Prospective Clinical Study of Different Intraocular Lens Implantation Designed for the Correction of Presbyopia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: QIanqian Lan
- Phone Number: +8618607711972
- Email: 54283122@qq.com
Study Locations
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Beijing
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Beijing, Beijing, China, 100191
- Recruiting
- Peking University Third Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients with bilateral cataract
- Regular corneal topography and Preoperative corneal astigmatism ≤ 0.75 Diopter
Exclusion Criteria:
- Pregnant or nursing women
- In the presence of other ocular diseases that may affect the stability of the lens capsule (pseudoexfoliation syndrome, glaucoma, traumatic cataract, Marfan syndrome, etc.)
- Pupil abnormality (non-reactive pupil, tonic pupils, abnormally shaped pupils, etc.)
- History of any clinically significant retinal pathology or ocular diagnosis (e.g. diabetic retinopathy, ischemic diseases, macular degeneration, retinal detachment, optic neuropathy optic nerv atrophy, amblyopia, strabismus, microphthalmos, aniridia, epiretinal membrane etc.) in the study eyes that could alter or limit final postoperative visual prognosis.
- Patients with history of ocular trauma or prior ocular surgery including refractive procedures
- postoperative visual acuity of worse than 0.2 logMAR in any eye
- Patients using systemic or ocular medication that affect visual acuity.
- Patients participating in other clinical trials during the study.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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bifocal IOL group
The cataract patients who ask for bilateral phacoemulsification and bifocal IOLs implantation.
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The patients will undergo bilateral phacoemulsification and bifocal IOLs implantation.
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mix bifocal IOL group
The cataract patients who ask for phacoemulsification and mix different bifocal IOLs implantation bilaterally
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The patients will undergo phacoemulsification and mix different bifocal IOLs implantation bilaterally.
|
|
trifocal IOL group
The cataract patients who ask for bilateral phacoemulsification and trifocal IOLs implantation.
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The patients will undergo bilateral phacoemulsification and trifocal IOLs implantation.
|
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EDOF IOL group
The cataract patients who ask for bilateral phacoemulsification and EDOF IOLs implantation.
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The patients will undergo bilateral phacoemulsification and EDOF IOLs implantation.
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blend vision group
The cataract patients who ask for phacoemulsification and different IOLs implantation bilaterally.
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The patients will undergo phacoemulsification and different IOLs implantation bilaterally.
|
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monovision designed group
The cataract patients who ask for bilateral phacoemulsification and monofocal IOLs implantation with monovision designed.
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The patients will undergo bilateral phacoemulsification and monofocal IOLs implantation with monovision designed.
The patients will undergo bilateral phacoemulsification and monofocal IOLs implantation with emmetropia designed.
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monofocal IOL group
The cataract patients who ask for bilateral phacoemulsification and monofocal IOLs implantation with emmetropia designed.
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The patients will undergo bilateral phacoemulsification and monofocal IOLs implantation with monovision designed.
The patients will undergo bilateral phacoemulsification and monofocal IOLs implantation with emmetropia designed.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
monocular and binocular visual acuity
Time Frame: 3 months postoperatively
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uncorrected distance visual acuity (UCVA), intermediate visual acuity, near visual acuity will be measured at 5m, 80cm and 40cm respectively.
All visual acuity measurements will be conducted under photopic conditions (85 cd/m2) and at 100% contrast
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3 months postoperatively
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economic efficiency
Time Frame: 3 months postoperatively
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economic efficiency was defined as the ratio of objective spectacle independence (UCVA better than 0.10 logMAR) and IOL price, then compare the economic efficiency among different groups.
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3 months postoperatively
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Binocular Contrast sensitivity
Time Frame: 3 months postoperatively
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Contrast sensitivity measures will be conducted binocularly, under photopic, mesopic (5 cd/m2), photopic with glare and mesopic with glare conditions, with the OPTEC 6500 contrast sensitivity test (Stereo Optical, USA).
Contrast sensitivity will be evaluated at five spatial frequencies (1.5, 3, 6, 12, and 18 cycles per degree [cpd]).
Patients will be allowed 5 minutes to adapt to each illumination level before testing.
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3 months postoperatively
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Binocular Defocus Curve
Time Frame: 3 months postoperatively
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Binocular defocus curves will be obtained in all patients, positioned at 5m under photopic (>85 cd/m 2 ) condition to measure the visual acuity with each defocus lens, representing the consecutive visual function of each eye.
Negative lenses were added in 0.50 D steps and the visual acuity will be recorded for each type of defocus level.
The procedure will be then repeated but with positive lenses.
The range of defocus evaluated is from -4.00D to +2.00D.
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3 months postoperatively
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Fusion function
Time Frame: 3 months postoperatively
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The fusion function of perception and movement (convergence and divergence)will be examined with a synoptophore.
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3 months postoperatively
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stereopsis
Time Frame: 3 months postoperatively
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distant stereopsis will be measured by block diagram of random-spot synoptophore, while near stereopsis will be measured by Yan's stereogram.
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3 months postoperatively
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Subjective visual quality
Time Frame: 3 months postoperatively
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Using NEI-VFQ-25 questionnaire (Chinese version).
Photic phenomena, spectacle independence, and satisfaction questionnaire.
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3 months postoperatively
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Qi Hong, PhD,MD, Peking University Third Hospital
Publications and helpful links
General Publications
- Sun T, Liu Y, Gao Y, Tang C, Lan Q, Yang T, Zhao X, Qi H. Comparison of visual outcomes of a diffractive trifocal intraocular lens and a refractive bifocal intraocular lens in eyes with axial myopia: a prospective cohort study. BMC Ophthalmol. 2022 Oct 20;22(1):407. doi: 10.1186/s12886-022-02626-1.
- Lan Q, Liu Y, Xu F, Li M, Li Y, Yang T, Sun T, Yao G, Ma B, Tao L, Xiao X, Feng XL, Zeng S, Qi H. Cost-Effectiveness of Presbyopia Correction Among Seven Strategies of Bilateral Cataract Surgery Based on a Prospective Single-Blind Two-Center Trial in China. Ophthalmol Ther. 2022 Dec;11(6):2067-2082. doi: 10.1007/s40123-022-00562-3. Epub 2022 Sep 7.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 20191129
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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