Cataract
Conditions
Brief summary
To evaluate visual outcomes and quality of vision following bilateral implantation of the Clareon PanOptix intraocular lens (IOL) targeted for emmetropia.
Detailed description
This study is a single-arm unmasked clinical evaluation study of binocular distance-corrected near (40 cm) visual acuity after successful bilateral cataract surgery. Subjects will be assessed pre-operatively, operatively and at 1 day, 1 month and 3 months post-operatively. Clinical evaluations will include administration of a visual disturbance questionnaire (QUVID), and a satisfaction questionnaire (IOLSAT), as well as measurement of bilateral visual acuity and manifest refraction.
Interventions
Bilateral implantation with the Clareon PanOptix Trifocal (toric and non-toric models)
Sponsors
Study design
Eligibility
Inclusion criteria
Subjects are eligible for the study if they meet the following criteria: Note: Ocular criteria must be met in both eyes. * Presenting for uncomplicated bilateral cataract surgery and have an interest in spectacle independence using a trifocal IOL * Meet the requirements for on-label implantation of the trifocal IOL * Gender: Males and Females. * Age: 40 or older. * Willing and able to provide written informed consent for participation in the study. * Willing and able to comply with scheduled visits and other study procedures. * Have good ocular health, with no pathology that compromises visual acuity (outside of residual refractive error and cataract). * Expected visual potential of 20/25 Snellen (0.10 logMAR) or better in each eye. * All eyes will be in the range of availability for Clareon PanOptix IOL and Clareon PanOptix Toric IOL. For cylinder below the Toric IOL indication (T3), an LRI will be used during surgery.
Exclusion criteria
If any of the following
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Binocular Distance-corrected Near (40 cm) Visual Acuity | 1 month postoperatively |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Binocular Uncorrected Distance (6 m) Visual Acuity | 1 and 3 months postoperative | — |
| Binocular Uncorrected Intermediate (60 cm) Visual Acuity | 1 and 3 months postoperative | — |
| Binocular Uncorrected Near (40 cm) Visual Acuity | 1 and 3 months postoperative | — |
| Binocular Corrected Corrected Distance (6 m) Visual Acuity | 1 and 3 months postoperative | — |
| Binocular Distance-corrected Intermediate (60 cm) Visual Acuity | 1 and 3 months postoperative | — |
| Manifest Refraction | 3 months postoperative | spherical equivalent refraction and astigmatism less than or equal to 0.5 D. |
| Satisfaction Questionnaire | 3 months postoperative | The Intraocular Lens Satisfaction questionnaire (IOLSAT). Subjects were asked how often they needed to wear eyeglasses to see at distance, intermediate, and near. The percentage was calculated as (# of subjects responding Never or Rarely) divided by (# of subjects) times 100. A higher percentage is a better outcome. |
| Visual Disturbances Questionnaire | 3 months postoperative | Questionnaire for Visual Disturbances (QUVID). |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) Bilateral implantation with the Clareon PanOptix Trifocal (toric and non-toric models)
The Clareon™ PanOptix™ Trifocal (toric and non-toric models): Bilateral implantation with the Clareon PanOptix Trifocal (toric and non-toric models) | 30 |
| Total | 30 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Lost to Follow-up | 6 |
Baseline characteristics
| Characteristic | The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | — |
|---|---|---|
| Age, Continuous | 65.0 years STANDARD_DEVIATION 7.7 | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Sex: Female, Male Female | 20 Participants | — |
| Sex: Female, Male Male | 10 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 30 |
| other Total, other adverse events | 0 / 30 |
| serious Total, serious adverse events | 0 / 30 |
Outcome results
Binocular Distance-corrected Near (40 cm) Visual Acuity
Time frame: 3 months postoperatively
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Binocular Distance-corrected Near (40 cm) Visual Acuity | 0.01 logMAR | Standard Deviation 0.1 |
Binocular Distance-corrected Near (40 cm) Visual Acuity
Time frame: 1 month postoperatively
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Binocular Distance-corrected Near (40 cm) Visual Acuity | 0.00 logMAR | Standard Deviation 0.06 |
Binocular Corrected Corrected Distance (6 m) Visual Acuity
Time frame: 1 and 3 months postoperative
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Binocular Corrected Corrected Distance (6 m) Visual Acuity | 1 Month | -0.02 logMAR | Standard Deviation 0.07 |
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Binocular Corrected Corrected Distance (6 m) Visual Acuity | 3 Months | -0.04 logMAR | Standard Deviation 0.08 |
Binocular Distance-corrected Intermediate (60 cm) Visual Acuity
Time frame: 1 and 3 months postoperative
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Binocular Distance-corrected Intermediate (60 cm) Visual Acuity | 1 Month | -0.04 logMAR | Standard Deviation 0.08 |
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Binocular Distance-corrected Intermediate (60 cm) Visual Acuity | 3 Months | -0.08 logMAR | Standard Deviation 0.1 |
Binocular Uncorrected Distance (6 m) Visual Acuity
Time frame: 1 and 3 months postoperative
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Binocular Uncorrected Distance (6 m) Visual Acuity | 1 Month | 0.00 logMAR | Standard Deviation 0.08 |
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Binocular Uncorrected Distance (6 m) Visual Acuity | 3 Months | 0.02 logMAR | Standard Deviation 0.19 |
Binocular Uncorrected Intermediate (60 cm) Visual Acuity
Time frame: 1 and 3 months postoperative
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Binocular Uncorrected Intermediate (60 cm) Visual Acuity | 1 Month | -0.04 logMAR | Standard Deviation 0.08 |
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Binocular Uncorrected Intermediate (60 cm) Visual Acuity | 3 Months | -0.08 logMAR | Standard Deviation 0.09 |
Binocular Uncorrected Near (40 cm) Visual Acuity
Time frame: 1 and 3 months postoperative
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Binocular Uncorrected Near (40 cm) Visual Acuity | 1 Month | 0.04 logMAR | Standard Deviation 0.09 |
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Binocular Uncorrected Near (40 cm) Visual Acuity | 3 Months | 0.04 logMAR | Standard Deviation 0.12 |
Manifest Refraction
spherical equivalent refraction and astigmatism less than or equal to 0.5 D.
Time frame: 3 months postoperative
| Arm | Measure | Group | Value (COUNT_OF_UNITS) |
|---|---|---|---|
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Manifest Refraction | Manifest Refraction Spherical Equivalent | 46 eyes |
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Manifest Refraction | Astigmatism | 46 eyes |
Satisfaction Questionnaire
The Intraocular Lens Satisfaction questionnaire (IOLSAT). Subjects were asked how often they needed to wear eyeglasses to see at distance, intermediate, and near. The percentage was calculated as (# of subjects responding Never or Rarely) divided by (# of subjects) times 100. A higher percentage is a better outcome.
Time frame: 3 months postoperative
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Satisfaction Questionnaire | Spectacle independence near (overall) | 17 Participants |
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Satisfaction Questionnaire | Spectacle independence distance (overall) | 24 Participants |
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Satisfaction Questionnaire | Spectacle independence intermediate (overall) | 22 Participants |
Visual Disturbances Questionnaire
Questionnaire for Visual Disturbances (QUVID).
Time frame: 3 months postoperative
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Visual Disturbances Questionnaire | Bothered quite a bit or Bothered very much by starbursts | 3 Participants |
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Visual Disturbances Questionnaire | Bothered quite a bit or Bothered very much by halos | 2 Participants |
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Visual Disturbances Questionnaire | Bothered quite a bit or Bothered very much by glare | 0 Participants |
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Visual Disturbances Questionnaire | Bothered quite a bit or Bothered very much by haze | 0 Participants |
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Visual Disturbances Questionnaire | Bothered quite a bit or Bothered very much by blurred vision | 0 Participants |
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Visual Disturbances Questionnaire | Bothered quite a bit or Bothered very much by double vision | 0 Participants |
| The Clareon™ PanOptix™ Trifocal (Toric and Non-toric Models) | Visual Disturbances Questionnaire | dark area | 0 Participants |