ClinicalTrials.gg
CompletedNCT05551715Updated Sep 22, 2025

Virtual Eye Model System for Personalised Refractive Surgery Treatment

An interventional study of Software development for individualized refractive surgery in Individualized Refractive Surgery, sponsored by Vissum, Instituto Oftalmológico de Alicante. Completed at 1 site in Spain. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-22.

Sponsored by Vissum, Instituto Oftalmológico de Alicante · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Apr 2022, registered Sep 2022).
Phase
Not applicable
Study type
Interventional
Enrollment
547
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Justification: Although great strides have been made in the past to develop VEMoS software, it has not yet been validated with actual clinical data from patients who have undergone cataract or refractive surgery.

There are some fundamental questions that must be addressed to validate and update the software, such as the objective visual quality metrics that best predict the patient's post-surgical subjective vision from the predictions of the optical properties of the eye.

The VEMoS software must be adjusted for different types of inputs and eye parameters:

Corneal tomography of MS39-AXL MS39-AXL corneal tomography + biometric data from the IOL Master MS39-AXL corneal tomography + IOL Master biometric data + total aberrometry Combinations of any of the above with the optical properties of a specific IOL, etc.

Objective The main objective is to standardize the selection of parameters to personalize refractive surgery, based on the biometric data of each patient.

The objectives necessary to achieve such an ambitious goal are:

  1. Redesign VEMoS software
  2. Determine which biometric data, diagnostic tools, and objective and subjective metrics of visual quality are best for the selection of optimal refractive parameters for surgery
  3. Optimize the combined use of biometric data, VEMoS software, and visual quality metrics Study design The proposed multicenter clinical trial is observational and prospective. There will be three arms within the clinical trial, a no-treatment arm, a refractive surgery arm, and a cataract surgery arm. Participants in the untreated arm will undergo an ophthalmic exam only once. Participants in the other two arms will undergo two ophthalmic exams, one before and one after surgery. For all participants, cataract or refractive surgery will be performed as part of routine clinical practice. Other additional tests performed are all non-invasive.

Study population Untreated eye arm patients 18 to 40 years of age. Refractive surgery arm patients who are planned and have consented to a corneal refractive procedure to gain spectacle independence.

Cataract surgery arm patients older than 50 years who are planned and have consented to cataract surgery.

Sample size The sample sizes for each arm of the clinical trial are as follows.

Untreated eye arm:

The goal is to recruit 600 eyes from 300 patients, 100 patients in each of these groups:

Myopia (from -10 D to -0.75 D) Emmetropia (from -0.5 D to + 0.5 D) Hyperopia (from 0.75 D to 5 D)

Refractive surgery arm:

For LASIK, the goal is to recruit 800 eyes from 400 patients, 100 patients in each of these groups:

High myopia (from -10 D to -6 D) Medium myopia (from -6 D to -3 D) Low myopia (from -3 D to -1 D) Hyperopia (from +1 D to +4 D)

For SMILE, the goal is to recruit 400 eyes from 200 patients, 100 patients in each of these groups:

High myopia (from -10 D to -6 D) Average myopia (from -6 D to -3 D)

For the cataract surgery arm:

The goal is to recruit 400 eyes from 200 patients, 100 patients in each of these groups Zeiss monofocal IOLs multifocal IOL

A total of 500 patients are expected between the Vissum, IMO and IOA clinics in Miranza.

A total of 250 patients are expected between hospital and university of Coimbra epe (Portugal).

A total of 350 patients are expected at Aarhus universitetshospital (Denmark).

02

Conditions studied

  • Individualized Refractive Surgery
03

In context

Lead sponsor

Vissum, Instituto Oftalmológico de Alicante is the lead sponsor of 6 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
Yes

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

For the untreated eyes arm, the inclusion criterion is:

  • patients from 18 to 40 years of age and with less than 2 D of astigmatism.

For the refractive surgery arm, the inclusion criteria are:

  • for LASIK: sphere between -10 D and +4 D and with less than 3 D of astigmatism.
  • for SMILE: sphere between -10 D and -3 D, with less than 3 D of astigmatism.

For the cataract surgery arm, the inclusion criterion is:

  • patients older than 50 years old without any active ocular pathologies affecting visual capabilities except cataract and with less than 1 D of astigmatism.

Exclusion criteria

Exclusion Criteria:

For the untreated eyes and the refractive surgery arms, the exclusion criteria are:

  • ocular pathology affecting visual capabilities,
  • reduced transparency of ocular media,
  • systemic disease affecting visual capabilities.

For the cataract surgery arms, the exclusion criterion is:

  • Systemic disease affecting visual capabilities.
  • Ocular pathology affecting visual capabilities other than cataract
  • Included patients will be excluded if surgical complications occurs
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
547 participants (actual)

Study arms

  • Other
    Untreated eyes

    Participants in the untreated arm will undergo an ophthalmic examination only once.

    Device: Software development for individualized refractive surgery

  • Other
    Refractive surgery

    Participants on this arm will undergo two ophthalmic examinations, one before and one after surgery. For refractive surgery participants, refractive surgery will be performed as part of the habitual clinical practice. All other additional tests performed as part of the clinical trial are all non-invasive.

    Device: Software development for individualized refractive surgery

  • Other
    Cataract surgery

    Participants on this arm will undergo two ophthalmic examinations, one before and one after surgery. For cataract surgery participants, cataract surgery will be performed as part of the habitual clinical practice. All other additional tests performed as part of the clinical trial are all non-invasive.

    Device: Software development for individualized refractive surgery

Interventions

  • DeviceSoftware development for individualized refractive surgery

    Software development for individualized refractive surgery

06

What researchers measure

Primary outcomes

  1. Variables to run the VEMoS software and obtain estimates and simulations Corneal Topography

    To evaluate the keratomery in diopters

    Time frame: 3 months

  2. Variables to run the VEMoS software and obtain estimates and simulations Pupil size

    To evaluate pupil size at different illumination in milimeters

    Time frame: 3 months

  3. Variables to run the VEMoS software and obtain estimates and simulations anterior chamber depth

    To obtain the anterior chamber depth in milimeters

    Time frame: 3 months

  4. Variables to run the VEMoS software and obtain estimates and simulations, crystalline lens thickness

    To obtain the crystalline lens thickness in milimeters

    Time frame: 3 months

  5. Variables to run the VEMoS software and obtain estimates and simulations, axial length

    To obtain the axial length in milimeters

    Time frame: 3 months

07

Study locations

1 site
  • Alicante Vissum Miranza
    Alicante, Alicante 03016, Spain
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 Sep 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05551715
Lead sponsor
Vissum, Instituto Oftalmológico de Alicante
Collaborators
COSTRUZIONI STRUMENTI OFTALMICI C.S.O. SRL, Unidade Local de Saúde de Coimbra, EPE, Aarhus University Hospital
Responsible party
Jorge Alio (Principal investigator, Vissum, Instituto Oftalmológico de Alicante) — Principal investigator
First posted
Sep 23, 2022
Start date
Apr 20, 2022
Primary completion
Jan 31, 2024
Completion
Jan 31, 2024
Last update
Sep 22, 2025

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 Sep 2025. You cannot join it, but the record below documents what was studied.

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