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A Real-World Evidence (RWE) Long-Term Follow-Up Study to Assess Outcomes of Alcon Monofocal Intraocular Lenses

Conditions
Aphakia
Interventions
Device: AcrySof single-piece IOL
Device: AcrySof multi-piece IOL
Registration Number
NCT05799950
Lead Sponsor
Alcon Research
Brief Summary

The purpose of this post-market clinical follow-up (PMCF) study is to describe the long-term safety and performance of AcrySof Single-Piece and AcrySof Multi-Piece monofocal intraocular lenses (IOLs).

Detailed Description

The study includes a retrospective chart review for pre-operative, operative, and post-operative data collection, and a prospective, standard-of-care visit to collect study endpoints.

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
230
Inclusion Criteria
  • Subject is implanted with one of the study IOL models between 3 and 5 years previously.
  • Subject follow-up is expected to be possible during the duration of the study.
  • Subject or legally authorized representative must be able to understand and sign the IRB/EC approved Informed Consent form. Minor subjects will complete an Assent Form.
  • Documented medical history and required pre-operative baseline information is available for retrospective data collection.

Key

Exclusion Criteria
  • Subject is participating in a separate investigational drug or device study.
  • Pregnancy at the time of enrollment.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
AcrySof single-piece IOLAcrySof single-piece IOLPseudophakic subjects previously implanted with an AcrySof single-piece IOL
AcrySof multi-piece IOLAcrySof multi-piece IOLPseudophakic subjects previously implanted with an AcrySof multi-piece IOL
Primary Outcome Measures
NameTimeMethod
Mean monocular best corrected distance visual acuity (BCDVA)Up to 3 to 5 years post operative

Retrospectively, the subject's medical records will be reviewed for assessments of BCDVA. Prospectively, visual acuity will be assessed for each eye individually with correction in place using letter charts placed at a distance of 6 meters (or 4 meters adjusted for infinity) from the subject. BCDVA will be reported in logarithm minimum angle of resolution (logMAR), where a logMAR value of 0 equates to 20/20 Snellen visual acuity (normal distance eyesight) and lower logMAR values indicate better visual acuity.

Rate of protocol-specified ocular adverse eventsUp to 3 to 5 years post operative

The subject's medical records will be reviewed for medical conditions. Medical conditions that started after initial exposure to the study model IOLs will be captured as adverse events. The following adverse events are pre-specified for this outcome measure:

* Cystoid macular edema (CME)

* Hypopyon

* Endophthalmitis

* Lens dislocation

* Pupillary block

* Retinal detachment

* Secondary surgical interventions

Secondary Outcome Measures
NameTimeMethod
Rate of additional adverse events - OcularUp to 3-5 years postoperative

The subject's medical records will be reviewed for medical conditions. Medical conditions that started after initial exposure to the study model IOLs will be captured as adverse events. This outcome measure will include all ocular adverse events other than the protocol-specified adverse events.

Mean manifest refraction - AxisUp to 3-5 years postoperative

Retrospectively, the subject's medical records will be reviewed for manifest refraction assessments. Prospectively, the subject will be manually refracted to his/her best correction using a phoropter. The axial component will be measured in degrees.

Mean manifest refraction - CylinderUp to 3-5 years postoperative

Retrospectively, the subject's medical records will be reviewed for manifest refraction assessments. Prospectively, the subject will be manually refracted to his/her best correction using a phoropter. The cylindrical component will be measured in diopters.

Mean monocular uncorrected distance visual acuity (UCDVA)Up to 3-5 years postoperative

Visual acuity will be assessed for each eye individually with no correction in place using letter charts placed at a distance of 6 meters (or 4 meters adjusted for infinity) from the subject. UCDVA will be measured in logarithm minimum angle of resolution (logMAR). A logMAR value of 0 equates to 20/20 Snellen visual acuity (normal distance eyesight), with lower logMAR values indicating better visual acuity.

Manifest refraction spherical equivalent (MRSE)Up to 3-5 years postoperative

Retrospectively, the subject's medical records will be reviewed for manifest refraction assessments. Prospectively, the subject will be manually refracted to his/her best correction using a phoropter. MRSE will be calculated as \[Sphere minus (cylinder divided by 2)\] and reported in diopters.

Rate of posterior capsulotomiesUp to 3-5 years postoperative

Posterior capsulotomy is surgery performed on the back side of the capsular bag in the eye. A laser is used to make an opening in the cloudy capsule to allow light to pass through again for clear vision. The subject's medical records will be reviewed for the occurrence of posterior capsulotomy.

Mean manifest refraction - SphereUp to 3-5 years postoperative

Retrospectively, the subject's medical records will be reviewed for manifest refraction assessments. Prospectively, the subject will be manually refracted to his/her best correction using a phoropter. The spherical component will be measured in diopters.

Rate of device deficienciesUp to 3-5 years postoperative

The subject's medical records will be reviewed for device deficiencies. Examples of device deficiencies include the following:

* Failure to meet product specifications (e.g., incorrect IOL power);

* IOL defect;

* Broken IOL optic;

* Broken IOL haptic; Scratched IOL optic;

* Unsealed device packaging;

* Suspected product contamination;

* Lack of performance. A device deficiency may or may not be associated with subject harm.

Trial Locations

Locations (7)

Levenson Eye Associates

🇺🇸

Jacksonville, Florida, United States

SightMD

🇺🇸

Babylon, New York, United States

Virdi Eye Clinic

🇺🇸

Rock Island, Illinois, United States

Texan Eye

🇺🇸

Austin, Texas, United States

Centro Oftalmologico Metropolitano

🇵🇷

San Juan, Puerto Rico

Chu Eye Institute

🇺🇸

Fort Worth, Texas, United States

Velvet Clinical Research

🇺🇸

Burbank, California, United States

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