Evaluation of the Safety & Efficacy of the Laser Scleral Microporation Procedure to Restore Visual Function and Range of Accommodation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Presbyopia
- Sponsor
- ACE Vision Group, Inc.
- Enrollment
- 11
- Locations
- 2
- Primary Endpoint
- Binocular Uncorrected Near Visual Acuity (UNVA) @ 40cm
- Status
- Terminated
- Last Updated
- 3 years ago
Overview
Brief Summary
A new minimally invasive procedure for treating presbyopia is being evaluated to determine if there is improvement in near and intermediate vision after treatment.
Detailed Description
This is a prospective, controlled, single-center clinical study to evaluate the safety and efficacy of the Laser Scleral Microporation Procedure. Laser Scleral Microporation Procedure is a treatment to restore visual and accommodative function in presbyopic patients. The subjects are bilaterally treated with the Laser Scleral Microporation procedure.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Willing and able to understand and sign an informed consent;
- •Willing and able to attend postoperative examinations per protocol schedule;
- •45 years of age or greater, of either gender or any race;
- •Less than (\<) 1.00D of astigmatism in each eye, measured in their manifest refraction;
- •Mean refractive spherical equivalent refraction (MRSE) of +/- 0.50D for distance vision; Note: Subjects who meet this criterion as a result of prior laser refractive surgery (LASIK, LASEK or PRK) may qualify; however, the subject must have had the LVC procedure performed at least 12 months prior to the Laser Scleral Microporation procedure and be stable.
- •Uncorrected distance visual acuity (UDVA) is better than or equal to 20/40 (logMAR 0.30) in each eye, and a Corrected Distance Visual Acuity (CDVA) is better than or equal to 20/25 (logMAR 0.10) in each eye;
- •Demonstrate Stereopsis of 100 seconds of arc or better using a Randot stereoscopic fly test and reading correction;
- •In good ocular health with the exception of presbyopia;
- •Presbyopia as demonstrated by:
- •Currently wearing reading glasses and/or bifocals with an ADD of +1.50D or more at 40 cm in each eye; and
Exclusion Criteria
- •Self-reported current pregnancy or breast-feeding, or plans to become pregnant during the entire study period;
- •History of ocular trauma or prior ocular surgery, or expected to require retinal laser treatment or other ocular surgical intervention;
- •Presence of ocular pathology other than cataract such as:
- •Amblyopia or strabismus
- •Corneal abnormalities or disease
- •Dry Eye, presenting with corneal staining15
- •Pupil abnormalities (e.g., corectopia, Adie's)
- •Capsule or zonular abnormalities
- •Intraocular inflammation
- •Retinal disease or pathology
Outcomes
Primary Outcomes
Binocular Uncorrected Near Visual Acuity (UNVA) @ 40cm
Time Frame: 12 months postoperative
Binocular UNVA is measured with ETDRS charts placed in 40cm distance. This assessment is performed under photopic lighting conditions.
Secondary Outcomes
- Patient Self-Reporting Questionnaire 2(3 Day, 1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)
- Monocular & Binocular Distance Corrected Near Visual Acuity (DCNVA) @ 40cm(1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)
- Patient Self-Reporting Questionnaire 1(1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)
- Monocular & Binocular Uncorrected Near Visual Acuity (UNVA) @ 40cm(1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)
- Manifest Refraction(1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)
- Monocular & Binocular Distance Corrected Intermediate Visual Acuity (DCIVA) @ 60cm(1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)
- iReST reading test(1 week; 1 month; 3 months; 6 months; 12 months & 24 months postoperative)
- Stereoacuity(1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)
- Monocular & Binocular Uncorrected Intermediate Visual Acuity (UIVA) @ 60cm(1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)
- Monocular & Binocular Best Corrected Distance Visual Acuity (CDVA) @ 4m(1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)
- Determination of reading prescription(1 week; 1 month; 3 months; 6 months ; 12 months; 18 months & 24 months postoperative)
- Auto-Keratometry(1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)
- Axial Length Measurement(1 month; 12 months & 24 months postoperative)
- Monocular & Binocular Uncorrected Distance Visual Acuity (UDVA) @ 4m(1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)
- Accommodative Amplitude using binocular & monocular minus lens to blur(1 week; 1 month; 3 months; 6 months; 12 months & 24 months postoperative)
- Contrast Sensitivity(1 month; 12 months & 24 months postoperative)
- Cycloplegic refraction(1 month; 12 months & 24 months postoperative)
- Wavefront Aberrometry(1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)
- Corneal Topography(1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)
- Speedy-i Accommodation Testing(1 week; 1 month; 3 months; 6 months; 12 months & 24 months postoperative)
- Pupillometry(1 day, 3 day, 1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)
- Dilated Fundus exam(1 month; 12 months & 24 months postoperative)
- Slit Lamp Examination(1 day, 3 days, 1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)
- Intraocular Pressure Measurement(1 day, 3 days, 1 week; 1 month; 3 months; 6 months; 12 months; 18 months & 24 months postoperative)