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CompletedNCT03292614Updated Sep 26, 2019Results posted

Measurement of Refractive SE Following Implantation of LS313 MF30 IOL

An observational study in Refractive Errors, sponsored by Dietrich-Bonhoeffer-Klinikum. Completed at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-09-26.

Sponsored by Dietrich-Bonhoeffer-Klinikum · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
25
Ages
18 Years and older
Sex
All
01

Study summary

This Study determines the most precise method for measuring post-operative refraction following implantation of the asymmetric multifocal LS-313 MF30 comparing the results of Refraction of the different Autorefractor Keratometers with the subjective measurements for distance and near.

Read the detailed description

This is a post market study without invasive interventions. The patients have been treated with cataract surgery and MIOL Implantation at least 3 months ago. They will be invited for only one follow up visit to measure the postoperative refraction with different Autorefractor-Keratometers, a Manual Refractometer, the test device "iTrace" and with determination of the subjective refraction for distance and near with the appropriate corrections at the Department of Ophthalmology in Neubrandenburg, Germany.

02

Conditions studied

  • Refractive Errors

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Keywords

  • Multifocal Intraocular Lens
  • Postoperative Measurements of refraction
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

up to 100 eyes

Inclusion criteria

Patients after cataract surgery with implantation of the MICS-IOL LS-313 MF30 postoperative clear cornea willing to participate in the study

Exclusion criteria

Exclusion Criteria:

significant corneal opacities, history of keratoplasty, Anterior capsule phimosis, posterior capsular opacification if patients refuse Nd:YAG laser treatment of the secondary cataract

04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
25 participants (actual)
Patient registry
No

Groups and cohorts

  • Multifocal intraocular lens implantation

    Patients who have undergone a cataract surgery with implantation of a multifocal intraocular lens LS313 MF30, Oculentis Berlin, will be invited for Measurements of the postoperative refraction

    Diagnostic Test: Measurements of the postoperative refraction

Interventions

  • Diagnostic testMeasurements of the postoperative refraction

    The Measurements of the postoperative refraction will be performed with the following devices: Autorefractor Keratometers: Mod. ARK-760A (NIDEK CO,LTD, Gamagõri, Japan /OCULUS, Wetzlar, Germany), Mod. ARK-560A (NIDEK CO,LTD, Gamagõri, Japan /OCULUS, Wetzlar, Germany) KR-1W (TOPCON, Willich, Germany) KR-800s (TOPCON, Willich, Germany) Manual Refractometer: Eye refractometer PR 60 or PR 50 (Rodenstock, Munich), Test device: iTrace (TraceyTechnologies, Houston, Texas, USA), Phoropter (Block-Optic, Model 11625B) Determination of subjective refraction for distance and near (reading distance)

05

What researchers measure

Primary outcomes

  1. Evaluation of the Most Precise Method for Measuring Post-operative Refraction Following Implantation of the Asymmetric Multifocal LS-313 MF30

    After the implantation of the LS 313 MF30 (a refractive, asymmetrical, multifocal intraocular lens), the most reliable refraction method so far has been the subjective determination of far and near refraction. A faster and widespread method is the measurement with auto-refractometers (KR-1W (TOPCON), KR-800s (TOPCON), ARK-560 (NIDEK), ARK-760A (NIDEK)) or manual refractometers (PR60/50 (Rodenstock)). KR-1W, KR-800s, ARK-560A, ARK-760A only allow a central measurement without separate measurement of the two optical zones. The manual refractometer PR60/50 (Rodenstock) is able to separately measure the different focal points of the multifocal lens using a light cone with 3 mm diameter. The test device iTrace (TraceyTechnologies): is also able to separately measure the different focal points of the multifocal lens, but uses a light cone with a diameter of about 1 mm. The results of all refractometers are compared with the subjective refraction.

    Time frame: one year

06

Results

Posted Sep 26, 2019

Participant flow

Participant flow — Overall Study
MilestoneMultifocal Intraocular Lens Implantation
Started25
Completed25
Not completed0

Outcome measures

PrimaryEvaluation of the Most Precise Method for Measuring Post-operative Refraction Following Implantation of the Asymmetric Multifocal LS-313 MF30

After the implantation of the LS 313 MF30 (a refractive, asymmetrical, multifocal intraocular lens), the most reliable refraction method so far has been the subjective determination of far and near refraction. A faster and widespread method is the measurement with auto-refractometers (KR-1W (TOPCON), KR-800s (TOPCON), ARK-560 (NIDEK), ARK-760A (NIDEK)) or manual refractometers (PR60/50 (Rodenstock)). KR-1W, KR-800s, ARK-560A, ARK-760A only allow a central measurement without separate measurement of the two optical zones. The manual refractometer PR60/50 (Rodenstock) is able to separately measure the different focal points of the multifocal lens using a light cone with 3 mm diameter. The test device iTrace (TraceyTechnologies): is also able to separately measure the different focal points of the multifocal lens, but uses a light cone with a diameter of about 1 mm. The results of all refractometers are compared with the subjective refraction.

Time frame:
one year
Reported as:
Mean · diopter
Evaluation of the Most Precise Method for Measuring Post-operative Refraction Following Implantation of the Asymmetric Multifocal LS-313 MF30
diopterMultifocal Intraocular Lens Implantation
subjective Refraction0.36 ± 0.65
iTrace0.27 ± 0.64
KR-W1-0.81 ± 0.59
KR-800s-0.78 ± 0.73
ARK-760A-0.73 ± 0.59
ARK-560A-0.76 ± 0.63
PR60/50-0.18 ± 0.43

Adverse events

Collected over 1 month. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Multifocal Intraocular Lens Implantation0/25 (0%)0/25 (0%)0/25 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Multifocal Intraocular Lens Implantation
<=18 years0
Between 18 and 65 years5
>=65 years20
Age, Continuous
Age, Continuous(years)Multifocal Intraocular Lens Implantation
Mean69.84 ± 8.19
Sex: Female, Male
Sex: Female, Male(Participants)Multifocal Intraocular Lens Implantation
Female11
Male14
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Multifocal Intraocular Lens Implantation
Region of Enrollment
Region of Enrollment(participants)Multifocal Intraocular Lens Implantation
Germany25
07

Study locations

1 site
  • Dietrich-Bonhoeffer-Klinikum
    Neubrandenburg, Mecklenburg/Vorpommern 17036, Germany
08

References and documents

Publications

  • Kretz FT, Linz K, Mueller M, Gerl M, Koss MJ, Gerl RH, Auffarth GU. [Refraction after Implantation of Multifocal and Presbyopia-Correcting Intraocular Lenses]. Klin Monbl Augenheilkd. 2015 Aug;232(8):953-6. doi: 10.1055/s-0035-1545832. Epub 2015 Apr 30. German. PubMed 25927177 ↗
  • Munoz G, Albarran-Diego C, Sakla HF. Validity of autorefraction after cataract surgery with multifocal ReZoom intraocular lens implantation. J Cataract Refract Surg. 2007 Sep;33(9):1573-8. doi: 10.1016/j.jcrs.2007.05.024. PubMed 17720072 ↗
  • Bissen-Miyajima H, Minami K, Yoshino M, Nishimura M, Oki S. Autorefraction after implantation of diffractive multifocal intraocular lenses. J Cataract Refract Surg. 2010 Apr;36(4):553-6. doi: 10.1016/j.jcrs.2009.10.047. PubMed 20362844 ↗
  • van der Linden JW, Vrijman V, Al-Saady R, van der Meulen IJ, Mourits MP, Lapid-Gortzak R. Autorefraction versus subjective refraction in a radially asymmetric multifocal intraocular lens. Acta Ophthalmol. 2014 Dec;92(8):764-8. doi: 10.1111/aos.12410. Epub 2014 Apr 27. Erratum In: Acta Ophthalmol. 2015 Feb;93(1):e82. doi: 10.1111/aos.12660.. El-Saady, Rana [corrected to Al-Saady, Rana]. PubMed 24767468 ↗
  • Munoz G, Albarran-Diego C, Sakla HF. Autorefraction after multifocal IOLs. Ophthalmology. 2007 Nov;114(11):2100. doi: 10.1016/j.ophtha.2007.05.049. No abstract available. PubMed 17980752 ↗

Study documents

  • Study protocol · Mar 2, 2017

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Results will be published in ophthalmological journals (Individual participant date will not be provided).

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Registry details

Key details

Study ID
NCT03292614
Lead sponsor
Dietrich-Bonhoeffer-Klinikum
Responsible party
Sponsor
First posted
Sep 25, 2017
Start date
Jun 1, 2017
Primary completion
Jan 31, 2019
Completion
Jun 1, 2019
Results posted
Sep 26, 2019
Last update
Sep 26, 2019

Study contacts

Helmut Hoeh, MD, FEBO
principal investigator · Department of Ophthalmology, Neubrandenburg, Germany
Vitaliy Klishko
study chair · Department of Ophthalmology, Neubrandenburg, Germany

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2019. You cannot join it, but the record below documents what was studied.

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