ClinicalTrials.gg
RecruitingNCT07471295PACEUpdated Jul 22, 2026

Toric Performance And Constant Evaluation

A Phase 4 interventional study of Monofocal toric IOL in Cataract, sponsored by Carl Zeiss Meditec AG. Recruiting at 6 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-22.

Sponsored by Carl Zeiss Meditec AG · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
130
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The main purpose of this investigation is to support safety and performance assessment of the investigational device with a focus on optimizing the IOL constants based on refractive outcomes.

02

Conditions studied

  • Cataract

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03

In context

Cataract

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

This study's planned enrollment of 130 is above the median of 79 across 1,092 interventional studies indexed under Cataract.

Browse Cataract studies →

Lead sponsor

Carl Zeiss Meditec AG is the lead sponsor of 37 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
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

  • Aged 18 years or older;
  • Patients willing, able, and with sufficient cognitive awareness to comply with examination procedures and schedule for follow-up visits;
  • Patients with age-related cataract (cataract grades of 1, 2, 3 on the LOCSIII scale, but otherwise healthy, requiring surgical treatment, and scheduled for unilateral or bilateral phacoemulsification or Femtosecond-Laser-Assisted cataract surgery;
  • Patients with existing regular corneal astigmatism of minimum 0.75 D in at least the first eye to be operated.
  • Signed form;
  • Corrected distance visual acuity projected to be better than 0.2 logMAR after the cataract surgery, as determined by Investigator's medical judgment;
  • Calculated IOL power within the range of the IOL; SE +18.0 D to +28.0 D (0.5 D Steps), and between a Cylinder range of +1.0 D to +2.5 D (0.5 D Steps);
  • Dilated pupil size large enough to visualize TIOL axis markings postoperatively; at least 5.5mm;
  • Clear intraocular media other than cataract.

Exclusion criteria

Exclusion Criteria:

  • Previous intraocular or corneal surgery in either eye that might confound the outcome of the study or increase the risk to the subject;
  • Keratometric astigmatism (assessed by IOL Master) of minimum 0.75 D in the first eye
  • Traumatic cataract;
  • Pregnancy or lactation;
  • Concurrent participation in another drug or device investigation within the last 30 days;
  • Irregular astigmatism;
  • Instability of keratometry or biometry measurements;
  • Subjects wearing contact lenses as standard vision aid;
  • Abnormal pupil;
  • Any anterior segment pathology that could significantly affect outcomes (e.g. chronic or recurrent uveitis, iritis, aniridia, rubeosis iridis, etc.);
  • History of concurrent intraocular inflammation;
  • Abnormal corneal findings in either eye (e.g. keratoconus, pellucid marginal degeneration, or corneal membrane dystrophies);
  • History of any clinically significant retinal or ocular pathology or ocular diagnosis (e.g. diabetic retinopathy, ischemic diseases, macular degeneration, retinal detachment, optic neuropathy optic nerve atrophy, amblyopia, strabismus, microphthalmus, epiretinal membrane, Choroidal hemorrhage etc.) in the study eyes that could alter or limit final postoperative visual prognosis;
  • Pseudoexfoliation syndrome (according to investigator judgement);
  • Uncontrolled glaucoma or IOP higher than 24mmHg under ocular hypertension treatment;
  • All kind of infections (acute ocular disease, external / internal infection, systemic infection);
  • Monophthalmic patient;
  • Patients, who are unable to fixate for a longer time, e.g. strabismus, nystagmus, Parkinson disease
  • Patient expected to require retinal laser treatment before the end of the last follow-up examination;
  • Patient expected to require refractive laser treatment / refractive laser touch-up before the end of the last follow-up examination;
  • Patients who may be reasonably expected to require a secondary surgical intervention at any time during the investigation (other than Nd:YAG capsulotomy)
  • In case of both eyes included in this trial: Patients who need to undergo surgery on both eyes on the same day
Terms in these criteria, in plain language(3)

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.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
130 participants (estimated)

Study arms

  • Experimental
    Unilateral or bilateral implantation of investigational device

    Device: Monofocal toric IOL

Interventions

  • DeviceMonofocal toric IOL

    The device under investigation is a CE-approved monofocal bitoric, aspheric, aberration-correcting intraocular lens indicated for aphakia after surgical extraction of the cataractous natural lens and is also indicated for the correction of regular corneal astigmatism.

06

What researchers measure

Primary outcomes

  1. Refractive predictability

    Difference between predicted Manifest Refraction Spherical Equivalent and achieved Manifest Refraction Spherical Equivalent at the final postoperative visit: Percentage of first implanted eyes within ± 1.0 D

    Time frame: From preoperative visit to the final postoperative visit at twelve months

Secondary outcomes

  1. Refractive outcomes

    Manifest Refraction: Sphere, Cylinder, Manifest Refraction Spherical Equivalent

    Time frame: From preoperative visit to the final postoperative visit at twelve months

  2. Refractive predictability

    Percentage of eyes within ± 0.25 D, ± 0.5 D, \& ± 1.0 D

    Time frame: From preoperative visit to the final postoperative visit at twelve months

  3. Reduction in cylindrical power

    The change in manifest refractive cylinder from baseline to the final postoperative visit.

    Time frame: From preoperative visit to the final postoperative visit at twelve months

  4. IOL Rotation

    Percentage of IOLs with IOL rotation with less than 10 and 20 degrees.

    Time frame: From preoperative visit to the final postoperative visit at twelve months

  5. Stability of IOL axis orientation

    Expressed as percentage of IOLs that rotate ≤ +/- 5 degrees postoperatively

    Time frame: Between 30 to 60 days and 120 to 180 days

  6. Axis Misalignment

    The absolute difference between intended IOL axis orientation and measured IOL axis orientation with less than 10 and 20 degrees.

    Time frame: From baseline to postoperative visit 120-180 days

  7. Monocular Uncorrected Distance Visual Acuity (UDVA)

    Time frame: 12-Month Postoperative

  8. Percentage of eyes that achieve UDVA within 0.0 and 0.30 logMAR or better

    Time frame: 12-Months Postoperatively

  9. Monocular Best-Corrected Distance Visual Acuity (CDVA)

    Time frame: 12-Months Postoperatively

  10. Monocular Uncorrected Intermediate Visual Acuity (UIVA)

    Time frame: 12-Months Postoperatively

  11. Monocular Distance Corrected Intermediate Visual Acuity (DCIVA)

    Time frame: 12-Months Postoperatively

  12. Monocular (1st eye implantations) defocus curve

    Time frame: 12-Months Postoperatively

  13. Binocular defocus curve on subjects implanted binocularly

    Time frame: 12-Months Postoperatively

  14. Intraocular Pressure

    Time frame: 12-Months Postoperatively

  15. Assessment of subject satisfaction, patient reported outcomes, and spectacle independence

    Time frame: 12-Months Postoperatively

  16. IOL observations

    IOL Decentration, Tilt, Discoloration, Opacity, Glistenings

    Time frame: 12-Months Postoperatively

Other outcomes

  1. Preservation of Corrected Distance Visual Acuity

    Rate of eyes with postoperative CDVA 0.3 logMAR or better

    Time frame: 12-Months Postoperatively

  2. Contrast Sensitivity

    Time frame: Six-Months Postoperatively

  3. Posterior Capsule Opacification

    Rate of occurrence and grading

    Time frame: 12-Months Postoperatively

  4. Rate of performed and planned Nd:YAG laser capsulotomies

    Time frame: 12-Months Postoperatively

  5. Signs of intraocular inflammation

    * Anterior chamber cells following Standardization of Uveitis Nomenclature (SUN) grading scheme * Anterior chamber flare following SUN grading scheme * Vitreous cells, following National Institutes of Health (NIH) grading scheme * Cystoid macular oedema * Hypopyon * Endophthalmitis

    Time frame: 12-Months Postoperatively

  6. Slit lamp biomicoscopy

    * Eyelid * Conjunctiva * Corneal Edema * Other corneal abnormalities

    Time frame: 12-Months Postoperatively

  7. Fundus examination

    * Retina * Macula * Optic Nerve

    Time frame: 12-Months Postoperatively

  8. Adverse event rate of Posterior Chamber IOL

    As per ISO 11979:2024

    Time frame: 12-Months Postoperatively

07

Study locations

3 of 6 sites recruiting
  • Oční klinikaO
    Prague, Prague 18100, Czechia
    Recruiting
  • Oční Centrum Praha
    Prague, Czechia
    Recruiting
    • Study Coordinator · Contact
    • Andrea Janeková · Principal investigator
  • Universitätsklinikum Heidelberg
    Heidelberg, 69120, Germany
    Not yet recruiting
  • PVK Precise Vision GmbH
    Rheine, 48429, Germany
    Not yet recruiting
  • Ofatlivist Alicante
    Alicante, 03001, Spain
    Recruiting
  • Ayrshire Eye Clinic
    Ayr, Ayrshire KA7 2SP, United Kingdom
    Not yet recruiting
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 Jul 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07471295
Collaborators
targomedGmbH
Responsible party
Sponsor
First posted
Mar 13, 2026
Start date
Jul 13, 2026
Primary completion
Feb 28, 2028 (estimated)
Completion
Feb 28, 2028 (estimated)
Last update
Jul 22, 2026

Study contacts

Grant Sharpe
Contact
grant.sharpe@zeiss.com
+447918937014
Linda Villanueva
Contact
linda.villanueva@zeiss.com
7143226506
Gerd Auffarth, Dr. Med
principal investigator · University Hospital Heidelberg
Andrea Janeková, MD, Ph.D
principal investigator · Eye Centre Prague
Florian Kretz, MD
principal investigator · PVK Precise Vision GmbH
Jiří Pašta, Doc.MUDr
principal investigator · Premium Clinic
Satish Srinivasan, M.D
principal investigator · Ayrshire Eye Clinic
Pedro Tañá, M.D
principal investigator · Oftalmología Vistahermosa S.L

Oversight

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

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