A Study to Evaluate the Safety and Effectiveness of the Technols 217z Zyoptix System for Hyperopia

Sponsor
Bausch & Lomb Incorporated (Industry)
Overall Status
Completed
CT.gov ID
NCT00348205
Collaborator
(none)
80
1
1
45
1.8

Study Details

Study Description

Brief Summary

A study to demonstrate the safety and effectiveness of wavefront laser refractive surgery treatments for hyperopia and astigmatism.

Condition or Disease Intervention/Treatment Phase
  • Device: Technolas 217z Zyoptix Laser
N/A

Study Design

Study Type:
Interventional
Actual Enrollment :
80 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Study Start Date :
Jun 1, 2005
Actual Primary Completion Date :
Jan 1, 2009
Actual Study Completion Date :
Mar 1, 2009

Arms and Interventions

Arm Intervention/Treatment
Experimental: Technolas 217z Zyoptix System

Bausch & Lomb Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software.

Device: Technolas 217z Zyoptix Laser
Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software for the wavefront-guided LASIK treatment of hyperopia and hyperoptic astigmatism.

Outcome Measures

Primary Outcome Measures

  1. Percentage of Eyes With Uncorrected Visual Acuity (UCVA) of 20/40 or Better at 12 Months and 24 Months [24 months]

  2. Percentage of Eyes With a Postoperative Subjective Manifest Refraction Spherical Equivalent (MRSE) Within ± 1.00 Diopter (D) and ± 0.50 D of Emmetropia. [12 months]

    Manifest refractions (eyeglass prescriptions) have three components: sphere, cylinder, and axis. Sphere and cylinder are both expressed in diopters, which is a continuous measure of the focusing power needed to make the image sharp on the retina. Manifest refraction spherical equivalent (MRSE) is equal to sphere + ½ x cylinder. It is expressed in diopters (D).

  3. The Percentage of Eyes With a Postoperative Subjective Manifest Refraction Spherical Equivalent (MRSE) Within ± 1.00 Diopter (D) and ± 0.50 D of Emmetropia [24 months]

    Manifest refractions (eyeglass prescriptions) have three components: sphere, cylinder, and axis. Sphere and cylinder are both expressed in diopters, which is a continuous measure of the focusing power needed to make the image sharp on the retina. Manifest refraction spherical equivalent (MRSE) is equal to sphere + ½ x cylinder. It is expressed in diopters (D).

  4. Refractive Stability - Categorical Change Between Month 1 and Month 3 [Month 1, Month 3]

    Percentage of eyes with a change of ≤ 1.00 Diopter in manifest refraction spherical equivalent (MRSE) between postoperative refractions, performed at 1 months and 3 months after surgery. Manifest refractions (eyeglass prescriptions) have three components: sphere, cylinder, and axis. Sphere and cylinder are both expressed in diopters, which is a continuous measure of the focusing power needed to make the image sharp on the retina. Manifest refraction spherical equivalent (MRSE) is equal to sphere + ½ x cylinder. It is expressed in diopters (D).

  5. Refractive Stability - Mean Change Between Month 1 and Month 3 [1 month, 3 months]

    Mean change in manifest refraction spherical equivalent (MRSE) between postoperative refractions, performed at 1 months and 3 months after surgery. Manifest refractions (eyeglass prescriptions) have three components: sphere, cylinder, and axis. Sphere and cylinder are both expressed in diopters, which is a continuous measure of the focusing power needed to make the image sharp on the retina. Manifest refraction spherical equivalent (MRSE) is equal to sphere + ½ x cylinder. It is expressed in diopters (D).

  6. Induced Astigmatism [24 months]

    Percentage of eyes which had >2.00 Diopter of induced refractive cylinder for those eyes treated for spherical hyperopia only.

Secondary Outcome Measures

  1. Loss of Best Spectacle-corrected Visual Acuity (BSCVA) [24 months]

    Percentage of eyes with loss of best spectacle corrected visual acuity (BSCVA) of >2 lines. Mean change in best-corrected high contrast distance visual acuity. Corrected means spectacle corrected. Visual acuity (VA) was reported as letters read correctly, and the letters read were converted to logarithm of the minimum angle of resolution (logMAR) acuity. The participant read rows of letters on a standard LogMAR chart until the participant misses 3 letters on a row with 5 letters. The total number of correct letters were recorded. A decrease in the number of correct letters indicates a decrease in visual acuity. Acuity was averaged across visits.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Hyperopia with or without astigmatism.
Exclusion Criteria:
  • Contraindications to LASIK.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Bausch & Lomb Rochester New York United States 14609

Sponsors and Collaborators

  • Bausch & Lomb Incorporated

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Bausch & Lomb Incorporated
ClinicalTrials.gov Identifier:
NCT00348205
Other Study ID Numbers:
  • 369
First Posted:
Jul 4, 2006
Last Update Posted:
Sep 14, 2020
Last Verified:
Sep 1, 2020
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Technolas 217z Zyoptix System
Arm/Group Description Bausch & Lomb Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software. Technolas 217z Zyoptix Laser: Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software for the wavefront-guided LASIK treatment of hyperopia and hyperoptic astigmatism.
Period Title: Overall Study
STARTED 80
COMPLETED 78
NOT COMPLETED 2

Baseline Characteristics

Arm/Group Title Technolas 217z Zyoptix System
Arm/Group Description Bausch & Lomb Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software. Technolas 217z Zyoptix Laser: Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software for the wavefront-guided LASIK treatment of hyperopia and hyperoptic astigmatism.
Overall Participants 80
Overall eyes 159
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
49.5
(8.7)
Sex: Female, Male (Count of Participants)
Female
45
56.3%
Male
35
43.8%

Outcome Measures

1. Primary Outcome
Title Percentage of Eyes With Uncorrected Visual Acuity (UCVA) of 20/40 or Better at 12 Months and 24 Months
Description
Time Frame 24 months

Outcome Measure Data

Analysis Population Description
The number of eyes available for uncorrected visual acuity assessment at 12 months and 24 months were included in the analysis.
Arm/Group Title Technolas 217z Zyoptix System
Arm/Group Description Bausch & Lomb Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software. Technolas 217z Zyoptix Laser: Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software for the wavefront-guided LASIK treatment of hyperopia and hyperoptic astigmatism.
Measure Participants 74
Measure eyes 147
12 months
147
24 months
140
2. Primary Outcome
Title Percentage of Eyes With a Postoperative Subjective Manifest Refraction Spherical Equivalent (MRSE) Within ± 1.00 Diopter (D) and ± 0.50 D of Emmetropia.
Description Manifest refractions (eyeglass prescriptions) have three components: sphere, cylinder, and axis. Sphere and cylinder are both expressed in diopters, which is a continuous measure of the focusing power needed to make the image sharp on the retina. Manifest refraction spherical equivalent (MRSE) is equal to sphere + ½ x cylinder. It is expressed in diopters (D).
Time Frame 12 months

Outcome Measure Data

Analysis Population Description
The number of eyes available for manifest refraction spherical equivalent assessment at 12 months were included in the analysis.
Arm/Group Title Technolas 217z Zyoptix System
Arm/Group Description Bausch & Lomb Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software. Technolas 217z Zyoptix Laser: Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software for the wavefront-guided LASIK treatment of hyperopia and hyperoptic astigmatism.
Measure Participants 74
Measure eyes 147
Within 0.50 D
100
Within 1.00 D
142
3. Primary Outcome
Title The Percentage of Eyes With a Postoperative Subjective Manifest Refraction Spherical Equivalent (MRSE) Within ± 1.00 Diopter (D) and ± 0.50 D of Emmetropia
Description Manifest refractions (eyeglass prescriptions) have three components: sphere, cylinder, and axis. Sphere and cylinder are both expressed in diopters, which is a continuous measure of the focusing power needed to make the image sharp on the retina. Manifest refraction spherical equivalent (MRSE) is equal to sphere + ½ x cylinder. It is expressed in diopters (D).
Time Frame 24 months

Outcome Measure Data

Analysis Population Description
The number of eyes available for manifest refraction spherical equivalent assessment at 24 months were included in the analysis.
Arm/Group Title Technolas 217z Zyoptix System
Arm/Group Description Bausch & Lomb Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software. Technolas 217z Zyoptix Laser: Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software for the wavefront-guided LASIK treatment of hyperopia and hyperoptic astigmatism.
Measure Participants 72
Measure eyes 143
Within 0.50 D
97
Within 1.00 D
129
4. Primary Outcome
Title Refractive Stability - Categorical Change Between Month 1 and Month 3
Description Percentage of eyes with a change of ≤ 1.00 Diopter in manifest refraction spherical equivalent (MRSE) between postoperative refractions, performed at 1 months and 3 months after surgery. Manifest refractions (eyeglass prescriptions) have three components: sphere, cylinder, and axis. Sphere and cylinder are both expressed in diopters, which is a continuous measure of the focusing power needed to make the image sharp on the retina. Manifest refraction spherical equivalent (MRSE) is equal to sphere + ½ x cylinder. It is expressed in diopters (D).
Time Frame Month 1, Month 3

Outcome Measure Data

Analysis Population Description
There were 139 eyes with manifest refraction spherical equivalent assessments at both Month 1 and Month 3 for this outcome assessment.
Arm/Group Title Technolas 217z Zyoptix System
Arm/Group Description Bausch & Lomb Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software. Technolas 217z Zyoptix Laser: Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software for the wavefront-guided LASIK treatment of hyperopia and hyperoptic astigmatism.
Measure Participants 70
Measure eyes 139
Count of Units [eyes]
135
5. Primary Outcome
Title Refractive Stability - Mean Change Between Month 1 and Month 3
Description Mean change in manifest refraction spherical equivalent (MRSE) between postoperative refractions, performed at 1 months and 3 months after surgery. Manifest refractions (eyeglass prescriptions) have three components: sphere, cylinder, and axis. Sphere and cylinder are both expressed in diopters, which is a continuous measure of the focusing power needed to make the image sharp on the retina. Manifest refraction spherical equivalent (MRSE) is equal to sphere + ½ x cylinder. It is expressed in diopters (D).
Time Frame 1 month, 3 months

Outcome Measure Data

Analysis Population Description
There were 139 eyes with manifest refraction spherical equivalent assessments at both Month 1 and Month 3 for this outcome assessment.
Arm/Group Title Technolas 217z Zyoptix System
Arm/Group Description Bausch & Lomb Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software. Technolas 217z Zyoptix Laser: Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software for the wavefront-guided LASIK treatment of hyperopia and hyperoptic astigmatism.
Measure Participants 70
Measure eyes 139
Mean (Standard Deviation) [diopter]
0.12
(0.40)
6. Primary Outcome
Title Induced Astigmatism
Description Percentage of eyes which had >2.00 Diopter of induced refractive cylinder for those eyes treated for spherical hyperopia only.
Time Frame 24 months

Outcome Measure Data

Analysis Population Description
There were 32 sphere eyes assessed for this outcome measure.
Arm/Group Title Technolas 217z Zyoptix System
Arm/Group Description Bausch & Lomb Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software. Technolas 217z Zyoptix Laser: Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software for the wavefront-guided LASIK treatment of hyperopia and hyperoptic astigmatism.
Measure Participants 16
Measure eyes 32
Count of Units [eyes]
0
7. Secondary Outcome
Title Loss of Best Spectacle-corrected Visual Acuity (BSCVA)
Description Percentage of eyes with loss of best spectacle corrected visual acuity (BSCVA) of >2 lines. Mean change in best-corrected high contrast distance visual acuity. Corrected means spectacle corrected. Visual acuity (VA) was reported as letters read correctly, and the letters read were converted to logarithm of the minimum angle of resolution (logMAR) acuity. The participant read rows of letters on a standard LogMAR chart until the participant misses 3 letters on a row with 5 letters. The total number of correct letters were recorded. A decrease in the number of correct letters indicates a decrease in visual acuity. Acuity was averaged across visits.
Time Frame 24 months

Outcome Measure Data

Analysis Population Description
The number of eyes available for uncorrected visual acuity assessment at 12 months and 24 months were included in the analysis.
Arm/Group Title Technolas 217z Zyoptix System
Arm/Group Description Bausch & Lomb Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software. Technolas 217z Zyoptix Laser: Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software for the wavefront-guided LASIK treatment of hyperopia and hyperoptic astigmatism.
Measure Participants 78
Measure eyes 155
12 months
1
24 months
3

Adverse Events

Time Frame 24 months
Adverse Event Reporting Description Adverse events (AEs) were assessed throughout the study. AEs were not coded (therefore, there is no source vocabulary).
Arm/Group Title Technolas 217z Zyoptix System
Arm/Group Description Bausch & Lomb Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software. Technolas 217z Zyoptix Laser: Technolas 217z Zyoptix System with Treatment Planner Customized Treatment Calculation Software for the wavefront-guided LASIK treatment of hyperopia and hyperoptic astigmatism.
All Cause Mortality
Technolas 217z Zyoptix System
Affected / at Risk (%) # Events
Total 0/80 (0%)
Serious Adverse Events
Technolas 217z Zyoptix System
Affected / at Risk (%) # Events
Total 1/80 (1.3%)
Injury, poisoning and procedural complications
Suction break 1/80 (1.3%)
Other (Not Including Serious) Adverse Events
Technolas 217z Zyoptix System
Affected / at Risk (%) # Events
Total 0/80 (0%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Contact sponsor directly for details.

Results Point of Contact

Name/Title Study Director
Organization Bausch Health
Phone 908-300-9920
Email susan.harris@bauschhealth.com
Responsible Party:
Bausch & Lomb Incorporated
ClinicalTrials.gov Identifier:
NCT00348205
Other Study ID Numbers:
  • 369
First Posted:
Jul 4, 2006
Last Update Posted:
Sep 14, 2020
Last Verified:
Sep 1, 2020