Presbyopia
Conditions
Keywords
contact lenses
Brief summary
This study is designed to compare the relative performance related to subjective and objective vision between two multifocal soft contact lenses.
Detailed description
The aim of this study was to compare the subjective and objective vision. of Proclear® 1-D Multifocal test lenses (MF) with +0.75D overcorrection of the distance lens power in the nondominant eye compared to the Air Optix® Aqua Multifocal (CIBA VISION) contact lenses in low, Medium and High Add presbyopic subjects (+1.25 to +2.50 inclusive).
Interventions
Subjects were randomly assigned into either the omafilcon A/PC 1-D MF lenses with +0.75D over-correction in the non-dominant eye or the lotrafilcon B/Air Optix MF lenses then crossed-over into the alternative pair of study lenses.
Subjects were randomly assigned into either the omafilcon A/PC 1-D MF lenses with +0.75D over-correction in the non-dominant eye or the lotrafilcon B/Air Optix MF lenses then crossed-over into the alternative pair of study lenses
Sponsors
Study design
Eligibility
Inclusion criteria
* Be between 40 and 65 years of age (inclusive) * Require a reading addition of +1.25 to +2.50D (inclusive) * Spherical distance CL or spectacle prescription between +3.00D and -5.00D(inclusive) * Spectacle cylinder less than or equal to 0.75D in both eyes. * Currently has a reading add correction in their spectacle or CL habitual correction (e.g. if myope, removes distance correction to read) * Normal binocularity (no amblyopia, no strabismus, no habitually uncorrected anisometropia ≥ 2.00D) * Have a minimum 2 weeks soft contact lens experience * Be able to wear the study lens (e.g. good fit is attained and acceptable subjective comfort and vision for the duration of the study) * Able to read, comprehend and sign an informed consent * Willing to comply with the wear and study visit schedule * Monocular best-corrected distance visual acuity ≥ 20/25 in each eye * No gas permeable contact lens wear for 1 month prior to the study
Exclusion criteria
To be eligible for the study, each candidate must not present with any of the following * Any active corneal infection, injury, inflammation, or ocular abnormality * Systemic or ocular allergies, which might interfere with contact lens wear * Systemic disease, which might interfere with contact lens wear * Ocular disease, which might interfere with contact lens wear * Pregnant or lactating * Strabismus/amblyopia * Habitually uncorrected anisometropia greater than or equal to 2.00 D * Subjects who have undergone corneal refractive surgery * Subjects with keratoconus or other severe corneal irregularity contraindicating lens wear
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Objective Vision Assessments: High Contrast Distance Visual Acuity | After 1 hour of lens wear | Tested with charts distant to the subject with both eyes together in normal lighting conditions. The unit of measure is logMAR units (logarithm of the minimum angle of resolution) A logMAR acuity of 0.0 equates to 20/20 Snellen acuity. Positive logMAR values indicate poorer vision and negative values denote better visual acuity than baseline 20/20 value. |
| Objective Vision Assessments: High Contrast Intermediate Visual Acuity | After 1 hour of lens wear | Tested with charts at intermediate distance (100cm)distant to the subject with both eyes together in normal lighting conditions. The unit of measure is logMAR units (logarithm of the minimum angle of resolution) A logMAR acuity of 0.0 equates to 20/20 Snellen acuity. Positive logMAR values indicate poorer vision and negative values denote better visual acuity than baseline 20/20 value. |
| Objective Vision Assessments: High Contrast Near Visual Acuity | After 1 hour of lens wear | Tested with charts set at near point (40cm)distant to the subject with both eyes together in normal lighting conditions. The unit of measure is logMAR units (logarithm of the minimum angle of resolution) A logMAR acuity of 0.0 equates to 20/20 Snellen acuity. Positive logMAR values indicate poorer vision and negative values denote better visual acuity than baseline 20/20 value. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Subjective Overall Vision: High Contrast Distance Visual Quality | After 1 hour of lens wear | Subjects instructed to rate Vision quality at distance, intermediate and near vision (OU) using a 0-100 numerical scale where 0 = poor and 100 = excellent. |
| Subjective Vision Assessments: High Contrast Intermediate Visual Quality | After 1 hour of lens wear | Subjects instructed to rate Vision quality at distance, intermediate and near vision (OU) using a 0-100 numerical scale where 0 = poor and 100 = excellent. |
| Subjective Vision Assessments: High Contrast Near Visual Quality | After 1 hour of lens wear | Subjects instructed to rate Vision quality at distance, intermediate and near vision (OU) using a 0-100 numerical scale where 0 = poor and 100 = excellent. |
Countries
United States
Participant flow
Recruitment details
Recruitment was open between 06FEB2012 and 28FEB2012
Pre-assignment details
The subjects who are current contact lens wearers should attend the first visit wearing their habitual lenses and having worn them that day for at least 2 hours prior to the visit.
Participants by arm
| Arm | Count |
|---|---|
| Overall Study Population Subjects were randomly assigned into either the omafilcon A/PC 1-D MF lenses with +0.75D over-correction in the non-dominant eye or the lotrafilcon B/Air Optix MF lenses then crossed-over into the alternative pair of study lenses. | 49 |
| Total | 49 |
Baseline characteristics
| Characteristic | Overall Study Population |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 0 Participants |
| Age, Categorical Between 18 and 65 years | 49 Participants |
| Age, Continuous | 53 years STANDARD_DEVIATION 6 |
| Region of Enrollment United States | 49 participants |
| Sex: Female, Male Female | 39 Participants |
| Sex: Female, Male Male | 10 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 49 | 0 / 49 |
| serious Total, serious adverse events | 0 / 49 | 0 / 49 |
Outcome results
Objective Vision Assessments: High Contrast Distance Visual Acuity
Tested with charts distant to the subject with both eyes together in normal lighting conditions. The unit of measure is logMAR units (logarithm of the minimum angle of resolution) A logMAR acuity of 0.0 equates to 20/20 Snellen acuity. Positive logMAR values indicate poorer vision and negative values denote better visual acuity than baseline 20/20 value.
Time frame: After 1 hour of lens wear
Population: Per Protocol
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PC1DMF | Objective Vision Assessments: High Contrast Distance Visual Acuity | -0.09 logMAR units | Standard Deviation 0.08 |
| Air Optix MF | Objective Vision Assessments: High Contrast Distance Visual Acuity | -0.05 logMAR units | Standard Deviation 0.08 |
Objective Vision Assessments: High Contrast Intermediate Visual Acuity
Tested with charts at intermediate distance (100cm)distant to the subject with both eyes together in normal lighting conditions. The unit of measure is logMAR units (logarithm of the minimum angle of resolution) A logMAR acuity of 0.0 equates to 20/20 Snellen acuity. Positive logMAR values indicate poorer vision and negative values denote better visual acuity than baseline 20/20 value.
Time frame: After 1 hour of lens wear
Population: Per Protocol
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PC1DMF | Objective Vision Assessments: High Contrast Intermediate Visual Acuity | -0.11 logMAR units | Standard Deviation 0.08 |
| Air Optix MF | Objective Vision Assessments: High Contrast Intermediate Visual Acuity | -0.10 logMAR units | Standard Deviation 0.09 |
Objective Vision Assessments: High Contrast Near Visual Acuity
Tested with charts set at near point (40cm)distant to the subject with both eyes together in normal lighting conditions. The unit of measure is logMAR units (logarithm of the minimum angle of resolution) A logMAR acuity of 0.0 equates to 20/20 Snellen acuity. Positive logMAR values indicate poorer vision and negative values denote better visual acuity than baseline 20/20 value.
Time frame: After 1 hour of lens wear
Population: Per Protocol
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PC1DMF | Objective Vision Assessments: High Contrast Near Visual Acuity | 0.08 logMAR units | Standard Deviation 0.14 |
| Air Optix MF | Objective Vision Assessments: High Contrast Near Visual Acuity | 0.05 logMAR units | Standard Deviation 0.12 |
Subjective Overall Vision: High Contrast Distance Visual Quality
Subjects instructed to rate Vision quality at distance, intermediate and near vision (OU) using a 0-100 numerical scale where 0 = poor and 100 = excellent.
Time frame: After 1 hour of lens wear
Population: Per Protocol
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PC1DMF | Subjective Overall Vision: High Contrast Distance Visual Quality | 87 units on a scale | Standard Deviation 16 |
| Air Optix MF | Subjective Overall Vision: High Contrast Distance Visual Quality | 88 units on a scale | Standard Deviation 11 |
Subjective Vision Assessments: High Contrast Intermediate Visual Quality
Subjects instructed to rate Vision quality at distance, intermediate and near vision (OU) using a 0-100 numerical scale where 0 = poor and 100 = excellent.
Time frame: After 1 hour of lens wear
Population: Per Protocol
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PC1DMF | Subjective Vision Assessments: High Contrast Intermediate Visual Quality | 85 units on a scale | Standard Deviation 15 |
| Air Optix MF | Subjective Vision Assessments: High Contrast Intermediate Visual Quality | 85 units on a scale | Standard Deviation 15 |
Subjective Vision Assessments: High Contrast Near Visual Quality
Subjects instructed to rate Vision quality at distance, intermediate and near vision (OU) using a 0-100 numerical scale where 0 = poor and 100 = excellent.
Time frame: After 1 hour of lens wear
Population: Per Protocol
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PC1DMF | Subjective Vision Assessments: High Contrast Near Visual Quality | 81 units on a scale | Standard Deviation 18 |
| Air Optix MF | Subjective Vision Assessments: High Contrast Near Visual Quality | 80 units on a scale | Standard Deviation 18 |