Visual Acuity After the Combined Binocular Implantation of +2.5 Diopters and +3.0 Diopters ReSTOR Multifocal Intraocular Lenses.
Study Details
Study Description
Brief Summary
The objective of this study is to assess the visual outcome after the combined binocular implantation of +2.5 D and +3.0 D apodized diffractive multifocal intraocular lenses.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 4 |
Detailed Description
Bifocal multifocal intraocular lenses (MIOL) are effective in achieving good uncorrected visual acuities in the distance and the near. However, the intermediate vision is of increasing relevance for everyday's life. Several multifocal intraocular lenses have been developed to improvement intermediate vision. Nonetheless, those systems still possess adverse photic effects and do not garantuee spectacle independence. Therefore, the combination of a lower-addition bifocal intraocular lense in the distance-dominant eye with a higher-addition bifocal intraocular lense in the fellow-eye might be a promising approach to address these drawbacks of current binocular and trifocal intraocular lenses.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Other: Single-arm
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Device: Binocular cataract surgery with phacoemulsification and implantation of multifocal intraocular lenses
Binocular implantation of the combination of AcrySof® IQ ReSTOR® multifocal intraocular lenses with an addition of +2.5 D in the distance-dominant eye and +3.0 D in the fellow eye.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Visual acuities in the far, intermediate and near [1 month]
Visual acuities are tested under photopic conditions at 5 m, intermediate (80 cm) and patient-preferred near distance (≈ 40 cm).
- Visual acuities in the far, intermediate and near [3 months]
Visual acuities are tested under photopic conditions at 5 m, intermediate (80 cm) and patient-preferred near distance (≈ 40 cm).
- Mesopic vision [1 month]
Mesopic visual acuities are tested under high-contrast, low-contrast and low-contrast with glare.
- Mesopic vision [3 months]
Mesopic visual acuities are tested under high-contrast, low-contrast and low-contrast with glare.
- Scotopic contrast sensitivity [1 month]
Scotopic contrast sensitivity are tested at 0.1 cd/m2, 0.032 cd/m2 and 0.1 cd/m2 with glare.
- Scotopic contrast sensitivity [3 months]
Scotopic contrast sensitivity are tested at 0.1 cd/m2, 0.032 cd/m2 and 0.1 cd/m2 with glare.
Secondary Outcome Measures
- Spectacle independence in the far, intermediate and near [3 months]
Spectacle independence as stated by the patient.
Eligibility Criteria
Criteria
Inclusion Criteria:
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clinically significant cataract
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endothelial cell count: patients aged 18-75 years: > 1000 cells/mm2; patients > 75 years: > 750 cells/mm2
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absence of vision-limiting corneal or retinal comorbidities
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capability to understand the informed consent
Exclusion Criteria:
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expected postoperative astigmatism > 0.75 diopters
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irregular astigmatism
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dilated pupil diameter < 3 mm
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corneal and fundus abnormalities that might cause visual impairments
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inability to attend follow-up visits
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Charité - University Medicine Berlin, Department of Ophthalmology | Berlin | Germany | 13353 |
Sponsors and Collaborators
- Charite University, Berlin, Germany
Investigators
- Principal Investigator: Eckart Bertelmann, MD, PhD, eckart.bertelmann@charite.de
- Principal Investigator: Tobias Brockmann, MD, tobias.brockmann@charite.de
Study Documents (Full-Text)
None provided.More Information
Publications
- Alfonso JF, Knorz M, Fernandez-Vega L, Rincón JL, Suarez E, Titke C, Kohnen T. Clinical outcomes after bilateral implantation of an apodized +3.0 D toric diffractive multifocal intraocular lens. J Cataract Refract Surg. 2014 Jan;40(1):51-9. doi: 10.1016/j.jcrs.2013.06.026.
- Chiam PJ, Chan JH, Aggarwal RK, Kasaby S. ReSTOR intraocular lens implantation in cataract surgery: quality of vision. J Cataract Refract Surg. 2006 Sep;32(9):1459-63. Erratum in: J Cataract Refract Surg. 2006 Dec;32(12):1987.
- Cillino G, Casuccio A, Pasti M, Bono V, Mencucci R, Cillino S. Working-age cataract patients: visual results, reading performance, and quality of life with three diffractive multifocal intraocular lenses. Ophthalmology. 2014 Jan;121(1):34-44. doi: 10.1016/j.ophtha.2013.06.034. Epub 2013 Aug 14.
- Javitt JC, Steinert RF. Cataract extraction with multifocal intraocular lens implantation: a multinational clinical trial evaluating clinical, functional, and quality-of-life outcomes. Ophthalmology. 2000 Nov;107(11):2040-8.
- Pedrotti E, Mastropasqua R, Passilongo M, Parisi G, Marchesoni I, Marchini G. Comparison of two multifocal intraocular lens designs that differ only in near add. J Refract Surg. 2014 Nov;30(11):754-60. doi: 10.3928/1081597X-20141021-07.
- Vingolo EM, Grenga P, Iacobelli L, Grenga R. Visual acuity and contrast sensitivity: AcrySof ReSTOR apodized diffractive versus AcrySof SA60AT monofocal intraocular lenses. J Cataract Refract Surg. 2007 Jul;33(7):1244-7.
- EA1/124/13