PureSee EDOF Versus ZCB00 Monofocal IOLs in Mild-to-Moderate Glaucoma

November 2, 2026 updated by: Mann Eye Institute

Clinical Outcomes, Contrast Sensitivity, and Patient Satisfaction Following Bilateral PureSee EDOF Versus ZCB00 Monofocal IOL Implantation in Patients With Mild to Moderate Primary Open-Angle Glaucoma: An Ambispective Investigator-Initiated Trial

This study is a single center, ambispective study of visual outcomes after successful bilateral cataract surgery in patients with mild to moderate primary open-angle glaucoma (POAG). Two cohorts are compared: patients with bilateral implantation of the TECNIS PureSee non-diffractive extended depth of focus intraocular lens (EDOF IOL) and patients with bilateral implantation of the TECNIS ZCB00 monofocal IOL.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Estimated)

100

Contacts and Locations

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

Study Contact

Study Locations

  • United States
    • Texas
      • Houston, Texas, United States, 77004
        • Mann Eye Institute
        • Contact:
        • Principal Investigator:
          • Phillip Brunson, OD

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 aged 45 years and older who underwent bilateral cataract surgery with bilateral implantation of either PureSee EDOF or TECNIS ZCB00, with bilateral mild or moderate primary open-angle glaucoma.

Description

Inclusion Criteria:

Age ≥45 years. Prior bilateral cataract surgery with bilateral implantation of either PureSee EDOF or TECNIS ZCB00 on or after March 12, 2026.

Intended postoperative refractive target between plano and -0.50 D in each eye. No intentional monovision. Bilateral mild or moderate POAG according to AAO ICD-10 staging criteria. Reliable glaucoma visual field available within approximately 18 months before cataract surgery or study enrollment, when available.

Reliable optical coherence tomography examination within 6 months. Adequately controlled IOP and clinically stable glaucoma in the investigator's opinion.

Prior SLT is permitted. Concurrent MIGS at the time of cataract surgery is permitted when clinically indicated at the discretion of the treating surgeon.

Ability to complete the study-specific examination and questionnaires. Study visit occurring 3-18 months following second-eye cataract surgery.

Exclusion Criteria:

Severe POAG or glaucomatous visual field loss involving fixation. Secondary glaucoma, including pseudoexfoliative, pigmentary, angle-closure, neovascular, or uveitic glaucoma.

Glaucoma surgery other than eligible concurrent MIGS that may materially influence study outcomes.

Corneal pathology or irregular astigmatism affecting visual outcomes. Prior corneal refractive surgery. Macular or neuro-ophthalmic disease affecting visual function. Other ocular pathology expected to limit postoperative CDVA to worse than 20/30.

Inability to obtain reliable visual field testing when required for glaucoma characterization.

Intentional monovision. The principal investigator reserves the right to declare a patient ineligible or non-evaluable based on medical evidence that indicates they are unsuitable for the trial.

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: COHORT
  • Time Perspectives: PROSPECTIVE

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
PureSee EDOF IOL cohort

Subjects with bilateral implantation of the TECNIS PureSee Intraocular Lens (toric and non-toric) at cataract surgery.
Device: TECNIS PureSee Intraocular Lens

Bilateral implantation of the TECNIS PureSee non-diffractive extended depth of focus intraocular lens (toric and non-toric) at cataract surgery.
TECNIS ZCB00 monofocal IOL cohort

Subjects with bilateral implantation of the TECNIS Monofocal Intraocular Lens ZCB00 (toric and non-toric) at cataract surgery.
Device: TECNIS ZCB00 Monofocal Intraocular Lens

Bilateral implantation of the TECNIS Monofocal Intraocular Lens ZCB00 (toric and non-toric) at cataract surgery.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Distance visual acuity - binocular distance-corrected visual acuity (DCVA)
Time Frame: 3 to 18 months following second-eye cataract surgery

Binocular distance-corrected visual acuity measured at the single study visit occurring 3 to 18 months following second-eye cataract surgery.
3 to 18 months following second-eye cataract surgery

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Intermediate visual acuity - binocular distance-corrected intermediate visual acuity (DCIVA)
Time Frame: 3 to 18 months following second-eye cataract surgery

Binocular distance-corrected intermediate visual acuity at 66 cm measured at the single study visit occurring 3 to 18 months following second-eye cataract surgery.
3 to 18 months following second-eye cataract surgery

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Contrast sensitivity - binocular, distance-corrected, photopic CSV-1000 contrast sensitivity without glare
Time Frame: 3 to 18 months following second-eye cataract surgery

CSV-1000 contrast sensitivity at spatial frequencies of 3, 6, 12, and 18 cycles per degree, binocular, distance-corrected, photopic, without glare.
3 to 18 months following second-eye cataract surgery
Spectacle independence at distance, intermediate, and near
Time Frame: 3 to 18 months following second-eye cataract surgery

Patient-reported spectacle independence at distance, intermediate, and near.
3 to 18 months following second-eye cataract surgery
Quality of vision and dysphotopsias
Time Frame: 3 to 18 months following second-eye cataract surgery

Patient-reported quality of vision and dysphotopsias assessed with validated patient-reported outcome instruments including the AIOLIS Questionnaire.
3 to 18 months following second-eye cataract surgery
Assessment of IntraOcular Lens Implant Symptoms (AIOLIS) Questionnaire
Time Frame: 3 to 18 months following second-eye cataract surgery

The AIOLIS has 37 questions about symptoms, perceptions of general vision, and frequency of wearing glasses or contact lenses. Perceptions about general vision are asked on a 5 item scale (Poor, Fair, Good, Very good, Excellent). Poor is considered a worse outcome.
3 to 18 months following second-eye cataract surgery

Collaborators and Investigators

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

Sponsor

Mann Eye Institute

Collaborators

Sengi

Investigators

  • Principal Investigator: Phillip Brunson, OD, Mann Eye Institute

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 (Estimated)

December 2, 2026

Primary Completion (Estimated)

October 29, 2027

Study Completion (Estimated)

October 29, 2027

Study Registration Dates

First Submitted

October 27, 2026

First Submitted That Met QC Criteria

November 2, 2026

First Posted (Actual)

November 9, 2026

Study Record Updates

Last Update Posted (Actual)

November 9, 2026

Last Update Submitted That Met QC Criteria

November 2, 2026

Last Verified

November 1, 2026

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • PB-26-02

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

Yes

product manufactured in and exported from the U.S.

Yes

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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