ClinicalTrials.gg
Not yet recruitingNCT07789249MACAEDOFUpdated Aug 27, 2026

Quality of Vision After Implantation of EDOF Implants Versus Monofocal Implants in Patients Who Underwent Epiretinal Membrane and Cataract Surgery

An interventional study of Questionnaires and Intermediate visual acuity in Intraocular Implants and Extended Depth of Focus, sponsored by Almaviva Sante. Not yet recruiting at 3 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-27.

Sponsored by Almaviva Sante · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Phacoexistence, the first surgical procedure performed in France, naturally raises the question of lens replacement. In recent years, the choice of intraocular lenses has expanded considerably. The term EDOF (Extended Depth of Focus) refers to intraocular lenses offering an extended depth of field to improve vision at different distances, while reducing the visual aberrations associated with traditional multifocal lenses.

However, they still generate some optical aberrations that could therefore limit the quality of vision for patients with retinal damage.

With the development and acceleration of cataractogenic processes observed after vitrectomy, the use of combined phaco-vitrectomy surgery has become increasingly common, particularly among patients over 60 years of age. This integrated approach allows for the simultaneous treatment of cataracts and vitreoretinal pathologies, thus reducing the need for subsequent cataract surgery, which frequently develops after vitrectomy. In addition to optimizing the patient care pathway, this technique offers clinical advantages, such as faster visual recovery and fewer complications associated with multiple surgeries. Phacovitrectomy is therefore emerging as a practical and effective solution for managing elderly patients requiring vitreoretinal surgery.

Therefore, in the specific context of macular surgery, often considered less suitable for the use of premium implants, EDOF (Extended Depth of Focus) implants raise some questions. The available data on their performance and tolerability in this specific context remain limited, making their use still poorly defined in these complex clinical situations, except in certain medical macular pathologies.\<sup>4\</sup> This study aims to evaluate, within the context of macular surgery, the relevance and potential role of EDOF (Extended Depth of Focus) implants in order to improve the management of these patients.

02

Conditions studied

  • Intraocular Implants
  • Extended Depth of Focus
03

In context

Lead sponsor

Almaviva Sante is the lead sponsor of 4 studies on the registry; 4 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

  • Male or female over 18 years of age
  • Epiretinal membrane with surgical indication
  • Indication for cataract surgery with intraocular lens implantation
  • Epiretinal membranes with near visual acuity ≥ P4
  • Preserved ellipsoidal zone in the retrofoveal region, without fragmentation or interruption
  • Central macular thickness less than or equal to 450 microns
  • Signed
  • Patients covered by social security or an equivalent scheme

Exclusion criteria

Exclusion Criteria:

  • Associated ocular pathologies (advanced glaucoma, exudative AMD).
  • Central macular thickness > 450 microns
  • Epiretinal membranes with near visual acuity \< P4
  • Previous macular surgery
  • to the implantation of either type of lens
  • Cognitive impairment, or a disorder causing difficulty understanding instructions or answering questionnaires
  • Pregnant, parturient, or breastfeeding women, as defined in Article L1121-5 of the French Public Health Code (CSP)
  • Protected individuals: adults under guardianship, curatorship, or other legal protection, deprived of liberty by judicial or administrative decision.
  • Patients incapable of personally giving consent, as defined in Article L.1121-8 of the French Public Health Code (CSP), or adults protected by law
Terms in these criteria, in plain language(2)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Implants EDOF

    Other: Questionnaires · Other: Intermediate visual acuity · Procedure: Optical coherence tomography · Procedure: cataract surgery with intraocular lens implantation

  • Active comparator
    Monofocal implants

    Other: Questionnaires · Other: Intermediate visual acuity · Procedure: Optical coherence tomography · Procedure: cataract surgery with intraocular lens implantation

Interventions

  • OtherQuestionnaires

    NEI-VFQ (National Eye Institute Visual Function Questionnaire) 25 before the surgery, 3 months after and 6 months after the surgery.

  • OtherIntermediate visual acuity

    ETDRS (Early Treatment Diabetic Retinopathy Study) scale before the surgery and 1 month, 3 months and 6 months after the surgery

  • ProcedureOptical coherence tomography

    1 month, 3 months and 6 months after surgery

  • Procedurecataract surgery with intraocular lens implantation

    Two different cataract surgeries : TECNIS monofocal versus PureSee EDOF (extended depth of focus)

06

What researchers measure

Primary outcomes

  1. Distance visual acuity (4 m)

    Distance visual acuity (4 m) using the ETDRS (Early Treatment Diabetic Retinopathy Study) scale at 3 months. This involves asking the patient, positioned 4 meters away, to read a chart made up of 5 letters per line, with the size gradually decreasing from top to bottom. The score is determined by counting the number of letters read correctly (each letter is worth 1 point). The maximum score is 100 to 110 letters depending on the version.

    Time frame: 3 months

07

Study locations

3 sites
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Sep 2026; primary completion for Dec 2028, 27 months later.

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

Registered
Aug 3, 2026
First posted
Aug 27, 2026
StartEst.
Sep 20, 2026
Primary completionEst.
Dec 20, 2028
CompletionEst.
Dec 20, 2028
Last update
Aug 27, 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 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07789249
Lead sponsor
Almaviva Sante
Responsible party
Sponsor
First posted
Aug 27, 2026
Start date
Sep 20, 2026 (estimated)
Primary completion
Dec 20, 2028 (estimated)
Completion
Dec 20, 2028 (estimated)
Last update
Aug 27, 2026

Study contacts

Jessica Delorme
Contact
jessica.delorme@almaviva-sante.com
00336 23 91 95 73

Oversight

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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