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CompletedNCT06742541Updated Dec 19, 2024

ICL and LASIK for Hyperopic Astigmatism

An Early Phase 1 interventional study of Implantable Collamer Lens (ICL) followed by a planned adjunctive LASIK postoperatively in Astigmatism and Hyperopia, sponsored by McGill University. Completed at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-12-19.

Sponsored by McGill University · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Dec 2021, 4 years 10 months ago, and no results have been posted to the registry.
  • Registered 6 years 11 months after the study started (first participant enrolled Jan 2018, registered Dec 2024).
Phase
Early Phase 1
Study type
Interventional
Enrollment
32
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This study investigates a two-step treatment for people with severe farsightedness combined with astigmatism. The first step involves implanting a specially designed lens inside the eye (a spherical Implantable Collamer Lens, or ICL) to improve vision. Later, a laser procedure (LASIK) is performed to fine-tune the results for even better clarity.

Read the detailed description

To assess refractive and visual outcomes of a spherical Implantable Collamer Lens (ICL) followed by planned postoperative adjunctive laser-assisted in situ keratomileusis (LASIK) in the treatment of high compound hyperopic astigmatism. In this prospective, multi-center, multi-surgeon, single-arm study, eyes with ≥3.50 D hyperopia and ≥2.00 D of astigmatism underwent surgery receiving a spherical Implantable Collamer Lens (ICL) followed by a planned adjunctive LASIK postoperatively. Outcomes measures included postoperative uncorrected (UDVA) and corrected distance visual acuity (CDVA), manifest refraction, spherical (SEQ) and defocus equivalent (DEQ), efficacy index, safety index, and astigmatism vector analyses.

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Conditions studied

  • Astigmatism
  • Hyperopia

Keywords

  • ICL
  • LASIK
  • Hyperopia
  • Astigmatism
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In context

Astigmatism

417 studies on the registry are indexed under Astigmatism; 50 are open to participants now.

This study's enrollment of 32 is below the median of 55 across 325 interventional studies indexed under Astigmatism.

Browse Astigmatism studies →

Lead sponsor

McGill University is the lead sponsor of 249 studies on the registry; 51 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 and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Preoperative hyperopic sphere of ≥+3.50 D
  • Astigmatism of ≥+2.00 D
  • Stable refraction for the previous 12 months
  • Age older or equal to 18 years
  • Anterior chamber depth (ACD) from corneal endothelium to anterior lens capsule of 3.0 mm or greater

Exclusion criteria

Exclusion Criteria:

  • Age younger than 18 years
  • Patients lost to follow-up
  • Cataract formation
  • History of glaucoma or retinal detachment
  • Macular degeneration
  • Diabetic retinopathy
  • History of ocular inflammation
  • Signifcant irregular corneal topography
  • Evidence of inconsistent imaging from dry eyes
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Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    Patients with high compound hyperopic astigmatism

    eyes with ≥3.50 D hyperopia and ≥2.00 D of astigmatism undergoing planned surgery receiving a spherical Implantable Collamer Lens (ICL) followed by a planned adjunctive LASIK postoperatively

    Device: Implantable Collamer Lens (ICL) followed by a planned adjunctive LASIK postoperatively

Interventions

  • DeviceImplantable Collamer Lens (ICL) followed by a planned adjunctive LASIK postoperatively

    Planned surgery to receive a spherical Implantable Collamer Lens (ICL) followed by a planned adjunctive LASIK postoperatively

    Also known as: ICL + LASIK

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What researchers measure

Primary outcomes

  1. Post-operative visual acuitiy

    postoperative uncorrected (UDVA) and corrected distance visual acuity (CDVA)

    Time frame: 90 days after lasik surgery

Secondary outcomes

  1. Manifest refraction

    The refraction (glasses prescription required) done manually of the operated eye

    Time frame: 90 days after lasik surgery

  2. Spherical (SEQ) and defocus equivalent (DEQ)

    SEQ: a single value used to describe a refractive error, combining the spherical and cylindrical components of a prescription DEQ: quantifies the overall refractive blur from spherical and cylindrical components

    Time frame: 90 days after LASIK surgery

  3. Efficacy Index and Safety Index

    Efficacy Index: ratio of postoperative uncorrected distance visual acuity (UDVA) to preoperative corrected distance visual acuity (CDVA) Safety Index: ratio of postoperative corrected distance visual acuity (CDVA) to the preoperative CDVA

    Time frame: 90 days after LASIK surgery

  4. Astigmatism Vector Analysis

    The residual astigmatism left after surgery, representing the deviation from the intended correction.

    Time frame: 90 days after LASIK surgery

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Study locations

1 site
  • Vision Group Canada
    Montreal, H3B 4W8, Canada
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References and documents

Individual participant data

Plan to share: No — Small study of only 32 patients, individual data will not be shared to protect patient confidentiality.

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 Dec 19, 2024, 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
NCT06742541
Lead sponsor
McGill University
Responsible party
Daniel Li (Resident Physician, McGill University) — Principal investigator
First posted
Dec 19, 2024
Start date
Jan 1, 2018
Primary completion
Dec 31, 2021
Completion
Mar 1, 2022
Last update
Dec 19, 2024

Study contacts

Avi Wallerstein, MD
principal investigator · McGill University

Oversight

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

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This study is completed, as verified in Dec 2024. You cannot join it, but the record below documents what was studied.

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