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CompletedNCT06935565Updated Apr 20, 2025

Clinical Performance of the Asqelio™ Trifocal Diffractive Intraocular Lens

An observational study in Cataract, sponsored by AST Products, Inc.. Completed at 1 site in Spain. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2025-04-20.

Sponsored by AST Products, Inc. · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
30
Ages
50 Years and older
Sex
All
01

Study summary

The goal of this observational study is to evaluate whether the Asqelio™ Trifocal intraocular lens (IOL) can improve refractive outcomes and optical quality in patients (aged ≥45 years) undergoing cataract surgery or clear lens exchange, including both male and female participants. The main questions it aims to answer are:

  • Does the Asqelio™ Trifocal IOL provide accurate refractive correction with minimal residual refractive error?
  • Does the lens reduce light distortion and provide good visual acuity at multiple distances (far, intermediate, near)?

Researchers will not use a comparison group, as this is a post-marketing, single-arm observational study.

Participants will undergo bilateral implantation of the Asqelio™ Trifocal IOL during cataract or lens replacement surgery and attend a study follow-up exam approximately 270±90 days post-surgery.

Complete evaluations including:

  • Manifest refraction testing
  • Uncorrected and corrected visual acuity at far, intermediate, and near distances
  • Binocular defocus curve analysis
  • Contrast sensitivity testing
  • Light distortion analysis using a Light Distortion Analyzer
  • Patient-reported outcomes via the Catquest-9SF and visual symptoms questionnaires.
02

Conditions studied

  • Cataract

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Keywords

  • multifocal IOL
  • optical quality
  • visual performance
03

In context

Cataract

1,629 studies on the registry are indexed under Cataract; 235 are open to participants now.

This study's enrollment of 30 is below the median of 89 across 475 observational studies indexed under Cataract.

Browse Cataract studies →

Lead sponsor

AST Products, Inc. is the lead sponsor of 11 studies on the registry; 3 are open to participants now.

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

04

Who can participate

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

Study population

patients of usual clinical practice who have undergone conventional cataract surgery by phacoemulsification and wish to eliminate their refractive error and correct their presbyopia

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

  • Patients 50 years of age or older undergoing cataract surgery by phacoemulsification and binocular IOL implant AsqelioTM Trifocal TFLIO130C
  • Independence of use of glasses after surgery.
  • IOL power between +5.0D and +34.0D
  • Transparent intraocular media except for cataracts in both eyes.
  • Potential postoperative visual acuity of 20/25 or better.

Exclusion criteria

Exclusion Criteria:

  • Preoperative corneal astigmatism greater than 1.0D
  • Previous corneal surgery or trauma.
  • Irregular cornea (e.g. keratoconus)
  • Choroidal hemorrhage
  • Microphtalmos
  • Severe corneal dystrophy
  • Uncontrolled or medically controlled glaucoma
  • macular changes
  • Concomitant severe eye disease
  • Non-age-related cataract
  • Severe optic nerve atrophy
  • Diabetic retinopathy
  • Proliferative diabetic retinopathy
  • Amblyopia
  • Extremely shallow anterior camera
  • Severe chronic uveitis
  • Pregnant or nursing
  • Rubella
  • Mature/dense cataract that makes it difficult to examine the eye fundus preoperatively.
  • Previous retinal detachment
  • Concurrent participation in other research with drugs or clinical devices
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
30 participants (actual)
Patient registry
No

Groups and cohorts

  • Trifocal

    Patients implanted bilterally with Asqelio Trifocal IOL

    Other: Trifocal IOL implantation

Interventions

  • OtherTrifocal IOL implantation

    Patients were implanted bilaterally with Asqelio Trifocal IOL 270±90 days before study visit

06

What researchers measure

Primary outcomes

  1. Residual refraction

    Residual refractive error determined by subjective refraction procedures and expressed in diopters of spherical and cylindrical power

    Time frame: 270±90 days after surgery

  2. Light Distortion Index

    The distortion index is calculated as the ratio of the area of points missed by the subject and the total area explored using the Light Distortion Analyzer, and is expressed as a percentage

    Time frame: 270±90 days from surgery

Secondary outcomes

  1. Visual acuity

    The VA with its best correction placed under photopic conditions was determined monocularly at a distance of 4 meters (UDVA and BCDVA), 60 cm (UIVA and BDCIVA), 40 cm (UNVA and BDCNVA), using the optotype of letters Early Treatment Diabetic Retinopathy Study (ETDRS)

    Time frame: 270±90 days after surgery

  2. Binocular defocus curve

    Binocular defocus curve was obtained by varying the stimulus vergence from -4.0 D to +2.0 D in 0.5 D steps with the best correction for distance vision

    Time frame: 270±90 days after surgery

  3. Contrast sensitivity

    The spatial profile of the stimulus was configured to diplay sinusoidal patterns in a circular window with sharp or smoothed edges. The patient's task was to describe the orientation of the stimulus, which changes at random among three options: vertical (grating at 0°), right (15°), or left (-15°), using the Topcon CC-100 instrument

    Time frame: 270±90 days after surgery

  4. Patient-Reported Outcomes - CATQuest9SF

    9-item questionnaire to determine patient activity limitations in daily life due to poor vision used due to its documented responsiveness in cataract surgery. It comprises 9 items with 4 response options, ranging from 4 for "very great difficulty/very dissatisfied" to 1 for "no difficulty/very satisfied", and a "cannot decide" additional option, which is treated as missing data. The questionnaire responses were scored using the Likert scale, from 1 for no difficulty/very satisfied, to 4 for very great difficulty/very dissatisfied.

    Time frame: 270±90 days after surgery

  5. Patient-Reported Outcomes - Visual symptoms

    A visual symptoms questionnaire explores the frequency, intensity and bothersome of 10 different and common visual symptoms. These symptoms are: Glare, Haloes, Starbursts, Foggy vision, Blurred vision, Distortion, Double vision, Fluctuation in vision, Difficulty focusing, and Difficulty judging distances or depth. A simulated image is shown to the patient to aid in the description of each of the symptoms, and they are asked to respond with 4 response options to the frequency of the symptoms, from 1 for "Never" to 4 "Very often", the intensity of the symptom, from 1 for "None" to 4 for "Severe", and the level of bothersome of the symptom, from 1 for "None" to 4 for "A lot". The scoring of these responses ranges from 0 for Never/None to 3 for Very Often/Severe/A lot

    Time frame: 270±90 days after surgery

07

Study locations

1 site
  • Clinica Baviera
    Seville, 41013, Spain
08

References and documents

Individual participant data

Plan to share: Undecided

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 Apr 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06935565
Lead sponsor
AST Products, Inc.
Responsible party
Sponsor
First posted
Apr 20, 2025
Start date
Sep 2, 2022
Primary completion
Jun 15, 2023
Completion
Oct 14, 2024
Last update
Apr 20, 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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