refractive Multifocal Intraocular Lens

October 9, 2018 updated by: Myriam Böhm, MD, University Clinic Frankfurt

Visual Outcomes After Implantation of a Segmental Refractive Multifocal Intraocular Lens Following Cataract Surgery

To evaluate visual outcomes of a segmental refractive multifocal intraocular lens (IOL) after cataract surgery.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Purpose: This prospective, nonrandomized noncomparative case series investigates the visual performance after bilateral implantation of a segmental refractive multifocal intraocular lenses (IOL) after cataract surgery and was performed at the department of Ophthalmology, Goethe University, Frankfurt, Germany.

Methods: Fifty eyes (25 patients) were included. Inclusion criteria were bilateral cataract, age > 45 years, corneal astigmatism ≤ 0.75 D postoperatively, pupil size 3 to 6 mm (mesopic), and center shift < 1 mm (Pentacam). Exclusion criteria were previous ocular surgeries, amblyopia or potential postoperative distance-corrected visual acuity (DCVA) < 0.3 logMAR,

Intervention or Observation: Uncorrected (UCVA) and DCVA in 4 m, 80 cm, 40 cm; contrast sensitivity (CS) under photopic and mesopic conditions; reading skills (Radner Reading Charts); defocus curve, questionnaire on optical quality (OQ) and spectacle independence were assessed after 3 months.

Main Outcome Measures: At 3 months postoperatively, UCVA and DCVA in 4 m, 80 cm, 40 cm (logMAR); defocus curves; CS; reading skills; and OQ questionnaire results.

Study Type

Observational

Enrollment (Actual)

25

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Hessen
      • Frankfurt am Main, Hessen, Germany, 60590
        • Department of ophthalmology University clinic Frankfurt

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

45 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Patients who received bilateral cataract surgery with the implantation of a segmental refractive multifocal intraocular lens

Description

Inclusion Criteria:

  • bilateral cataract
  • age > 45 years
  • corneal astigmatism ≤ 0.75 D postoperatively
  • pupil size 3 to 6 mm (mesopic)
  • center shift < 1 mm

Exclusion Criteria:

  • previous ocular surgeries
  • amblyopia
  • potential postoperative distance-corrected visual acuity (DCVA) < 0.3 logMAR

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Case-Only
  • Time Perspectives: Prospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Best corrected visual acuity at far distance
Time Frame: Measured 3 month after lens surgery
Monocular and binocular corrected visual acuity at far distance measured in logMAR 3 month after lens surgery
Measured 3 month after lens surgery

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Best corrected visual acuity at intermediate distance
Time Frame: Measured 3 month after lens surgery
Monocular and binocular corrected visual acuity at intermediate distance measured in logMAR 3 month after lens surgery
Measured 3 month after lens surgery
Best corrected visual acuity at near distance
Time Frame: Measured 3 month after lens surgery
Monocular and binocular best corrected visual acuity at near distance measured in logMAR 3 month after lens surgery
Measured 3 month after lens surgery
Uncorrected visual acuity at far distance
Time Frame: Measured 3 month after lens surgery
Monocular and binocular uncorrected visual acuity at far distance measured in logMAR 3 month after lens surgery
Measured 3 month after lens surgery
Uncorrected visual acuity at intermediate distance
Time Frame: Measured 3 month after lens surgery
Monocular and binocular uncorrected visual acuity at intermediate distance measured in logMAR 3 month after lens surgery
Measured 3 month after lens surgery
Uncorrected visual acuity at near distance
Time Frame: Measured 3 month after lens surgery
Monocular and binocular uncorrected visual acuity at near distance measured in logMAR 3 month after lens surgery
Measured 3 month after lens surgery
Binocular contrast sensitivity (CS) under photopic, mesopic, and mesopic with glare lighting conditions
Time Frame: Measured 3 month after lens surgery
Binocular contrast sensitivity (CS) was measured with the Functional Acuity Contrast Test (FACT) chart in the Optec 6500 Vision Tester (Stereo Optical Co., Chicago, IL) under binocular photopic (85 cd/m²), mesopic (3 cd/m²), and photopic and mesopic with glare conditions at a spatial frequency of 6 cycles per degree (cpd) (threshold range 0.78-2.26).
Measured 3 month after lens surgery
Defocus curve testing
Time Frame: Measured 3 month after lens surgery
Defocus curve (monocular and binocular) was tested from -5.0 D to +2.0 D in 0.5 D steps under photopic lighting conditions (ETDRS).
Measured 3 month after lens surgery
Radner reading skills
Time Frame: Measured 3 month after lens surgery
Binocular distance-corrected reading acuity (40 cm) was investigated in LogRAD (Reading Acuity Determination) using reading charts (Radner Reading Charts).
Measured 3 month after lens surgery
Optical quality questionnaire
Time Frame: Measured 3 month after lens surgery
Quality of vision questionnaire (visual analogue scale (VAS) 0 (perfect / no symptoms) to 100 (extremely poor / maximum symptom intensity)) asking for evaluation of "glare", "halos", "starbursts", "blurred vision", and "ghosting" under photopic, mesopic and scotopic light conditions, if they wear any spectacles, and to evaluate their total quality of vision.
Measured 3 month after lens surgery

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Principal Investigator: Thomas Kohnen, Professor, Goethe University Clinic Frankfurt

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 28, 2014

Primary Completion (Actual)

May 1, 2018

Study Completion (Actual)

May 1, 2018

Study Registration Dates

First Submitted

February 26, 2018

First Submitted That Met QC Criteria

February 26, 2018

First Posted (Actual)

March 2, 2018

Study Record Updates

Last Update Posted (Actual)

October 10, 2018

Last Update Submitted That Met QC Criteria

October 9, 2018

Last Verified

October 1, 2018

More Information

Terms related to this study

Other Study ID Numbers

  • 153/14

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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