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Cataract BilateralNCT05629078

Vision and Balance Changes After Bilateral Implantation of Toric IOLs

A study testing Toric intraocular lens Zeiss AT TORBI in people with Cataract Bilateral and Astigmatism Bilateral, run by University of Plymouth at 1 site in United Kingdom.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 50 to 75 years
Conditions the study is for
Cataract Bilateral, Astigmatism Bilateral
What is being tested?
Toric intraocular lens Zeiss AT TORBI
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
140 participants
Where
1 siteUnited Kingdom
Study dates
12 Jan 2024to 31 Jul 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

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

Who cannot join

  • 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
Show all 14Show fewer
  • 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

Trial locations and contacts

1 site in 1 country.

Sherrie T Choy, MSc contact

07903692005

sherrie.choy@plymouth.ac.uk

United Kingdom1 site, 1 recruiting
  • Royal Eye Infirmary

    Plymouth

    Nabil Habib, nabil.habib@nhs.net

    Recruiting

Other trials in United Kingdom

About this study

Official title: Vision and Balance Changes After Bilateral Implantation of Toric Versus Non-Toric Intraocular Lenses in Cataract Patients With Astigmatism

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.

Read the detailed description

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.

Being tested
Toric intraocular lens Zeiss AT TORBI
Keywords
toric intraocular lens, dynamic stability, balance, post-cataract surgery, fear of falling, visual function, quality of life
Medical subject headings
Cataract

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Toric intraocular lens Zeiss AT TORBIDevice

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

    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.

Study groups in NCT05629078
Study groupRoleWhat they receive
Toric Intraocular lensActive comparatorToric intraocular lens- AT TORBI® 709M, to be implanted bilaterally in the cataract surgery to correct astigmatism at the same time.
Receives: Device: Toric intraocular lens Zeiss AT TORBI
Monofocal intraocular lensActive comparatorStandard monofocals IOLs- Zeiss CT ASPHINA 409/509M, to be implanted bilaterally in the standard NHS cataract surgery without correcting the astigmatism.
Receives: Device: Toric intraocular lens Zeiss AT TORBI

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Jerk from the centre of mass Visit 1

    Assessed during functional activities using accelerometers

    Measured: Baseline assessment will be carried out at study visit 1 before the cataract surgery

  2. Jerk from the centre of mass Visit 2

    Assessed during functional activities using accelerometers

    Measured: First reassessment will be carried out at study visit 2 around 3-6 months after the first cataract IOL replacement surgery

  3. Jerk from the centre of mass Visit 3

    Assessed during functional activities using accelerometers

    Measured: Final reassessment at study visit 3 around 3-6 months after the second eye cataract IOL replacement surgery

Secondary outcomes (36)
  1. Unaided vision Visit 1

    Unaided vision measured on a LogMAR acuity chart

    Measured: Baseline assessment will be carried out at study visit 1 before the cataract surgery

  2. Unaided visionVisit 2

    Unaided vision measured on a LogMAR acuity chart

    Measured: First reassessment will be carried out at study visit 2 around 3-6 months after the first cataract IOL replacement surgery

  3. Unaided vision Visit 3

    Unaided vision measured on a LogMAR acuity chart

    Measured: Final reassessment at study visit 3 around 3-6 months after the second eye cataract IOL replacement surgery

  4. Visual acuity Visit 1

    Aided vision measured on a LogMAR acuity chart

    Measured: Baseline assessment will be carried out at study visit 1 before the cataract surgery

  5. Visual acuity Visit 2

    Aided vision measured on a LogMAR acuity chart

    Measured: First reassessment will be carried out at study visit 2 around 3-6 months after the first cataract IOL replacement surgery

  6. Visual acuity Visit 3

    Aided vision measured on a LogMAR acuity chart

    Measured: Final reassessment at study visit 3 around 3-6 months after the second eye cataract IOL replacement surgery

  7. Mean spherical refraction Visit 1

    Mean spherical refraction assessed through subjective refraction

    Measured: Baseline assessment will be carried out at study visit 1 before the cataract surgery

  8. Mean spherical refraction Visit 2

    Mean spherical refraction assessed through subjective refraction

    Measured: First reassessment will be carried out at study visit 2 around 3-6 months after the first cataract IOL replacement surgery

  9. Mean spherical refraction Visit 3

    Mean spherical refraction assessed through subjective refraction

    Measured: Final reassessment at study visit 3 around 3-6 months after the second eye cataract IOL replacement surgery

  10. Astigmatic power J0 Visit 1

    J0 assessed through subjective refraction and expressed in vector form

    Measured: Baseline assessment will be carried out at study visit 1 before the cataract surgery

  11. Astigmatic power J0 Visit 2

    J0 assessed through subjective refraction and expressed in vector form

    Measured: First reassessment will be carried out at study visit 2 around 3-6 months after the first cataract IOL replacement surgery

  12. Astigmatic power J0 Visit 3

    J0 assessed through subjective refraction and expressed in vector form

    Measured: Final reassessment at study visit 3 around 3-6 months after the second eye cataract IOL replacement surgery

  13. Astigmatic power J45 Visit 1

    J45 assessed through subjective refraction and expressed in vector form

    Measured: Baseline assessment will be carried out at study visit 1 before the cataract surgery

  14. Astigmatic power J45 Visit 2

    J45 assessed through subjective refraction and expressed in vector form

    Measured: First reassessment will be carried out at study visit 2 around 3-6 months after the first cataract IOL replacement surgery

  15. Astigmatic power J45 Visit 3

    J45 assessed through subjective refraction and expressed in vector form

    Measured: Final reassessment at study visit 3 around 3-6 months after the second eye cataract IOL replacement surgery

  16. Contrast sensitivity Visit 1

    Contrast sensitivity measured in log units

    Measured: Baseline assessment will be carried out at study visit 1 before the cataract surgery

  17. Contrast sensitivity Visit 2

    Contrast sensitivity measured in log units

    Measured: First reassessment will be carried out at study visit 2 around 3-6 months after the first cataract IOL replacement surgery

  18. Contrast sensitivity Visit 3

    Contrast sensitivity measured in log units

    Measured: Final reassessment at study visit 3 around 3-6 months after the second eye cataract IOL replacement surgery

  19. Rotation of IOL at visit 1

    Rotation of IOL relative to operation

    Measured: Baseline assessment will be carried out at study visit 1 before the cataract surgery

  20. Rotation of IOL at visit 2

    Rotation of IOL relative to operation

    Measured: First assessment will be carried out at study visit 2 around 3-6 months after the first cataract IOL replacement surgery

  21. Rotation of IOL at visit 3

    Rotation of IOL relative to Operation

    Measured: Final reassessment at study visit 3 around 3-6 months after the second eye cataract IOL replacement surgery

  22. Tilt of IOL at Visit 1

    Tilt of IOL assessed using image analysis

    Measured: Baseline assessment will be carried out at study visit 1 before the cataract surgery

  23. Tilt of IOL at Visit 2

    Tilt of IOL assessed using image analysis

    Measured: assessment at study visit 3 around 3-6 months after the second eye cataract IOL replacement surgery

  24. Tilt of IOL at Visit 3

    Tilt of IOL assessed using image analysis

    Measured: assessment at study visit 3 around 3-6 months after the second eye cataract IOL replacement surgery

  25. Centration of IOL at Visit 1

    Centration of IOL assessed using image analysis

    Measured: Baseline assessment will be carried out at study visit 1 before the cataract surgery

  26. Centration of IOL at Visit 2

    Centration of IOL assessed using image analysis

    Measured: assessment at study visit 2 around 3-6 months after the first eye cataract IOL replacement surgery

  27. Centration of IOL at Visit 3

    Centration of IOL assessed using image analysis

    Measured: assessment at study visit 3 around 3-6 months after the second eye cataract IOL replacement surgery

  28. Fear of falling

    Fear of falling measured using revised fear of falling questionnaire (FFR)

    Measured: Baseline assessment will be carried out at study visit 1 before the cataract surgery

  29. Fear of falling

    Fear of falling measured using revised fear of falling questionnaire (FFR)

    Measured: assessment at study visit 2 around 3-6 months after the first eye cataract IOL replacement surgery

  30. Fear of falling

    Fear of falling measured using revised fear of falling questionnaire (FFR)

    Measured: assessment at study visit 3 around 3-6 months after the second eye cataract IOL replacement surgery

  31. Risk of fall

    Risk of fall in daily activities measured by Short Fall Efficacy Scale Questionnaire (Short FFS-I)

    Measured: Baseline assessment will be carried out at study visit 1 before the cataract surgery

  32. Risk of fall

    Risk of fall in daily activities measured by Short Fall Efficacy Scale Questionnaire (Short FFS-I)

    Measured: assessment at study visit 2 around 3-6 months after the first eye cataract IOL replacement surgery

  33. Risk of fall

    Risk of fall in daily activities measured by Short Fall Efficacy Scale Questionnaire (Short FFS-I)

    Measured: assessment at study visit 3 around 3-6 months after the second eye cataract IOL replacement surgery

  34. Cataract related quality of life

    Using Catract patient reported outcome measure CAT-PROM5 questionnaire

    Measured: Baseline assessment will be carried out at study visit 1 before the cataract surgery

  35. Cataract related quality of life

    Using Catract patient reported outcome measure CAT-PROM5 questionnaire

    Measured: assessment at study visit 2 around 3-6 months after the first eye cataract IOL replacement surgery

  36. Cataract related quality of life

    Using Catract patient reported outcome measure CAT-PROM5 questionnaire

    Measured: assessment at study visit 3 around 3-6 months after the second eye cataract IOL replacement surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Nov 2022
  2. Study start12 Jan 2024
  3. Primary completion30 Dec 2024 (estimated)
  4. Study completion31 Jul 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
randomised control trial
Masking
Single blind
Who is masked
Investigator
Enrolment
140 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05629078
Sponsor's protocol ID
286913
Status last verified
Mar 2024
First submitted
4 Mar 2021
Last updated
28 Mar 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: no plan to share IPD

Questions about this trial

What is this clinical trial studying?

A study testing Toric intraocular lens Zeiss AT TORBI in people with Cataract Bilateral and Astigmatism Bilateral, run by University of Plymouth at 1 site in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 28 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Sherrie T Choy, MSc (07903692005, sherrie.choy@plymouth.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Jerk from the centre of mass Visit 1 (time frame: Baseline assessment will be carried out at study visit 1 before the cataract surgery). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Mar 2024.

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