ClinicalTrials.gg
Not yet recruitingNCT07441616PROFIDEUpdated Aug 25, 2026

Partial Range Of Field IOLs in DMEK-Enabled Procedures

An interventional study of combined cataract and lamellar endothelial keratoplasty in Cataract and Fuchs Endothelial Corneal Dystrophy, sponsored by Universitair Ziekenhuis Brussel. Not yet recruiting at 1 site in Belgium. Open to participants aged 40 Years to 90 Years. Per ClinicalTrials.gov, last updated 2026-08-25.

Sponsored by Universitair Ziekenhuis Brussel · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
40 Years to 90 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 13 studies in Cataract with a site in Belgium — 3 open to participants now, 3 under way, none of them phase 3. Cataract · Belgium.

Started
2026
the only one that year
No phase
7 of 13
1 open now
Registered
13th of 13
by date
Lead sponsor
1 of 13
Universitair Ziekenhuis Brussel

Among the 13 studies in Cataract with a site in Belgium, this one is the only one that started in 2026, is one of 7 with no phase, and was the 13th registered.

Cataract

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

Browse Cataract studies →

Open to participants now

3 of the 13 studies in Cataract with a site in Belgium are open now. Recruiting first, the newest first:

All 3 open studies →

A study can be open while its sites in Belgium have not opened yet or have stopped. Only those recruiting at a site in Belgium →

Who these studies take

Of the 141 Cataract studies recruiting now, 88 (62%) set no upper age limit and 8 (6%) stop at 75 or younger; 10 take children under 18; 16 take healthy volunteers.

This study: 40 Years to 90 Years · all sexes · no healthy volunteers.

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02

Study summary

Study Overview

This study aims to evaluate the visual outcomes, quality of vision, and patient satisfaction after receiving an extended range PRoF intraocular lens (IOL) during triple Descemet Membrane Endothelial Keratoplasty (DMEK) surgery. This surgery is typically performed to treat patients with both corneal endothelial dysfunction and cataracts. By testing a newer IOL, the PureSee™ extended PRoF IOL, this study hopes to improve the way ophthalmologists plan surgeries and select IOLs for these patients, ultimately helping surgeons optimize the results and expand the options available for people undergoing this procedure.

Purpose of the Study

The goal of this study is to evaluate how well the PureSee™ IOL works in terms of intermediate visual acuity (how well participants can see things at an arm's length). The investigators will also measure the quality of vision, satisfaction, and whether participants need glasses after surgery.

The investigators have set the following goals for this study:

Primary Goal:

To measure how well patients can see intermediate distances (uncorrected intermediate visual acuity, or UIVA) after receiving the PureSee™ IOL during triple DMEK surgery.

Secondary Goals:

To understand how independent patients are from glasses after surgery.

To measure patients' uncorrected and best-corrected visual acuity (sharpness of vision) at distance, intermediate, and near vision after surgery.

To evaluate the uncorrected defocus curve (how the vision of participants changes when focusing at different distances).

To measure contrast sensitivity (how well participants can see in low-light conditions or with subtle contrasts).

Who Can Join This Study?

To participate in this study, participants need to:

Be undergoing triple DMEK surgery for endothelial dysfunction and cataract at the time of enrollment.

Be eligible to receive an extended range of vision IOL as part of the procedure.

This study is looking for patients who are interested in understanding how new IOL technology might improve their postoperative vision quality and reduce their dependence on glasses.

What Will Happen During the Study?

Participants will have their visual outcomes and satisfaction measured at specific times following surgery. This includes:

Testing uncorrected and best-corrected visual acuity at several distances (distance, intermediate, and near).

Completing a survey about how satisfied they are with their vision and how often they need glasses or contact lenses.

Undergoing testing to measure contrast sensitivity (how well participants can see in low-light conditions).

Why Is This Study Important?

The results of this study will help doctors make better decisions about which IOLs to use during triple DMEK surgery. By evaluating the PureSee™ extended PRoF IOL, the investigators hope to expand options for patients and potentially improve visual outcomes and postoperative satisfaction. Ultimately, this study could help improve the quality of life for patients who have both cataracts and endothelial dysfunction.

Study Duration

Participants can expect to undergo their last assessment 6 months post-surgery to track their progress.

Read the detailed description

Detailed Study Description

This feasibility study is designed to evaluate the visual acuity, quality of vision, refractive outcomes, and patient satisfaction following the implantation of an extended range PRoF intraocular lens (IOL), specifically the PureSee™ IOL, during triple Descemet Membrane Endothelial Keratoplasty (DMEK) surgery. Triple DMEK is a combined procedure for patients with both corneal endothelial dysfunction and cataracts. The main goal of this study is to explore whether the PureSee™ IOL can improve visual outcomes and help reduce the need for glasses, ultimately improving the postoperative experience for these patients.

This study aims to provide valuable data on IOL selection and surgical planning for triple DMEK procedures. The findings will help expand the options available to patients and optimize their visual outcomes after surgery.

Study Objectives

The main objective of this study is to evaluate the visual outcomes, patient satisfaction, and overall success of PureSee™ IOL implantation in a clinical triple DMEK setting. The study will focus on the following specific goals:

Primary Objective

Uncorrected Intermediate Visual Acuity (UIVA):

To evaluate the uncorrected intermediate visual acuity (UIVA) achieved by the PureSee™ IOL in patients undergoing triple DMEK surgery. UIVA will be measured as the primary outcome.

Secondary Objectives

Spectacle Independence:

To assess patient-reported spectacle independence, meaning how often patients can go without glasses or contact lenses following triple DMEK surgery with PureSee™ IOL implantation.

Monocular Visual Acuity:

To measure monocular uncorrected and best-corrected distance, intermediate, and near visual acuity after surgery. This will help determine how well patients can see at various distances (far, near, and intermediate) both without correction (uncorrected) and with glasses or contact lenses (best corrected).

Defocus Curve:

To assess the uncorrected defocus curve, which measures how vision changes as patients focus on objects at different distances, from near to far. This curve helps characterize the range of vision patients experience with the IOL.

Contrast Sensitivity:

To evaluate contrast sensitivity, which tests the ability to see in low-light conditions or perceive subtle contrasts between objects, an important aspect of functional vision for everyday activities such as driving at night or reading.

Study Population

The study will include patients undergoing triple DMEK surgery for the treatment of both endothelial dysfunction and cataracts. Participants will be eligible to receive an extended range PRoF IOL, and must meet the inclusion criteria for the procedure. Specifically, the following criteria will apply:

Patients must be scheduled for triple DMEK surgery.

Patients must be willing to participate in the study and attend follow-up visits.

Study Design

This is a prospective, observational study. All patients will undergo triple DMEK surgery as part of routine clinical care, with the PureSee™ IOL being implanted during the procedure. The study will monitor patients' visual outcomes over several months following surgery.

Interventions

Intervention Group: Patients undergoing triple DMEK surgery will receive the PureSee™ IOL (extended range PRoF IOL).

Outcome Measures

The following primary and secondary outcome measures will be used to evaluate the effectiveness and impact of the PureSee™ IOL:

Primary Outcome

Uncorrected Intermediate Visual Acuity (UIVA): This will be measured at a defined postoperative time point.

Secondary Outcomes

Spectacle Independence: Assessed by patient-reported questionnaires regarding their use of glasses or contact lenses after surgery.

Monocular Visual Acuity:

Uncorrected distance, intermediate, and near visual acuity will be measured for both eyes at multiple postoperative visits.

Best-corrected visual acuity will also be measured for each distance (distance, intermediate, and near).

Defocus Curve:

A series of measurements at different distances will assess the functional range of vision provided by the PureSee™ IOL.

Contrast Sensitivity:

Measured under controlled conditions to evaluate patients' ability to distinguish objects in low-contrast or low-light environments.

Study Duration

Study Enrollment Period: Patients will be recruited over a defined period, with enrollment based on their scheduled triple DMEK surgery.

Follow-up Period: Participants will be followed for six months post-surgery.

Study Significance

The results of this study will provide valuable data on the visual outcomes of patients undergoing triple DMEK surgery with the implantation of the PureSee™ IOL. This new lens may offer significant advantages in terms of visual quality, particularly for intermediate vision, which is often a challenge after traditional IOL implantation in DMEK. This study will help guide IOL selection strategies and improve postoperative care for patients undergoing complex cataract and corneal surgery.

The findings may also contribute to expanding the available options for patients with cataracts and endothelial dysfunction undergoing DMEK, offering the potential for better outcomes and increased spectacle independence.

03

Conditions studied

  • Cataract
  • Fuchs Endothelial Corneal Dystrophy

Keywords

  • dmek
  • triple
  • endothelial keratoplasty
  • fuchs
  • cataract
  • edof iol
  • partial range of field iol
04

Who can participate

Ages eligible
40 Years to 90 Years
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

  • Patients with bilateral cataract grade greater than II, according to the Lens Opacities Classification System III (LOCS III) , combined with FECD displaying clinical or subclinical corneal edema or displaying visual disturbing guttae with at least Krachmer grade 3
  • Patients aged between 40 and 90 years
  • Capacity to read and to understand the study information and to provide , as well as Patient Reported Spectacle Independence Questionnaire (PRSIQ) and Patient Reported Visual Symptom Questionnaire (PRVSQ)
  • Patients willing and capable to attend the 6-month follow-up appointment

Exclusion criteria

Exclusion Criteria:

  • history of ocular surgery
  • corneal scars
  • macular disease revealed by pre-surgical macular Optical Coherence Tomography (OCT),
  • opticopathy
  • glaucoma with reduced sensitivity of visual field
  • uveitis
  • amblyopia
  • axial length \<22mm or >25mm,
  • scotopic pupil size >5mm,
  • central corneal thickness >700microns,
  • corneal astigmatism >1 diopters (D) on biometry
  • irregular astigmatism (RMS HOA 3mm pupil >0.3)
  • angle kappa >0.3mm ((chord µ measured with Pentacam HR; Oculus, Wetzlar, Germany)
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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

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

Study arms

  • Experimental
    Single arm

    Device: combined cataract and lamellar endothelial keratoplasty

Interventions

  • Devicecombined cataract and lamellar endothelial keratoplasty

    PureSee™ IOL in combined cataract and lamellar endothelial keratoplasty

06

What researchers measure

Primary outcomes

  1. Uncorrected intermediate visual acuity on Radner reading chart in LogMAR (logarithm of minimum angle of resolution) scale (range -0.3 till 3),

    To evaluate the uncorrected intermediate visual acuity (UIVA) achieved through PureSee™ IOL (extended PRoF IOL) implantation in triple DMEK surgery at 66cm on Radner reading chart in photopic conditions and 100% contrast measured in LogMAR scale (range -0.3 till 3). Lower score indicates better outcome.

    Time frame: From enrollment to 6 months post surgery

Secondary outcomes

  1. Patient reported spectacle independence measured with PRSIQ questionaire (patient reported spectacle independence questionaire) and PRVSQ (patient reported visual symptom questionaire) both in Likert scale with component scores from 1 till 6

    To assess patient reported spectacle independence in DMEK + extended ProF IOL patients. Lower score indicates better outcome.

    Time frame: From enrollment till 6 months post surgery

  2. monocular uncorrected and best corrected distance, intermediate and near visual acuity as well as the uncorrected defocus curve in photopic conditions and 100% contrast measured in LogMAR scale (range -0.3 till 3) at 4m, 66cm and 40cm on EDTRS and Radner

    To assess monocular uncorrected and best corrected distance, intermediate and near visual acuity as well as the uncorrected defocus curve in DMEK + extended ProF IOL patients. Lower score indicates better outcome.

    Time frame: From enrollment till 6 months post surgery

  3. contrast sensitivity in photopic conditions without glare and mesopic conditions with and without glare with Clinical CSF V.2.0.1, (QVision Academy, Spain) in log10 units, Modulation tranfer function cut-off

    To assess contrast sensitivity in DMEK + extended Prof IOL patients. Higher score indicates better result.

    Time frame: From enrollment till 6 months post surgery

07

Study locations

1 site
08

References and documents

Publications

  • Mencucci R, Romualdi G, De Vitto C, Cennamo M. Enhanced Monofocal Intraocular Lenses in Fuchs' Endothelial Dystrophy Patients: Results from Triple Descemet Membrane Endothelial Keratoplasty Procedure. Life (Basel). 2024 Feb 9;14(2):243. doi: 10.3390/life14020243. PubMed 38398752 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Oct 2026; primary completion for Sep 2028, 23 months later.

Of 300 non-industry interventional studies with no phase under Cataract, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 30. This study's planned 23 months is above that.

Counting every sponsor, half of 490 studies reached it within 17 months; a quarter within 9 and three quarters within 28.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 26, 2026
First posted
Mar 2, 2026
StartEst.
Oct 2026
Primary completionEst.
Sep 2028
CompletionEst.
Sep 2028
Last update
Aug 25, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07441616
Responsible party
Sponsor
First posted
Mar 2, 2026
Start date
Oct 2026 (estimated)
Primary completion
Sep 2028 (estimated)
Completion
Sep 2028 (estimated)
Last update
Aug 25, 2026

Study contacts

Karolien Termote, MD, Febo
Contact
karolien.termote@uzbrussel.be
+32475878777
Karolien Termote, MF, Febo
principal investigator · Universitair Ziekenhuis Brussel

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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