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CompletedNCT03512626MFIOLUpdated May 1, 2018

Clinical Evaluation of Multifocal Intraocular Lens: OPTIVIS.TM

An interventional study of OptiVis, Aaren Scientific and Monofocal IOL in Cataract Senile and Lenses, Intraocular, sponsored by Parc de Salut Mar. Completed. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2018-05-01.

Sponsored by Parc de Salut Mar · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jun 2015, 11 years 4 months ago, and no results have been posted to the registry.
  • Registered 3 years 10 months after the study started (first participant enrolled Jun 2014, registered Apr 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
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Study summary

This study evaluated visual outcome after cataract surgery with bilateral implantation of either a diffractive - refractive (hybrid) multifocal intraocular lens (MFIOL) or monofocal intraocular lens (IOL) as a control grup.

Read the detailed description

PURPOSE: To present the outcomes of hybrid multifocal and monofocal intraocular lenses (IOL)

SETTING: Parc de Salut Mar, Universidad Pompeu-Fabra - Autónoma, Barcelona, Spain.

DESIGN: Prospective clinical trial.

METHODS: Consecutive patients with bilateral cataract were included. Phacoemulsification with randomized implantation of either a monofocal IOL (AR40e, AMO-Abbot 30 Laboratories Inc. Abbot Park, Illinois, USA) or multifocal IOL (OptiVis™, Aaren Scientific, Inc, Ontario, CA, USA) was performed by the same surgeon and under the same conditions. Over a 3-month follow-up, the main outcome measures were uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity at 60 cm (UIVA), distance-corrected intermediate visual acuity (DCIVA), uncorrected near visual acuity at 33 cm (UNVA), distance-corrected near visual acuity (DCNVA), spherical equivalent (SE), contrast sensitivity (CS), presence of dysphotopsia, use of spectacles and patient satisfaction with the test VF-14 (Visual Function Index) .

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Conditions studied

  • Cataract Senile
  • Lenses, Intraocular

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Keywords

  • OptiVis
  • hybrid multifocal intraocular lens
  • multifocal intraocular lens
  • presbyopia
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In context

Cataract

1,701 studies on the registry are indexed under Cataract; 230 are open to participants now.

This study's enrollment of 32 is below the median of 80 across 1,155 interventional studies indexed under Cataract.

Browse Cataract studies →

Lead sponsor

Parc de Salut Mar is the lead sponsor of 180 studies on the registry; 27 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • senile cataract with Snellen visual acuity ≤ 0.5,
  • motivation for spectacle independence for near vision (as the study was conducted in Spanish public health care system, entering study was the only option to get multifocal lens, as they are not provided by public health care, and the patients were conscious of the possibility of randomization to monofocal group.)

Exclusion criteria

Exclusion Criteria:

  • corneal astigmatism ≥ 1.10 diopters (D) and irregular astigmatism,
  • axial length \< 21.5 or ≥ 25 mm,
  • pupillary diameter in mesopic conditions in distance vision ≤ 2.5 mm and ≥ 6 mm,
  • ocular pathology that could affect the visual function and/or intraocular lens centering and intraoperative or postoperative complications.
  • highly demanding patients and those whose profession could be affected by a multifocal design (professional drivers, jewelers etc.) were also excluded (as in the Spanish public health care system secondary procedures needed to satisfy patients' expectation, such as LRI´s, LASIK, PRK´s, are not available).
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    Multifocal IOL (OptiVis)

    Ambulatory surgery was performed by the same, experienced surgeon, under topical anesthesia, using as a technique phacoemulsification with small incision (2.75) in clear cornea in the most curved meridian. The randomly assigned IOL (in this arm: a hybrid (refractive-diffractive) multifocal IOL (OptiVis, Aaren Scientific) was implanted in the capsular bag. The second eye with the same type of lens of the first eye was operated within 2-4 weeks.

    Device: OptiVis, Aaren Scientific

  • Active comparator
    Monofocal IOL

    Ambulatory surgery was performed by the same, experienced surgeon, under topical anesthesia, using as a technique phacoemulsification with small incision (2.75) in clear cornea in the most curved meridian. The randomly assigned IOL (in this arm: a monofocal IOL (AR40e, AMO) was implanted in the capsular bag. The second eye with the same type of lens of the first eye was operated within 2-4 weeks.

    Device: Monofocal IOL

Interventions

  • DeviceOptiVis, Aaren Scientific

    All the surgeries were performed under topical anesthesia using a standard phacoemulsification procedure with Infiniti Vision System (all from Alcon Laboratories, Inc, Fort Worth, TX).

    Also known as: a hybrid multifocal intraocular lens

  • DeviceMonofocal IOL

    All the surgeries were performed under topical anesthesia using a standard phacoemulsification procedure with Infiniti Vision System (all from Alcon Laboratories, Inc, Fort Worth, TX).

    Also known as: AR40e, AMO-Abbot 30 Laboratories Inc.

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What researchers measure

Primary outcomes

  1. Visual function

    Changes in visual acuity in logMAR: uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA) at 6 m, uncorrected intermediate visual acuity (UIVA), distance-corrected intermediate visual acuity (DCIVA) at 60 cm (in the OptiVis group only, as they were supposed to provide intermediate distance vision in contrary to monofocal lenses), uncorrected near visual acuity (UNVA) and distance-corrected near visual acuity (DCNVA) at 33 cm. All measured using Snellen acuity charts under photopic conditions.

    Time frame: The last follow-up visit (3 months after the surgery)

Secondary outcomes

  1. Contrast sensitivity (CS)

    Changes in monocular and binocular CS were measured in mesopic conditions, without glare at spatial frequencies of 1.5, 3, 6, 12 and 18 cycles per degree (cpd) using the Functional Acuity Contrast Test (FACT, OPTEC 6500®, Stereo Optical Co. Inc)

    Time frame: The last follow-up visit (3 months after the surgery)

  2. Refractive Outcomes

    The predictability of the refractive outcome. Postoperative spherical equivalent (SE) and SE within ±0.50 D of the attempted spherical correction (emmetropy) and within ±1.00 D of the attempted spherical correction (emmetropy).

    Time frame: The last follow-up visit (3 months after the surgery)

  3. Spectacle dependence

    Spectacle dependence, determined by questionnaire (Do you wear glasses for distance/near vision?).

    Time frame: The last follow-up visit (3 months after the surgery)

  4. Presence of dysphotopsia

    Presence of dysphotopsia (halos, glare), spontaneously mentioned or elicited in response to questioning were determined by questionnaire.

    Time frame: The last follow-up visit (3 months after the surgery)

  5. Patient satisfaction

    Patient satisfaction was also assessed with the VF-14 test, consisting of 14 questions evaluating various patient activities.

    Time frame: The last follow-up visit (3 months after the surgery)

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Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • de Silva SR, Evans JR, Kirthi V, Ziaei M, Leyland M. Multifocal versus monofocal intraocular lenses after cataract extraction. Cochrane Database Syst Rev. 2016 Dec 12;12(12):CD003169. doi: 10.1002/14651858.CD003169.pub4. PubMed 27943250 ↗
  • Cochener B, Lafuma A, Khoshnood B, Courouve L, Berdeaux G. Comparison of outcomes with multifocal intraocular lenses: a meta-analysis. Clin Ophthalmol. 2011 Jan 7;5:45-56. doi: 10.2147/OPTH.S14325. PubMed 21311656 ↗
  • Piovella M, Bosc JM. Clinical evaluation of the OptiVis multifocal intraocular lens. Adv Ther. 2011 Nov;28(11):1012-20. doi: 10.1007/s12325-011-0064-7. Epub 2011 Oct 31. PubMed 22057725 ↗
  • Calladine D, Evans JR, Shah S, Leyland M. Multifocal versus monofocal intraocular lenses after cataract extraction. Cochrane Database Syst Rev. 2012 Sep 12;(9):CD003169. doi: 10.1002/14651858.CD003169.pub3. PubMed 22972061 ↗
  • de Vries NE, Nuijts RM. Multifocal intraocular lenses in cataract surgery: literature review of benefits and side effects. J Cataract Refract Surg. 2013 Feb;39(2):268-78. doi: 10.1016/j.jcrs.2012.12.002. PubMed 23332253 ↗
  • Dyrda A, Martinez-Palmer A, Martin-Moral D, Rey A, Morilla A, Castilla-Marti M, Arones-Santivanez J. Clinical Results of Diffractive, Refractive, Hybrid Multifocal, and Monofocal Intraocular Lenses. J Ophthalmol. 2018 Jun 25;2018:8285637. doi: 10.1155/2018/8285637. eCollection 2018. PubMed 30046464 ↗

Individual participant data

Plan to share: Yes — All IPD that underlie results in a publication

Supporting information: Study protocol, Sap, Icf

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 1, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03512626
Lead sponsor
Parc de Salut Mar
Responsible party
ANNA MARTÍNEZ PALMER (Head of Ophthalmology Department, Parc de Salut Mar) — Principal investigator
First posted
May 1, 2018
Start date
Jun 4, 2014
Primary completion
Jun 4, 2015
Completion
Jun 4, 2015
Last update
May 1, 2018

Study contacts

Ana Martinez Palmer, PhD
principal investigator · Parc de Salut Mar, Barcelona, Spain

Oversight

FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2018. You cannot join it, but the record below documents what was studied.

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