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RecruitingNCT07696130Updated Jul 10, 2026

Evaluation of Visual Outcomes, Complications, and Neuroadaptation Following Bilateral Implantation of enVista Envy Trifocal Intraocular Lenses

An interventional study of cataract surgery in Cataract and Cataract (Post-operative Cataract Surgery Follow-up), sponsored by Pomeranian Medical University Szczecin. Recruiting at 1 site in Poland. Open to participants aged 50 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-07-10.

Sponsored by Pomeranian Medical University Szczecin · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Feb 2026, registered Jun 2026).
  • Started Feb 2026; still recruiting 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
50 Years to 75 Years
Sex
All
01

Study summary

The enVista Envy intraocular lens (IOL) manufactured by Bausch + Lomb is a new multifocal intraocular lens based on diffractive optics. It was registered with the Polish Office for Registration of Medicinal Products, Medical Devices and Biocidal Products in September 2025. The lens also bears the CE mark, indicating that it is approved for marketing and use within the European Union.

Its innovative design is based on a smooth, continuous transition between diffractive rings, allowing patients to achieve excellent visual quality at far, intermediate, and near distances while reducing the incidence and severity of unwanted photic phenomena such as glare and halos. Thanks to this technology, patients may achieve better uncorrected visual acuity, reduced dependence on spectacles, and faster neuroadaptation.

The Second Department of Ophthalmology is the first center in Poland to be offered participation in a clinical study evaluating the safety and effectiveness of the enVista Envy IOL. The planned study will provide the first clinical experience with this lens in Poland and contribute to expanding knowledge regarding modern intraocular lens technologies.

Twenty patients will be selected according to predefined inclusion and exclusion criteria. Preoperative assessment will include a comprehensive ophthalmic examination and IOL power calculation. Cataract surgery will be performed using bimanual MICS (Micro-Incision Cataract Surgery) phacoemulsification. Surgery in the fellow eye will be performed one month after the first procedure.

Before surgery and during follow-up visits at 1, 3, and 6 months postoperatively, the following assessments will be performed: routine ophthalmic examination, intraocular pressure (IOP) measurement, visual evoked potentials (VEP), monocular and binocular uncorrected distance visual acuity (UDVA), distance best-corrected visual acuity (DBCVA) at 4 meters, intermediate visual acuity (66 cm) and near visual acuity (40 cm), both corrected and uncorrected, monocularly and binocularly (logMAR charts), binocular contrast sensitivity testing, and defocus curve assessment.

Intraoperative and postoperative complications, quality of vision (using the standardized Quality of Vision Questionnaire [QoV] and the Near Activity Vision Questionnaire [NAVQ]), speed of neuroadaptation, spectacle independence, and the occurrence of photic phenomena such as glare and halos will also be analyzed.

02

Conditions studied

  • Cataract
  • Cataract (Post-operative Cataract Surgery Follow-up)

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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 20 is below the median of 79 across 1,092 interventional studies indexed under Cataract.

Browse Cataract studies →

Lead sponsor

Pomeranian Medical University Szczecin is the lead sponsor of 69 studies on the registry; 8 are open to participants now.

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

04

Who can participate

Ages eligible
50 Years to 75 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

  • Bilateral cataract or refractive lens exchange candidates.
  • Presbyopia and/or hyperopia.
  • Preoperative corneal astigmatism less than 1.00 diopter (D).
  • Absence of ocular diseases other than cataract.
  • High motivation to achieve spectacle independence.
  • Patients willing to accept the possibility of mild photic phenomena, such as glare and halos.

Exclusion criteria

Exclusion Criteria:

  • Ocular Conditions:

    • Glaucoma.
    • Amblyopia.
    • Macular diseases (including macular degeneration and other macular pathology).
    • Angle kappa greater than 0.5 mm.
    • Dry eye disease.
    • Corneal disorders.
    • Pupil abnormalities.
    • Irregular astigmatism.
    • Ocular motility disorders or strabismus.
    • Pupil diameter \< 2.5 mm under photopic conditions or > 6.0 mm under mesopic conditions.
    • Abnormalities of the capsular bag or zonular apparatus, including pseudoexfoliation syndrome (PEX).
  • Lifestyle Factors:

    • Patients with unrealistic expectations regarding postoperative visual outcomes.
    • Individuals whose professions require highly precise visual performance, such as pilots, professional drivers, architects, or similar occupations.
    • Patients satisfied with using spectacles for near vision.
    • Age greater than 75 years (due to potential difficulties with neuroadaptation to new visual conditions).
  • Psychological and Personality Factors:

    • Patients with psychiatric disorders that may interfere with study participation or outcome assessment.
    • Patients dissatisfied with progressive addition lenses (progressive spectacles).
    • Patients with dyslexia or a history of stroke.
    • Type A personality traits (perfectionists).
  • Patients will also be excluded if the calculated IOL power falls outside the available range of +6.00 D to +34.00 D or if they have a history of laser vision correction surgery.
05

Study design

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

Study arms

  • Experimental
    20 patients (40 eyes)

    Patients who meet all inclusion criteria and none of the exclusion criteria.

    Device: cataract surgery

Interventions

  • Devicecataract surgery

    Surgery performed using the NGENUITY® 3D Visualization System. Two-handed Micro-Incision Cataract Surgery (MICS) technique. Corneal incisions measuring 1.2 × 1.4 mm at the 2 o'clock and 10 o'clock positions. Continuous curvilinear capsulorhexis with a diameter of approximately 5 mm. Ultrasound phacoemulsification. Intraocular lens (IOL) implantation through a 2.2-2.3 mm incision. The implanted intraocular lens (IOL) will be the enVista Envy IOL.

06

What researchers measure

Primary outcomes

  1. Visual function at distance, intermediate, and near ranges.

    Improvement in visual function at distance (4 m), intermediate (66 cm), and near (40 cm) distances following bilateral implantation of the enVista Envy IOL.

    Time frame: Preoperatively and at 1, 3, and 6 months postoperatively.

  2. Neuroadaptation time.

    Reduction in the time required for neuroadaptation following bilateral implantation of the enVista Envy IOL.

    Time frame: From surgery to 6 months postoperatively.

  3. Intraoperative and postoperative complications.

    Assessment of adverse events and complications associated with cataract surgery and implantation of the enVista Envy IOL.

    Time frame: From surgery to 6 months postoperatively.

Secondary outcomes

  1. Binocular contrast sensitivity.

    Assessment of binocular contrast sensitivity under photopic and mesopic conditions.

    Time frame: Preoperatively and at 1, 3, and 6 months postoperatively.

  2. Quality of vision and Near vision-related quality of life assessed using Questionnaires

    Evaluation of subjective visual quality, including frequency, severity, and bothersomeness of visual disturbances - Quality of Vision (QoV) Questionnaire. Evaluation of patient-reported ability to perform near-vision activities and overall satisfaction with near vision - The Near Activity Visual Questionnaire (NAVQ).

    Time frame: At 1, 3, and 6 months postoperatively.

  3. Incidence and severity of photic phenomena.

    Assessment of the occurrence and severity of photic phenomena reported by participants.

    Time frame: At 1, 3, and 6 months postoperatively.

  4. Spectacle independence.

    Assessment of participants' need for spectacles for distance, intermediate, and near vision tasks.

    Time frame: At 1, 3, and 6 months postoperatively.

07

Study locations

1 of 1 sites recruiting
  • II Department of Ophthalmology, Pomeranian Medical University
    Szczecin, Zachodnipomorskie 70-111, Poland
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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

Started Feb 2026 (actual). Primary completion is estimated for Feb 2029, 36 months after the start.

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 36 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
Jun 24, 2026
First posted
Jul 10, 2026
StartActual
Feb 1, 2026
Primary completionEst.
Feb 2029
CompletionEst.
Feb 2029
Last update
Jul 10, 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 Jul 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07696130
Lead sponsor
Pomeranian Medical University Szczecin
Responsible party
Sponsor
First posted
Jul 10, 2026
Start date
Feb 1, 2026
Primary completion
Feb 2029 (estimated)
Completion
Feb 2029 (estimated)
Last update
Jul 10, 2026

Study contacts

Wojciech Lubiński
Contact
oko@pum.edu.pl
+48 91 466 12 93
Zuzanna Warenik
Contact
z.warenik@usk2.szczecin.pl
+48 91 466 12 93

Oversight

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

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