Vision and Balance Changes After Bilateral Implantation of Toric IOLs

NCT ID: NCT05629078

Last Updated: 2024-03-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-12

Study Completion Date

2025-07-31

Brief Summary

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Cataracts are the major cause of blindness in the world. Cataract surgery, being the most performed surgery in the world today, provide correction by extracting the natural lens from its capsular bag and replaced by an artificial intraocular lens (IOL) implantation. In the UK, almost all patients undergoing cataract surgery by the NHS are given monofocal intraocular lenses (IOLs) which do not correct corneal astigmatic error. It is estimated that around 20% of the population has over 1.50DC of corneal astigmatism. Uncorrected astigmatism not only increase spectacle dependency and reduce quality of life post surgically, but it also adversely affects the overall economic costs. Specialised toric IOLs offer the opportunity to correct pre-existing corneal astigmatism. Previous work has shown a link between reduced vision and balance or mobility. Full correction of refractive error may have greater impact on lifestyle than previously thought.

Detailed Description

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This is a single centre, parallel randomized controlled trial study comparing the dynamic stability and visual outcomes of cataract patient with astigmatism implanted with mono-focal Toric versus non-Toric IOLs.

140 cataracts patients with astigmatism awaiting cataract correction surgery at the Royal Eye infirmary of the University Hospitals of Plymouth NHS Trust will be recruited in this study over a two year period. The participants will be randomly assigned to be implanted with either Toric IOLs or standard non-Toric IOLs. Three additional study visits will be arranged for them. One visit before the cataract surgery, second visit at three to six months after the first eye cataract surgery and third visit at three to six months after the second eye cataract surgery. The primary assessment outcome is dynamic balance measured by movement sensors (accelerometer) during walk and turn, crossing over obstacle and stair walking. The secondary outcomes include eye tracking during movement activities, visual functions, risk of fall questionnaires and vision-specific quality of life questionnaire.

This project is funded by Carl Zeiss Meditec AG, led by the University of Plymouth and sponsored by University Hospitals Plymouth NHS Trust . The project also involves collaboration with the University of Glasgow and the Plymouth Marjon University.

Conditions

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Cataract Bilateral Astigmatism Bilateral

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

randomised control trial
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators
investigators will be blinded to which types of IOLs implanted to the cataract patients

Study Groups

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Toric Intraocular lens

Toric intraocular lens- AT TORBI® 709M, to be implanted bilaterally in the cataract surgery to correct astigmatism at the same time.

Group Type ACTIVE_COMPARATOR

Toric intraocular lens Zeiss AT TORBI

Intervention Type DEVICE

Intraocular lenses are medical devices that are implanted in patients during cataract surgery. At Plymouth University NHS trust the standard lens is a monofocal non-Toric lens unless the patient has astigmatism greater than 4.00D. This study involves implantation of a toric lens in the intervention group where astigmatism is greater than 1.00D. The lens is called the toric IOLS- Zeiss AT TORBI, will be implanted bilaterally instead of standard monofocal IOLs- Zeiss CT ASPHINA, used in routine cataract surgery within NHS.

Monofocal intraocular lens

Standard monofocals IOLs- Zeiss CT ASPHINA 409/509M, to be implanted bilaterally in the standard NHS cataract surgery without correcting the astigmatism.

Group Type ACTIVE_COMPARATOR

Toric intraocular lens Zeiss AT TORBI

Intervention Type DEVICE

Intraocular lenses are medical devices that are implanted in patients during cataract surgery. At Plymouth University NHS trust the standard lens is a monofocal non-Toric lens unless the patient has astigmatism greater than 4.00D. This study involves implantation of a toric lens in the intervention group where astigmatism is greater than 1.00D. The lens is called the toric IOLS- Zeiss AT TORBI, will be implanted bilaterally instead of standard monofocal IOLs- Zeiss CT ASPHINA, used in routine cataract surgery within NHS.

Interventions

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Toric intraocular lens Zeiss AT TORBI

Intraocular lenses are medical devices that are implanted in patients during cataract surgery. At Plymouth University NHS trust the standard lens is a monofocal non-Toric lens unless the patient has astigmatism greater than 4.00D. This study involves implantation of a toric lens in the intervention group where astigmatism is greater than 1.00D. The lens is called the toric IOLS- Zeiss AT TORBI, will be implanted bilaterally instead of standard monofocal IOLs- Zeiss CT ASPHINA, used in routine cataract surgery within NHS.

Intervention Type DEVICE

Other Intervention Names

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Monofocal non-toric intraocular lens Zeiss CT ASPHINA 409/509M

Eligibility Criteria

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Inclusion Criteria

* bilateral significant corneal astigmatism \>1.0D
* on waiting list for bilateral cataract surgery in NHS

Exclusion Criteria

* pre-existing eye pathology which may be aggravated by intraocular implant
* previous intraocular/ corneal surgery
* History of uveitis, glaucoma, proliferative diabetic retinopathy or IDDM, pseudoexfoliation, macular degeneration that may affect potential best corrected visual acuity of 20/40 or better
* Micropthalmia
* corneal decompensation or endothelial insufficiency
* pars planitis
* high myopia
* participants using a systematic medication that is known to cause ocular side effects
* participated in a concurrent clinical trial or have participated in an opthalmology clinical trial within the last 30 days
* unable or not willing to cooperate for the follow up period
* pregnant women
* unable to give informed consent
* unable to walk with or without walking aids independently for at least 20m
* unable to walk up/down stairs independently using aids or handrail
Minimum Eligible Age

50 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Carl Zeiss Meditec AG

INDUSTRY

Sponsor Role collaborator

Glasgow Caledonian University

OTHER

Sponsor Role collaborator

University of St Mark and St John Plymouth

UNKNOWN

Sponsor Role collaborator

University Hospital Plymouth NHS Trust

OTHER

Sponsor Role collaborator

University of Plymouth

OTHER

Sponsor Role lead

Responsible Party

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Dr Phillip J Buckhurst

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nabil Habib, MB ChB(Hons)

Role: PRINCIPAL_INVESTIGATOR

Royal Eye Infirmay, University Hosptials Plymouth NHS Trust

Phillip Buckhurst, PhD

Role: STUDY_CHAIR

University of Plymouth

Catriona MacLennan, PhD

Role: STUDY_DIRECTOR

Glasgow Caledonian Unviersity

Gary L.K. Shum, PhD

Role: STUDY_DIRECTOR

Plymouth Marjon University

Hetal Buckhurst, PhD

Role: STUDY_DIRECTOR

University of Plymouth

Locations

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Royal Eye Infirmary

Plymouth, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Sherrie T Choy, MSc

Role: CONTACT

07903692005

Facility Contacts

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Nabil Habib

Role: primary

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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286913

Identifier Type: -

Identifier Source: org_study_id

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