- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00863759
Wavefront Analysis and Contrast Sensitivity After Cataract Surgery With Akreos Advanced Optics Intraocular Lens Implantation
Wavefront Analysis and Contrast Sensitivity After Cataract Surgery With Akreos AO Intraocular Lens Implantation: Clinical Comparative Study
Purpose: To determine whether implantation of an intraocular lens (IOL) with a modified anterior and posterior aspherical surface (Akreos AO, Bausch & Lomb,Inc) results in reduced ocular aberrations (spherical aberration) and in improved contrast sensitivity after cataract surgery.
Study hypothesis: the implantation of an intraocular lens (IOL) with a modified anterior and posterior aspherical surface (Akreos AO, Bausch & Lomb,Inc) results in reduced ocular aberrations (spherical aberration) and improved contrast sensitivity after cataract surgery.
Setting: Department of ophthalmology, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil.
Overall Study design: This will be an intraindividual randomized double-blinded prospective study. Patients will be randomized to receive an aspheric IOL Akreos AO in one eye (25 eyes; Bausch & Lomb, Inc), and an spheric IOL Akreos Fit (25 eyes; Bausch & Lomb, Inc.) in the fellow eye. Ocular aberrations with a 5.0 mm and 6.0 mm pupil will be measured with a dynamic retinoscopy aberrometer after 1 and 3 months. Uncorrected and best-corrected visual acuity, out-focus performance and contrast sensitivity under mesopic and photopic conditions will be also measured. All patients will be followed for 3 months.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Patients with bilateral visually significant cataract with corneal astigmatism lower than 2.0D (diopters) will be eligible for inclusion in the study. Exclusion criteria will be any ocular diseases, such as corneal opacities or irregularity, dry eye, amblyopia, anisometropia, glaucoma, retinal abnormalities, surgical complications, IOL tilt, IOL decentration greater than 0.4 mm (estimated by retroillumination), or incomplete follow-up.
Patients will be examined before surgery and at 1, 7, 30, 90 days after surgery.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
São Paulo, Brazil, 05403.001
- : Department of ophthalmology, Hospital das Clinicas, University of São Paulo
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with bilateral visually significant cataract with corneal astigmatism lower than 2.0D (diopters)
Exclusion Criteria:
- Ocular diseases, such as corneal opacities or irregularity, dry eye amblyopia, anisometropia, glaucoma, retinal abnormalities
- Surgical complications
- Intraocular lens (IOL) tilt, IOL decentration greater than 0.4 mm (estimated by retroillumination)
- Incomplete follow-up.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
ACTIVE_COMPARATOR: 1
Patients will receive an aspheric intraocular lenses (IOL) Akreos AO in the right eye and an spheric IOL Akreos Fit in the left eye, during cataract surgery.
|
implantation of intraocular lens during cataract surgery. Arm 1: implantation of aspheric IOL Akreos AO in right eye and an spheric IOL Akreos Fit in left eye. Arm 2: implantation of aspheric IOL Akreos AO in left eye and an spheric IOL Akreos Fit in right eye.
Other Names:
|
|
ACTIVE_COMPARATOR: 2
Patients will receive an spheric intraocular lens (IOL) Akreos Fit in the right eye and an aspheric IOL Akreos AO in the left eye, during cataract surgery.
|
implantation of intraocular lens during cataract surgery. Arm 1: implantation of aspheric IOL Akreos AO in right eye and an spheric IOL Akreos Fit in left eye. Arm 2: implantation of aspheric IOL Akreos AO in left eye and an spheric IOL Akreos Fit in right eye.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Ocular aberrations with a 5.0 mm and 6.0 mm pupil measured with a dynamic retinoscopy aberrometer
Time Frame: At 30 and 90 days postoperatively
|
At 30 and 90 days postoperatively
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Days contrast sensitivity under photopic and mesopic conditions
Time Frame: at 90 days postoperatively
|
at 90 days postoperatively
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Marcony R Santhiago, MD, University of Sao Paulo (ophthalmology department of Hospital das Clinicas)
Publications and helpful links
General Publications
- Montes-Mico R, Ferrer-Blasco T, Cervino A. Analysis of the possible benefits of aspheric intraocular lenses: review of the literature. J Cataract Refract Surg. 2009 Jan;35(1):172-81. doi: 10.1016/j.jcrs.2008.09.017.
- Tzelikis PF, Akaishi L, Trindade FC, Boteon JE. Spherical aberration and contrast sensitivity in eyes implanted with aspheric and spherical intraocular lenses: a comparative study. Am J Ophthalmol. 2008 May;145(5):827-33. doi: 10.1016/j.ajo.2007.12.023. Epub 2008 Mar 4.
- Kasper T, Buhren J, Kohnen T. Intraindividual comparison of higher-order aberrations after implantation of aspherical and spherical intraocular lenses as a function of pupil diameter. J Cataract Refract Surg. 2006 Jan;32(1):78-84. doi: 10.1016/j.jcrs.2005.11.018.
- Dietze HH, Cox MJ. Limitations of correcting spherical aberration with aspheric intraocular lenses. J Refract Surg. 2005 Sep-Oct;21(5):S541-6. doi: 10.3928/1081-597X-20050901-24.
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 656/06
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.
Clinical Trials on Lens Implantation, Intraocular
-
Eyebright Medical Technology (Beijing) Co., Ltd.CompletedIntraocular Lens Implantation
-
AST Products, Inc.RecruitingCataract | Lens Implantation, IntraocularSpain
-
University of Southern CaliforniaAlcon ResearchWithdrawnCataract | Intraocular Lens Implantation
-
Yuzuncu Yıl UniversityVSY BiotechnologyRecruitingCataract | Lens Implantation, IntraocularTurkey
-
Maastricht University Medical CenterCompletedVisual Acuity | Pseudophakia | Cataract Bilateral | Lens, Intraocular | Lens Implantation, IntraocularNetherlands
-
Rabin Medical CenterEinat Medical Inc.UnknownRefractive Error | Corneal Implantation | Intraocular Lens ImplantationIsrael
-
Instituto de Oftalmología Fundación Conde de ValencianaRecruitingCataract | Humans | Intraocular Lens Implantation | Ocular, RefractionMexico
-
Xi'an Eyedeal Medical Technology Co., LtdRecruitingLens Implantation, IntraocularGermany, Lithuania
-
Wenzhou Medical UniversityRecruitingCongenital Cataract | Intraocular Lens Implantation | Optic CaptureChina
-
Zhongshan Ophthalmic Center, Sun Yat-sen UniversityRecruitingLens Implantation, IntraocularChina
Clinical Trials on implantation of intraocular lens (IOL)
-
Sunnybrook Health Sciences CentreRecruitingCorneal Endothelial Cell Loss | Secondary Intraocular LensCanada
-
Medical University of ViennaTerminatedPrimary Open Angle Glaucoma | Pseudoexfoliative Glaucoma
-
ClarVista MedicalCompletedCataract | Corneal Astigmatism | AphakiaNew Zealand
-
University of California, San DiegoWithdrawn
-
University of Turin, ItalyUnknown
-
Rabin Medical CenterEinat Medical Inc.UnknownRefractive Error | Corneal Implantation | Intraocular Lens ImplantationIsrael
-
Haotian LinUnknownCataract | Corneal Endothelial Keratopathy | Phacoemulfisication+IOL Implantation | Endothelial KeratopathyChina
-
Lenstec IncorporatedTerminated
-
Ivantis, Inc.CompletedPrimary Open Angle Glaucoma | Pseudoexfoliative Glaucoma | Pigmentary Dispersion GlaucomaUnited States