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Clinical Evaluation of Toric Intraocular Lens

NCT03242486 — Not applicable, Completed, 64 participants, Nidek Co. LTD.

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Safety and Effectiveness Evaluation of Toric Intraocular Lens

RegistryNCT03242486
StatusCompleted
PhaseNot applicable
Study typeInterventional; na, single group, masking: none, treatment
Enrollment64 (Actual)
SponsorNidek Co. LTD. (Industry)
ConditionsCataract, Astigmatism
Interventionstoric intraocular lens (Device)
Datesstart 2014-12-01, primary completion 2017-05-01, completion 2017-12-01, first posted 2017-08-08, last updated 2018-02-20

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-Summary

Evaluate efficacy and safety of the toric IOL implanted into aphakic eye with corneal astigmatism after cataract surgery.

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+Detailed description

Effectiveness

* primary endpoint is visual acuity with pre-determined spherical correction.
* secondary endpoint is UCVA with spherical correction, BSCVA, Refractive Cylinder Correction, Spherical Equivalent, IOL rotation

Safety

* number and percentage of adverse event

+Arms and interventions

ArmTypeInterventionsDescription
toric intraocular lensExperimentalDevice: toric intraocular lenstoric intraocular lens is implanted to all subjects
  • toric intraocular lens (Device)

+Outcome measures

Primary outcomes

  • Visual acuity [postoperative 6 months]: Visual acuity with pre-determined spherical correction

Secondary outcomes

  • Visual acuity [postoperative 6 months]: UCVA with spherical correction, BSCVA, Refractive Cylinder Correction, Spherical Equivalent
  • IOL rotation [postoperative 6 months]: angle of rotation

Other outcomes

  • Adverse events [one year]: Severity and causal relationship

+Eligibility

Sex: All, ages: 40 Years to any

Inclusion Criteria:

* Patients with age of 40 years or older
* Patients with age-related cataract in one eye or both eyes.
* Patients willing to participate in the required postoperative study.
* Patient who can understand and sign the consent document.
* An eye whose pupil diameter after mydriasis is 5 mm or greater.
* An eye whose preoperative corneal cylindrical power is 1.0D or more.
* An eye whose postoperative astigmatism is predicted to be less than 0.5 D.
* An eye whose postoperative visual acuity with spherical addition is 0.8 D or more.

Exclusion Criteria:

* Disorder of corneal endothelium
* Uncontrolled glaucoma
* Active Uveitis
* Diabetic retinopathy
* Retinal detachment
* Congenital ocular anomalies
* Choroidal hemorrhage
* Shallow anterior chamber
* Microphthalmus
* Corneal dystrophy
* Optic atrophy
* Ocular hypertension
* Amblyopia
* Previous history of corneal transplantation
* Active Iritis
* Corneal disorder
* Macular degeneration
* Retinal degeneration
* Clinically significant change in macula and/or retinal pigment epithelium
* Corneal irregular astigmatism
* Atopic disease
* Brittleness of Zinn's zonule, fractured zonule and lens luxation (including subluxation)
* Pseudo-exfoliation syndrome
* Iris neovascularization
* Long axis length eye (axis length : 28mm or more)
* Severe dry eye, abnormality of the lens surface
* Concurrent participation in another drug and device clinical investigation
* Patient with mental deficiency or psychiatric disorder and/or who is not capable of expressing the consent of participating in the trial
* Patient who is judged inappropriate by investigators or sub-investigators

+Publications

  • Results publication: Sugita I, Ogawa T, Ichikawa K, Okita T, Negishi K, Nakano T, Tsuneoka H. Rotational stability and clinical outcomes of a new one piece toric intraocular lens with anchor-wing haptics. BMC Ophthalmol. 2022 Jan 15;22(1):26. doi: 10.1186/s12886-021-02240-7. PMID 35033047

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