ClinicalTrials.gg
CompletedNCT04242875Updated Mar 17, 2023Results posted

The Effects of Angle Kappa on Clinical Outcomes With the PanOptix Intraocular Lens

An observational study in Pseudophakia, sponsored by Carolina Eyecare Physicians, LLC. Completed at 1 site in United States. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2023-03-17.

Sponsored by Carolina Eyecare Physicians, LLC · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
30
Ages
40 Years and older
Sex
All
01

Study summary

Angle Kappa is considered a potential factor in explaining suboptimal outcomes with intraocular lenses (IOLs), particularly multifocal IOLs. Some evidence suggests this is not the case. This study was designed to investigate correlations between angle kappa and post-surgical outcomes with a trifocal IOL.

Read the detailed description

The main complaint of patients who received a presbyopia correcting lens (regardless of the design) are visual disturbances such as glare, halos (rings around lights), starbursts (rays around light sources), mainly at night. The degree of limitation or how bothered patients are varies from patient to patient. To explain these symptoms different theories have been proposed including splitting the light into different focal points which decreases the intensity of the light reaching the retina. Most factors are common to all patients who received the lens; however, patients are not equally affected by these symptoms. Angle kappa has been considered a factor. Angle κ is the angle between the visual axis (straight line that passes through both the center of the pupil and the center of the fovea) and the pupillary axis (perpendicular line to the surface of the cornea that passes through the center of the pupil).

02

Conditions studied

  • Pseudophakia

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03

In context

Pseudophakia

54 studies on the registry are indexed under Pseudophakia; 8 are open to participants now.

This study's enrollment of 30 is below the median of 71 across 26 observational studies indexed under Pseudophakia.

Browse Pseudophakia studies →

Lead sponsor

Carolina Eyecare Physicians, LLC is the lead sponsor of 11 studies on the registry; none are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 9 (100%) have results posted.

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

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Subjects undergoing bilateral lens extraction and implantation of the presbyopia correcting lens PanOptix.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Subject is undergoing bilateral lens extraction with intraocular lens implantation (PanOptix lens).
  2. Willing and able to provide written for participation in the study
  3. Willing and able to comply with scheduled visits and other study procedures.
  4. Scheduled to undergo standard cataract surgery with topical anesthesia in both eyes within 6 to 30 days between surgeries.
  5. Subjects who require an IOL power in the range of +6.0 D to +30.0 D only.
  6. Subjects who require a TFNT00 or TFNT30 to TFNT60 IOL.
  7. Potential postoperative visual acuity of 0.2 logMAR (20/32 Snellen) or better in both eyes.

Exclusion criteria

Exclusion Criteria:

  1. Severe preoperative ocular pathology
  2. Subjects who require a higher toric power than the one available (TFNT60).
  3. Uncontrolled diabetes.
  4. Use of any systemic or topical drug known to interfere with visual performance.
  5. Contact lens use during the active treatment portion of the trial.
  6. Any concurrent infectious/non-infectious conjunctivitis, keratitis or uveitis.
  7. corneal dystrophy
  8. History of chronic intraocular inflammation.
  9. History of retinal detachment.
  10. Pseudoexfoliation syndrome or any other condition that has the potential to weaken the zonules.
  11. Previous ocular surgery.
  12. Severe dry eye
  13. Pupil abnormalities
  14. Anesthesia other than topical anesthesia (i.e. retrobulbar, general, etc).
  15. Any clinically significant, serious or severe medical or psychiatric condition that may increase the risk associated with study participation or may interfere with the interpretation of study results.
  16. Participation in (or current participation) any ophthalmic drug or ophthalmic device trial within the previous 30 days prior to the start date of this trial.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

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

Groups and cohorts

  • PanOptix

    Participants will receive the PanOptix intraocular lens.

    Diagnostic Test: Angle Kappa · Other: Visual disturbance questionnaire.

Interventions

  • Diagnostic testAngle Kappa

    Angle kappa will be measured using the OPD III scan.

  • OtherVisual disturbance questionnaire.

    Questionnaire evaluating visual disturbances.

06

What researchers measure

Primary outcomes

  1. Effect of Angle Kappa in Visual Disturbances

    Frequency of visual disturbances with magnitude of Angle Kappa

    Time frame: 3 months

Secondary outcomes

  1. Satisfaction With Vision by Magnitude of Angle Kappa

    Overall satisfaction score after surgery, categorized by magnitude of angle kappa

    Time frame: 3 months

07

Results

Posted Mar 17, 2023

Participant flow

Participant flow — Overall Study
MilestonePanOptix
Started30
Completed28
Not completed2
Withdrew: Adverse event2

Outcome measures

PrimaryEffect of Angle Kappa in Visual Disturbances

Frequency of visual disturbances with magnitude of Angle Kappa

Time frame:
3 months
Reported as:
Count of participants · Participants
Effect of Angle Kappa in Visual Disturbances
ParticipantsAK < 0.3 mmAK > 0.3 and <= 0.4 mmAK > 0.4 mm
Glare frequency — Never445
Glare frequency — Rarely100
Glare frequency — Sometimes325
Glare frequency — Most of the time002
Glare frequency — Always200
Halos frequency — Never343
Halos frequency — Rarely001
Halos frequency — Sometimes325
Halos frequency — Most of the time102
Halos frequency — Always301
Starburst frequency — Never136
Starburst frequency — Rarely000
Starburst frequency — Sometimes335
Starburst frequency — Most of the time201
Starburst frequency — Always400
SecondarySatisfaction With Vision by Magnitude of Angle Kappa

Overall satisfaction score after surgery, categorized by magnitude of angle kappa

Time frame:
3 months
Reported as:
Count of participants · Participants
Satisfaction With Vision by Magnitude of Angle Kappa
ParticipantsAK < 0.3 mmAK > 0.3 mm and <= 0.4 mmAK > 0.4 mm
Very dissatisfied010
Dissatisfied000
Neither satisfied nor dissatisfied101
Satisfied312
Very satisfied649

Adverse events

Collected over 3 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
PanOptix0/30 (0%)0/30 (0%)0/30 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)PanOptix
Mean68.4 ± 8.1
Sex: Female, Male
Sex: Female, Male(Participants)PanOptix
Female23
Male7
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PanOptix
Hispanic or Latino0
Not Hispanic or Latino30
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PanOptix
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White30
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)PanOptix
United States30
Angle Kappa
Angle Kappa(mm)PanOptix
Mean0.29 ± 0.17
08

Study locations

1 site
  • Carolina Eyecare Physicians, LLC
    Mount Pleasant, South Carolina 29464, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2020 to primary completion in Apr 2021, 15 months.

Results were first posted in Mar 2023, 1 year 10 months after primary completion.

Of 16 observational studies under Pseudophakia, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 16. This study's 15 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 21, 2020
First posted
Jan 27, 2020
StartActual
Jan 21, 2020
Primary completionActual
Apr 27, 2021
CompletionActual
Apr 27, 2021
Results first posted
Mar 17, 2023
Last update
Mar 17, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 17, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04242875
Lead sponsor
Carolina Eyecare Physicians, LLC
Collaborators
Science in Vision
Responsible party
Sponsor
First posted
Jan 27, 2020
Start date
Jan 21, 2020
Primary completion
Apr 27, 2021
Completion
Apr 27, 2021
Results posted
Mar 17, 2023
Last update
Mar 17, 2023

Study contacts

Kerry Solomon
principal investigator · Carolina Eyecare Physicians

Oversight

Data monitoring committee
No
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 Jun 2022. You cannot join it, but the record below documents what was studied.

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