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CompletedNCT05541796Updated Jul 23, 2024

Clinical Outcomes Following Implantation of Tecnis Synergy and Symfony Intraocular Lens

An interventional study of Intraocular lens in Cataract, sponsored by George O. Waring IV. Completed at 1 site in United States. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2024-07-23.

Sponsored by George O. Waring IV · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Dec 2023, 2 years 9 months ago, and no results have been posted to the registry.
Phase
Not applicable
Study type
Interventional
Enrollment
26
Allocation
Not applicable
Ages
40 Years and older
Sex
All
01

Study summary

Tecnis Symfony Optiblue (Johnson \& Johnson Vision, Santa Ana, CA, Unites States) is a violet light filtering extended depth of focus intraocular lens (IOL) that provides a continuous range of clear vision at far and intermediate. Tecnis Synergy™ IOL (Johnson \& Johnson Vision, Santa Ana, CA, Unites States) is another latest United States Food and Drug Administration (USFDA) approved IOL, designed to provide good acuity at far through near distances, reducing the need for spectacles. These IOLs are approved/licensed for use and are not investigational. The present study intends to evaluate the clinical outcomes and patient satisfaction following contralateral implantation of Tecnis Synergy and Symfony Optiblue in cataract patients. The investigator hypothesizes that the contralateral implantation of these two lenses will allow a good proportion of patients to be spectacle independent at distance, intermediate, and near. The findings of this study may help the surgeons make better decisions on the choice of IOL in the future.

Read the detailed description

Presbyopia-correcting intraocular lenses (IOLs), including multifocal and extended depth of focus (EDOF) IOLs, have revolutionized the field of refractive cataract surgery by providing good vision at multiple distances and spectacle independence. While multifocal IOLs provide good visual acuity at various distances, increased incidence of photic phenomena (haloes, glare, starbursts, etc.) associated with multifocal IOLs is a cause of dissatisfaction among patients. EDOF IOLs, on the other hand, are based on the principle of creating a single-elongated focal point to enhance the depth-of-focus (DOF) and eliminate the overlapping of near and far images caused by traditional multifocal IOLs, thus minimizing the halo effect.

Recent developments in IOL technologies focus on finding the best compromise between the range of visual rehabilitation and the induction of postoperative photic phenomena and contrast sensitivity reduction. One of these developments is the Tecnis Synergy™ IOL, which combines an EDOF profile with a multifocal diffractive design, to obtain continuous high-contrast vision from far through near, even in low-lighting conditions (Tecnis Synergy, Johnson \& Johnson Vision, Santa Ana, CA, Unites States) without the visual gaps caused by the trifocal technology. Preliminary data with Tecnis Synergy IOLs in European populations are quite encouraging. In some cases, a combination of two different IOLs has been implanted to capitalize on the strengths and mitigate the weaknesses of each. Thus, the present study aims to evaluate the clinical outcomes and patient satisfaction following implantation of a combination of Tecnis Synergy and Tecnis Symfony OptiBlue IOLs in a US-based population of cataract surgery patients.

02

Conditions studied

  • Cataract

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Keywords

  • Cataract
  • Tecnis Synergy
  • Tecnis Symfony
  • presbyopia-correcting intraocular lens
03

In context

Cataract

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

This study's enrollment of 26 is below the median of 80 across 1,155 interventional studies indexed under Cataract.

Browse Cataract studies →

Lead sponsor

This is the only study on the registry with George O. Waring IV as lead sponsor.

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

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 40 years or older
  • Requiring bilateral cataract surgery, wish to achieve spectacle independence.
  • Are suitable candidates for Tecnis Synergy and Tecnis Symfony IOLs
  • Have predicted postoperative astigmatism ≤ 0.75 D
  • Willing to provide written informed consent and adhere to study requirements

Exclusion criteria

Exclusion Criteria:

  • History of ocular surgery, including laser refractive surgery
  • History of ocular trauma
  • Patients planning for any concomitant ocular procedure at the time of cataract surgery (including MIGS) other than incisional correction of astigmatism as the time of surgery
  • Ocular comorbidities including glaucoma, macular degeneration, corneal scars, or any other condition that might limit the ability to achieve 20/20 visual acuity.
  • Unwillingness to provide written informed consent,
  • Disability to understand and/or fill the patient questionnaire,
  • Pregnancy or lactation.
  • Any patient who meets enrollment criteria but subsequently experiences an intraoperative complication or does not undergo surgery with implantation of the intended pair of IOLs will also be excluded.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
26 participants (actual)

Study arms

  • Other
    Contralateral implantation of Tecnis Synergy and Tecnis Symfony IOLs

    Non-comparative study involving contralateral implantation of Tecnis Synergy and Tecnis Symfony IOLs.

    Device: Intraocular lens

Interventions

  • DeviceIntraocular lens

    Tecnis Symfony Optiblue (Johnson \& Johnson Vision, Santa Ana, CA, Unites States) is a violet light filtering extended depth of focus IOL that provides a continuous range of clear vision at far and intermediate. Tecnis Synergy™ IOL (Johnson \& Johnson Vision, Santa Ana, CA, Unites States) is another latest United States Food and Drug Administration (USFDA) approved IOL, designed to provide good acuity at far through near distances, reducing the need for spectacles.

06

What researchers measure

Primary outcomes

  1. Binocular distance-corrected intermediate visual acuity under photopic conditions.

    Mean logMAR binocular distance-corrected intermediate visual acuity (DCIVA, 66 cm).

    Time frame: Postoperative 6 months

  2. Binocular distance-corrected near visual acuity under photopic conditions.

    Mean logMAR binocular distance-corrected near visual acuity (DCNVA, 40 cm).

    Time frame: Postoperative 6 months

  3. Binocular distance-corrected very near visual acuity under photopic conditions.

    Mean logMAR binocular distance-corrected very near visual acuity (DCVNVA, 33 cm).

    Time frame: Postoperative 6 months

Secondary outcomes

  1. Binocular uncorrected intermediate visual acuity under photopic conditions

    Mean logMAR binocular uncorrected intermediate visual acuity measured at 66 cm

    Time frame: Postoperative 6 months

  2. Binocular uncorrected near visual acuity under photopic conditions

    Mean logMAR binocular uncorrected near visual acuity measured at 40 cm

    Time frame: Postoperative 6 months

  3. Binocular uncorrected very near visual acuity under photopic conditions

    Mean logMAR binocular uncorrected very near visual acuity measured at 33 cm

    Time frame: Postoperative 6 months

  4. Binocular uncorrected distance visual acuity under photopic conditions

    Mean logMAR binocular uncorrected distance visual acuity

    Time frame: Postoperative 6 months

  5. Subjective assessment of patient satisfaction and other patient-reported outcomes using visual symptoms questionnaire (PRVSQ)

    Subjective assessment of patient satisfaction with the surgery and other patient-reported outcomes using a patient-reported visual symptoms questionnaire (PRVSQ)

    Time frame: Postoperative 6 months

  6. Subjective assessment of patient satisfaction and other patient-reported outcomes using spectacle independence questionnaire (PRSIQ)

    Subjective assessment of patient satisfaction with the surgery and other patient-reported outcomes using a patient-reported spectacle independence questionnaire (PRSIQ)

    Time frame: Postoperative 6 months

Other outcomes

  1. Binocular distance-corrected intermediate visual acuity under mesopic conditions

    Binocular mean logMAR distance-corrected intermediate visual acuity (DCIVA, 66 cm)

    Time frame: Postoperative 6 months

  2. Binocular distance-corrected near visual acuity under mesopic conditions

    Binocular mean logMAR distance-corrected near visual acuity (DCNVA, 40 cm)

    Time frame: Postoperative 6 months

  3. Binocular distance-corrected very near visual acuity under mesopic conditions

    Binocular mean logMAR distance-corrected very near visual acuity (DCVNVA, 33 cm)

    Time frame: Postoperative 6 months

  4. Binocular uncorrected distance visual acuity under mesopic conditions

    Binocular mean logMAR uncorrected distance visual acuity

    Time frame: Postoperative 6 months

  5. Binocular uncorrected intermediate visual acuity under mesopic conditions

    Binocular mean logMAR uncorrected intermediate visual acuity (UIVA, 66 cm)

    Time frame: Postoperative 6 months

  6. Binocular uncorrected near visual acuity under mesopic conditions

    Binocular mean logMAR uncorrected near visual acuity (UNVA, 40 cm)

    Time frame: Postoperative 6 months

  7. Binocular uncorrected very near visual acuity under mesopic conditions

    Binocular mean logMAR uncorrected very near visual acuity (UVNVA, 33 cm)

    Time frame: Postoperative 6 months

07

Study locations

1 site
  • Waring Vision Institute
    Mount Pleasant, South Carolina 29464, United States
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 Jul 23, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05541796
Lead sponsor
George O. Waring IV
Collaborators
Johnson & Johnson Surgical Vision, Inc.
Responsible party
George O. Waring IV (Principal Investigator, Waring Vision Institute) — Sponsor-investigator
First posted
Sep 15, 2022
Start date
Sep 19, 2022
Primary completion
Dec 31, 2023
Completion
Dec 31, 2023
Last update
Jul 23, 2024

Study contacts

George O Waring IV, MD FACS
principal investigator · Waring Vision Institute

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 Jul 2024. You cannot join it, but the record below documents what was studied.

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