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Status unknownNCT05484531Updated Aug 2, 2022

CLEAR Procedure in Myopia and Astigmatism - Registry Study

An observational study in Myopia and Astigmatism, sponsored by Ziemer Ophthalmic Systems AG. Status unknown. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-08-02.

Sponsored by Ziemer Ophthalmic Systems AG · Observational

The sponsor has not verified this record recently (last verified Jul 2022), so the status shown — last known as Not yet recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
150
Ages
18 Years and older
Sex
All
01

Study summary

Multicenter, prospective, single-arm, observational, non-interventional post market clinical investigation (registry study) with the overall objective to assess safety and performance of CLEAR in a real world setting.

02

Conditions studied

  • Myopia
  • Astigmatism

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Keywords

  • CLEAR
  • Ziemer
  • FEMTO LDV
  • Astigmatism
  • Myopia
  • Lenticule extraction
03

In context

Myopia

984 studies on the registry are indexed under Myopia; 210 are open to participants now.

This study's planned enrollment of 150 is close to the median of 150 across 173 observational studies indexed under Myopia.

Browse Myopia studies →

Lead sponsor

Ziemer Ophthalmic Systems AG is the lead sponsor of 9 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult subjects (clients of the ophthalmology clinic) enrolled in several European countries, scheduled to undergo refractive surgery to correct myopia AND/OR astigmatic myopia.

Eligibility criteria

Formal inclusion/exclusion criteria are not applicable to the study at hand, due to its observational and non-interventional nature.

Patients treated with the CLEAR application using FEMTO LDV Z8, enrolled in the study are expected not to present with any of the market-approved device's contraindications:

  • Residual thickness of stromal bed that is less than 250 microns from the corneal endothelium
  • Abnormal corneal topographic findings, e.g. keratoconus, pellucid marginal degeneration
  • Ophthalmoscopic signs of progressive or unstable myopia or keratoconus (or keratoconus suspect)
  • Irregular or unstable (distorted/not clear) corneal mires on central keratometry images
  • Severe dry eye
  • Active eye infection or inflammation
  • Recent herpes eye infection or problems resulting from past infection
  • Active autoimmune disease or connective tissue disease
  • Uncontrolled diabetes
  • High IOP fluctuations that are not controlled under medications and continuous visual field damage

Note 1: The above listed contraindications are a subject to change, as per PMS, risk management or other regulatory feedback, and will be covered and communicated to the participating investigators in the prospective updates of the Operator's Manual.

Note 2: Only eyes of patients treated bilaterally shall be included in the analysis covered by this registry study.

Note 3: Patient's targeted for "monovision" shall not be included in the analysis covered by this registry study.

Note 4: Clinical cases, that despite presenting any of the above listed contraindications, would still be enrolled in the study by the Investigator, may be subject to a sub-group statistical analysis.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
150 participants (estimated)
Target follow-up
12 Months
Patient registry
Yes

Groups and cohorts

  • CLEAR

    Adult subjects suffering from myopia AND/OR astigmatism treated with CLEAR.

    Device: CLEAR

Interventions

  • DeviceCLEAR

    Reduction or elimination of myopia from -0.50 D to -10.00 D, with astigmatism of 0 D to -5.00 D or without astigmatism, and MRSE of -0.50 D to -12.50 D in the eye to be treated in patients who are 18 years of age or older with documentation of stable manifest refraction over the past year as demonstrated by a change in sphere and cylinder of ≤ 0.50 D in magnitude

06

What researchers measure

Primary outcomes

  1. The percentage of eyes that achieve Uncorrected Distance Visual Acuity (UCDVA) of 20/40 (as per Snellen chart lines) or better

    Uncorrected Distance Visual Accuity assessment

    Time frame: 1 day post surgery

  2. The percentage of eyes that achieve Uncorrected Distance Visual Acuity (UCDVA) of 20/40 (as per Snellen chart lines) or better

    Uncorrected Distance Visual Accuity assessment

    Time frame: 1 month post surgery

  3. The percentage of eyes that achieve Uncorrected Distance Visual Acuity (UCDVA) of 20/40 (as per Snellen chart lines) or better

    Uncorrected Distance Visual Accuity assessment

    Time frame: 3 months post surgery

  4. The percentage of eyes that achieve Uncorrected Distance Visual Acuity (UCDVA) of 20/40 (as per Snellen chart lines) or better

    Uncorrected Distance Visual Accuity assessment

    Time frame: 6 months post surgery

  5. The percentage of eyes that achieve Uncorrected Distance Visual Acuity (UCDVA) of 20/40 (as per Snellen chart lines) or better

    Uncorrected Distance Visual Accuity assessment

    Time frame: 12 months post surgery

Secondary outcomes

  1. Refractive target [D]

    Expressed as MRSE

    Time frame: Preoperative assessment

  2. Corrected distance visual accuity (CDVA)

    Values expressed as per Snellen Chart lines

    Time frame: 1 day post surgery

  3. Corrected distance visual accuity (CDVA)

    Values expressed as per Snellen Chart lines

    Time frame: 1 month post surgery

  4. Corrected distance visual accuity (CDVA)

    Values expressed as per Snellen Chart lines

    Time frame: 3 months post surgery

  5. Corrected distance visual accuity (CDVA)

    Values expressed as per Snellen Chart lines

    Time frame: 6 months post surgery

  6. Corrected distance visual accuity (CDVA)

    Values expressed as per Snellen Chart lines

    Time frame: 12 months post surgery

  7. Refraction [SphD, CylD, Axis]

    Examination of both subjective and objective refraction. Values may be expressed as MRSE.

    Time frame: 1 day post surgery

  8. Refraction [SphD, CylD, Axis]

    Examination of both subjective and objective refraction. Values may be expressed as MRSE.

    Time frame: 1 month post surgery

  9. Refraction [SphD, CylD, Axis]

    Examination of both subjective and objective refraction. Values may be expressed as MRSE.

    Time frame: 3 months post surgery

  10. Refraction [SphD, CylD, Axis]

    Examination of both subjective and objective refraction. Values may be expressed as MRSE.

    Time frame: 6 months post surgery

  11. Refraction [SphD, CylD, Axis]

    Examination of both subjective and objective refraction. Values may be expressed as MRSE.

    Time frame: 12 months post surgery

  12. Assessment of changes in corneal topography [um]

    Following parameters will be assessed: * Simulated Keratometry (SimK) values * Average SimK (SimKavg) * Flat SimK (SimKf) * Steep SimK (SimKs) * Astigmatism \[D, °\] * Corneal anterior surface eccentricity

    Time frame: Baseline and 1 month

  13. Assessment of changes in corneal topography [um]

    Following parameters will be assessed: * Simulated Keratometry (SimK) values * Average SimK (SimKavg) * Flat SimK (SimKf) * Steep SimK (SimKs) * Astigmatism \[D, °\] * Corneal anterior surface eccentricity

    Time frame: Baseline and 3 months

  14. Assessment of changes in corneal topography [um]

    Following parameters will be assessed: * Simulated Keratometry (SimK) values * Average SimK (SimKavg) * Flat SimK (SimKf) * Steep SimK (SimKs) * Astigmatism \[D, °\] * Corneal anterior surface eccentricity

    Time frame: Baseline and 6 months

  15. Assessment of changes in corneal topography [um]

    Following parameters will be assessed: * Simulated Keratometry (SimK) values * Average SimK (SimKavg) * Flat SimK (SimKf) * Steep SimK (SimKs) * Astigmatism \[D, °\] * Corneal anterior surface eccentricity

    Time frame: Baseline and 12 months

  16. Assessment of changes in corneal pachymetry [um]

    Following parameters will be assessed: * Central corneal thickness \[µm\] * Thinnest corneal point \[µm\]

    Time frame: Baseline and 1 month

  17. Assessment of changes in corneal pachymetry [um]

    Following parameters will be assessed: * Central corneal thickness \[µm\] * Thinnest corneal point \[µm\]

    Time frame: Baseline and 3 months

  18. Assessment of changes in corneal pachymetry [um]

    Following parameters will be assessed: * Central corneal thickness \[µm\] * Thinnest corneal point \[µm\]

    Time frame: Baseline and 6 months

  19. Assessment of changes in corneal pachymetry [um]

    Following parameters will be assessed: * Central corneal thickness \[µm\] * Thinnest corneal point \[µm\]

    Time frame: Baseline and 12 months

  20. Assessment of changes in "white to white" [mm]

    Time frame: Baseline and 1 month

  21. Assessment of changes in "white to white" [mm]

    Time frame: Baseline and 3 months

  22. Assessment of changes in "white to white" [mm]

    Time frame: Baseline and 6 months

  23. Assessment of changes in "white to white" [mm]

    Time frame: Baseline and 12 months

  24. Number of Adverse Events observed in the study

    Following events will be recorded: * Adverse device effects (ADEs) * Surgical complications (intraoperative and post-operative)

    Time frame: Up to 12 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 2, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05484531
Lead sponsor
Ziemer Ophthalmic Systems AG
Responsible party
Sponsor
First posted
Aug 2, 2022
Start date
Oct 2022 (estimated)
Primary completion
Apr 2024 (estimated)
Completion
Apr 2024 (estimated)
Last update
Aug 2, 2022

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 status unknown, as verified in Jul 2022. You cannot join it, but the record below documents what was studied.

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