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Selection of Aspheric Diffractive Multifocal Intraocular Lens (IOLS) Based on Corneal Wavefront

This study has been completed.
Information provided by (Responsible Party):
Mark Packer, MD, FACS, Drs. Fine, Hoffman and Packer, LLC Identifier:
First received: October 19, 2009
Last updated: February 26, 2014
Last verified: February 2014
Given the availability of aspheric diffractive IOLs with varying negative spherical aberration it may be feasible, by selecting the best fit IOL, to minimize aberrations and thereby maximize visual performance.

Condition Intervention Phase
Cataracts Device: Tecnis® Multifocal (TMF) Phase 4

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Selection of Aspheric Diffractive Multifocal IOLS Based on Corneal Wavefront

Resource links provided by NLM:

Further study details as provided by Mark Packer, MD, FACS, Drs. Fine, Hoffman and Packer, LLC:

Primary Outcome Measures:
  • Frequency of spectacle wear [ Time Frame: 3 months postoperatively ]

Secondary Outcome Measures:
  • Frequency and degree of visual symptoms [ Time Frame: 3 months postoperatively ]

Enrollment: 8
Study Start Date: October 2009
Study Completion Date: February 2012
Primary Completion Date: February 2012 (Final data collection date for primary outcome measure)
Intervention Details:
    Device: Tecnis® Multifocal (TMF)
    Aspheric, diffractive multifocal intraocular lenses

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • 18 years of age or older
  • Scheduled to undergo bilateral cataract or refractive lens surgery
  • Visual potential of 20/30 or better in each eye after lens removal and IOL implantation
  • Naturally dilated pupil size (in dim light) > 3.5 mm (with no dilation medications) for both eyes
  • Preoperative regular corneal astigmatism of 2.5 D or less
  • Clear intraocular media other than cataract
  • Availability, willingness, and sufficient cognitive awareness to comply with examination procedures

Exclusion Criteria:

  • Ocular disease other than cataract which could potentially limit uncorrected visual acuity or visual performance.
  • Astigmatism not correctable by limbal relaxing incisions (greater than 2.5 D)
  • Use of systemic or ocular medications that may affect visual outcomes
  • Acute or chronic disease or illness that would increase risk or confound study results (e.g. diabetes mellitus, immunocompromised, etc.)
  • Uncontrolled systemic or ocular disease
  • History of ocular trauma or prior ocular surgery
  • Amblyopia or strabismus
  • Known pathology that may affect visual acuity; particularly retinal changes that affect vision (macular degeneration, cystoid macular edema, proliferative diabetic retinopathy, etc.)
  • Diagnosed degenerative visual disorders (e.g. macular degeneration, or other retinal disorders) that are predicted to cause future acuity losses to a level of worse than 20/30
  • Subjects who may be expected to require retinal laser treatment or other surgical intervention
  • Capsule or zonular abnormalities that may affect postoperative centration or tilt of the lens (e.g. pseudoexfoliation syndrome)
  • Pupil abnormalities (non-reactive, tonic pupils or abnormally shaped pupils)
  • Contact lens usage within 6 months for PMMA lenses, 1 month for gas permeable lenses or 1 week for extended-wear and daily-wear soft lenses
  • Requiring an intraocular lens power <15.0 or >26.0 diopters
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Please refer to this study by its identifier: NCT00999492

United States, Oregon
Drs. Fine, Hoffman and Packer, LLC
Eugene, Oregon, United States, 97401
Sponsors and Collaborators
Mark Packer, MD, FACS
  More Information

Responsible Party: Mark Packer, MD, FACS, Sponsor-Investigator, Drs. Fine, Hoffman and Packer, LLC Identifier: NCT00999492     History of Changes
Obsolete Identifiers: NCT01061892
Other Study ID Numbers: TMF-09-001
Study First Received: October 19, 2009
Last Updated: February 26, 2014

Keywords provided by Mark Packer, MD, FACS, Drs. Fine, Hoffman and Packer, LLC:
Tecnis Multifocal
Patients scheduled for cataract or lens replacement surgery with implantation of multifocal intraocular lenses

Additional relevant MeSH terms:
Lens Diseases
Eye Diseases processed this record on August 18, 2017