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CataractELVIRA4NCT05376917

Quality of Life Evaluation After Cataract Surgery Using 4 Types of Intraocular Lens Implant Combinations

A study testing Zeiss CT Asphina / Zeiss CT Asphina, Zeiss AT Lara/ Zeiss AT Lisa Tri and Zeiss CT Asphina/ Zeiss AT Lara in people with Cataract and Intraocular Lens Implant, run by Centre Hospitalier Régional Metz-Thionville at 2 sites in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is multicenter, prospective, comparative and randomized study focusing on the evolution of the quality of Life and Uncorrected Binocular Visual Acuity (UBVA) evaluation at 3 months after cataract surgery in patients who underwent 4 different types of intraocular lens Implant (IOL) combinations. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cataract, Intraocular Lens Implant
What is being tested?
Zeiss CT Asphina / Zeiss CT Asphina, Zeiss AT Lara/ Zeiss AT Lisa Tri and Zeiss CT Asphina/ Zeiss AT Lara
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
200 participants
Where
2 sitesFrance
Study dates
30 Jan 2023to 21 May 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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient suffering from bilateral cataract and undergoing cataract surgery
  • Patient with preoperative visual acuity ≤ 8/10th Monoyer (≥+ 0.1 logMar) in each eye
  • Patient with nuclear color (NC), cortical (C) or posterior capsule opacity (P) cataract of normal to severe density in the Lens Opacities Classification System III (LOCSIII)
  • Patient with cortical cataracts classified C1 to C5
  • Patient with cataracts classified as nuclear opalescence (NO)1 to NO4 and nuclear color (NC)1 to NC4
  • Patient with posterior capsule opacity cataracts classified as grade 5 (P1-P5)
  • Patient affiliated to a social security scheme
  • Patient having given written consent

Who cannot join

  • Patient with biometrics ≤ 17 Diopters (D) and ≥ 28D
  • Patient with a history (ATCD) of refractive surgery
  • Patient with ATCD intraocular surgery
  • Patient with ATCD strabismus
  • Patient with amblyopia
  • Patient with monophthalmos
Show all 23Show fewer
  • Patient with age-related macular degeneration (AMD)
  • Patient with glaucoma
  • Patient with diabetic retinopathy or maculopathy
  • Patient with progressive or old ocular inflammatory disease
  • Patient presenting with a very dense nuclear cataract (Stage NO5-6, NC5-6 on the LOCSIII classification), sources of preoperative complication
  • Patient with keratoconus
  • Patient with pseudoexfoliative syndrome
  • Patient with pigment dispersion
  • Patient with traumatic cataract
  • Patient with astigmatism conforming to the rule > 1.5 Diopters (D) or inverse to the rule > 1 Diopter (D)
  • Patient with abnormal ocular morphology
  • Patient with abnormal keratometry
  • Insulin-dependent diabetics and/or diabetics with retinal complications
  • Pregnant or breastfeeding women
  • Patient under legal protection (guardianship, curators, safeguard of justice)
  • Person deprived of liberty
  • Patient wishing to see near or far exclusively

Trial locations and contacts

2 sites in 1 country.

France2 sites
  • CHR Metz-Thionville/Hopital de Mercy

    Metz, 57085

  • CHR Metz-Thionville_Hopital Bel Air

    Metz, 57085

Other trials in France

About this study

Official title: Quality of Life and Uncorrected Binocular Visual Acuity (UBVA) Evaluation in Patients Undergoing Cataract Surgery Using 4 Different Types of Lens Implant Combinations: a Multicenter, Prospective, Comparative and Randomized Study

This is multicenter, prospective, comparative and randomized study focusing on the evolution of the quality of Life and Uncorrected Binocular Visual Acuity (UBVA) evaluation at 3 months after cataract surgery in patients who underwent 4 different types of intraocular lens Implant (IOL) combinations.

Read the detailed description

Cataract, linked to the loss of transparency of the lens, is the leading cause of blindness in the world. It requires exclusively surgical treatment. Cataract surgery by ultrasonic phacoemulsification is the most common surgical procedure in France (800,000/year). The lens is removed and replaced with an artificial intraocular lens.

There are different types of implants that can be used. The simplest is the monofocal implant which is implanted in such a way as to correct "only far or near vision". For near vision or vice versa, it is therefore necessary to wear corrective lenses after the operation. A technique that eliminates the need for distance and near correction is based on monovision. This is a presbyopia compensation technique that aims to induce a slight myopization of one eye for near vision (usually the dominated eye) the other eye being intended for distance vision (dominant eye). There is therefore a difference in correction and perception of the images. Depending on the fixed distance, one eye will see sharp, the other less clear, even blurry. This difference can lead to a reduction in the perception of relief.

Other methods of compensating for presbyopia include the use of so-called multifocal or extended depth of field implants; they are also not devoid of sometimes annoying side effects (in particular possible halos around light sources at night) which can lead in rare cases to the removal of the intraocular lens.

However, patient requirements in terms of comfort of vision and independence from glasses are increasingly high and patients themselves are increasingly informed of the existence of multifocal implants. The choice of the intraocular implant to use is therefore a real challenge, especially since patients are often still active on a professional level.

Moreover, there is a lack of scientific consensus related to the choice of implants, during a surgical treatment of cataract lenses by phakoexeresis, for otherwise healthy eyes and in a subject wishing to no longer wear glasses postoperatively. . Different studies have emerged comparing the bilateral implantation of different types of multifocal implants with each other, but there is little work concerning mixed batches of "mix - match" implants.

Being tested
Zeiss CT Asphina / Zeiss CT Asphina, Zeiss AT Lara/ Zeiss AT Lisa Tri, Zeiss CT Asphina/ Zeiss AT Lara, Zeiss AT Lara / Zeiss AT Lara
Medical subject headings
Cataract

What participants receive

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

  • Zeiss CT Asphina / Zeiss CT AsphinaDevice

    Monovision with refractive target of -1.50D on the dominated eye

  • Zeiss AT Lara/ Zeiss AT Lisa TriDevice

    Zeiss AT Lara (dominant eye) / Zeiss AT Lisa Tri (non-dominant eye)

  • Zeiss CT Asphina/ Zeiss AT LaraDevice

    Zeiss CT Asphina/ Zeiss AT Lara (non-dominant eye)

  • Zeiss AT Lara / Zeiss AT LaraDevice

    Micromonovision with refractive target of -0.75D on the non-dominant eye

Study groups in NCT05376917
Study groupRoleWhat they receive
Zeiss CT Asphina / Zeiss CT AsphinaExperimentalMonovision with refractive target of -1.50 Diopters (D) on the dominated eye
Receives: Device: Zeiss CT Asphina / Zeiss CT Asphina
Zeiss AT Lara/ Zeiss AT Lisa TriExperimentalZeiss AT Lara (dominant eye) / Zeiss AT Lisa Tri (non-dominant eye)
Receives: Device: Zeiss AT Lara/ Zeiss AT Lisa Tri
Zeiss CT Asphina/ Zeiss AT LaraExperimentalZeiss CT Asphina/ Zeiss AT Lara (non-dominant eye)
Receives: Device: Zeiss CT Asphina/ Zeiss AT Lara
Zeiss AT Lara / Zeiss AT LaraExperimentalMicro-monovision with refractive target of -0.75 Diopters (D) on the non-dominant eye
Receives: Device: Zeiss AT Lara / Zeiss AT Lara

What is being measured

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

  1. National Eye Institute Visual Functioning Questionnaire - 25 (NEI VFQ-25) questionnaire score before cataract surgery

    Quality of life score is obtained using the National Eye Institute Visual Functioning Questionnaire - 25 (NEI VQF-25) questionnaire score and measured before intervention.

    NEI VFQ-25 questionnaire measures the dimensions of self-reported vision-targeted health status that are most important for persons who have chronic eye diseases.

    The Visual Function Questionnaire (VFQ-25) consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points (100 is the best score), respectively.

    Measured: Few days before surgery

  2. National Eye Institute Visual Functioning Questionnaire - 25 (NEI VFQ-25) questionnaire score 3 months after surgery

    Quality of life score is obtained using the National Eye Institute Visual Functioning Questionnaire - 25 (NEI VQF-25) questionnaire score and measured 3 months after intervention.

    NEI VFQ-25 questionnaire measures the dimensions of self-reported vision-targeted health status that are most important for persons who have chronic eye diseases.

    The Visual Function Questionnaire-25 (VFQ-25) consists of a base set of 25 vision-targeted questions representing 11 vision-related constructs, plus an additional single-item general health rating question. All items are scored so that a high score represents better functioning. Each item is then converted to a 0 to 100 scale so that the lowest and highest possible scores are set at 0 and 100 points (100 is the best score), respectively.

    Measured: 3 months after surgery

Secondary outcomes (20)
  1. Uncorrected binocular visual acuity for far vision measured before intervention

    Uncorrected binocular visual acuity for distance vision is measured before intervention using Monoyer scale for far vision, scores ranging from 1 to 10, higher scores mean a better outcome; score 10 is the best.

    Measured: Few days before surgery

  2. Uncorrected binocular visual acuity for intermediate vision measured before intervention

    Uncorrected binocular visual acuity is measured before intervention using Parinaud scale for intermediate vision.

    The Parinaud scale ranges from Parinaud 14 (P 14) (lowest score) to Parinaud 1.5 (P 1.5) (best score).

    Measured: Few days before surgery

  3. Uncorrected binocular visual acuity for near vision measured before intervention

    Uncorrected binocular visual acuity is measured before intervention using Parinaud scale for near vision.

    The Parinaud scale ranges from Parinaud 14 (P 14) (lowest score) to Parinaud 1.5 (P 1.5) (best score).

    Measured: Few days before surgery

  4. Uncorrected binocular visual acuity for far vision measured 4 days postoperatively

    Uncorrected binocular visual acuity for far vision is measured 4 days postoperatively using Monoyer scale for far vision, scores ranging from 1 to 10, higher scores mean a better outcome; score 10 is the best.

    Measured: 4 days after surgery

  5. Uncorrected binocular visual acuity for intermediate vision measured 4 days postoperatively

    Uncorrected binocular visual acuity for intermediate vision is measured 4 days postoperatively using Parinaud scale.

    The Parinaud scale ranges from Parinaud 14 (P 14) (lowest score) to Parinaud 1.5 (P 1.5) (best score).

    Measured: 4 days after surgery

  6. Uncorrected binocular visual acuity for far vision measured 1 month postoperatively

    Uncorrected binocular visual acuity is measured 1 month after surgery using Monoyer scale for far vision, scores ranging from 1 to 10, higher scores mean a better outcome; score 10 is the best.

    Measured: 1 month after surgery

  7. Uncorrected binocular visual acuity for intermediate vision measured 1 month postoperatively

    Uncorrected binocular visual acuity is measured 1 month after surgery using Parinaud scale.

    The Parinaud scale ranges from Parinaud 14 (P 14) (lowest score) to Parinaud 1.5 (P 1.5) (best score).

    Measured: 1 month after surgery

  8. Uncorrected binocular visual acuity for near vision measured 1 month postoperatively

    Uncorrected binocular visual acuity is measured 1 month after surgery using Parinaud scale.

    The Parinaud scale ranges from Parinaud 14 (P 14) (lowest score) to Parinaud 1.5 (P 1.5) (best score).

    Measured: 1 month after surgery

  9. Uncorrected binocular visual acuity for far vision measured 3 months postoperatively

    Uncorrected binocular visual acuity is measured 3 months after surgery using Monoyer scale for far vision, scores ranging from 1 to 10, higher scores mean a better outcome; score 10 is the best.

    Measured: 3 months after surgery

  10. Uncorrected binocular visual acuity for intermediate vision measured 3 months postoperatively

    Uncorrected binocular visual acuity for intermediate vision is measured 3 months after surgery using Parinaud scale.

    The Parinaud scale ranges from Parinaud 14 (P 14) (lowest score) to Parinaud 1.5 (P 1.5) (best score).

    Measured: 3 months after surgery

  11. Uncorrected binocular visual acuity for near vision measured 3 months postoperatively

    Uncorrected binocular visual acuity for near vision is measured 3 months after surgery using Parinaud scale.

    The Parinaud scale ranges from Parinaud 14 (P 14) (lowest score) to Parinaud 1.5 (P 1.5) (best score).

    Measured: 3 months after surgery

  12. Sunglasses wear frequency 3 months after surgery for far and near visions

    Frequency of wearing sunglasses in patients undergoing IOL implant surgery : permanently (yes/no) or occasionally (yes/no) for far and near visions

    Measured: 3 months after surgery

  13. Eye tonicity before surgery

    Eye pressure measurement millimeters of mercury (mmHg) before intervention

    Measured: Few days before surgery

  14. Eye tonicity 4 days postoperatively

    Eye pressure measurement millimeters of mercury (mmHg) 4 days postoperatively

    Measured: 4 days after surgery

  15. Eye tonicity 1 month postoperatively

    Eye pressure measurement millimeters of mercury (mmHg) 1 month postoperatively

    Measured: 1 month after surgery

  16. Eye tonicity 3 months postoperatively

    Eye pressure measurement millimeters of mercury (mmHg) 3 months postoperatively

    Measured: 3 months after surgery

  17. Slit lamp and Macular Optical coherence tomography (OCT) examination before surgery

    Presence of postoperative complications: Persistent lens mass (Yes/No); Tyndall effect (Yes/No) Hyphema (Yes/No); Irian hernia (Yes/No); Endophthalmitis (Yes/No); Implant dislocation (Yes/No)

    Measured: Few days before surgery

  18. Slit lamp and Macular OCT examination 4 days postoperatively

    Presence of postoperative complications: Persistent lens mass (Yes/No); Tyndall effect (Yes/No) Hyphema (Yes/No); Irian hernia (Yes/No); Endophthalmitis (Yes/No); Implant dislocation (Yes/No)

    Measured: 4 days after surgery

  19. Slit lamp and Macular OCT examination 1 month postoperatively

    Presence of postoperative complications: Persistent lens mass (Yes/No); Tyndall effect (Yes/No); Hyphema (Yes/No); Irian hernia (Yes/No); Endophthalmitis (Yes/No); Implant dislocation (Yes/No)

    Measured: 1 month after surgery

  20. Slit lamp and Macular OCT examination 3 months postoperatively

    Presence of postoperative complications: Persistent lens mass (Yes/No); Tyndall effect (Yes/No); Hyphema (Yes/No); Irian hernia (Yes/No); Endophthalmitis (Yes/No); Implant dislocation (Yes/No)

    Measured: 3 months after surgery

Timeline

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

  1. First posted17 May 2022
  2. Study start30 Jan 2023
  3. Primary completion21 May 2025
  4. Study completion21 May 2025

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
200 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05376917
Sponsor's protocol ID
2020-03-CHRMT
Acronym
ELVIRA4
Status last verified
May 2025
First submitted
28 Mar 2022
Last updated
28 May 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Zeiss CT Asphina / Zeiss CT Asphina, Zeiss AT Lara/ Zeiss AT Lisa Tri and Zeiss CT Asphina/ Zeiss AT Lara in people with Cataract and Intraocular Lens Implant, run by Centre Hospitalier Régional Metz-Thionville at 2 sites in France.

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 8 inclusion and 23 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: finished, as of the sponsor's last update on 28 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in France. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

National Eye Institute Visual Functioning Questionnaire - 25 (NEI VFQ-25) questionnaire score before cataract surgery (time frame: Few days before surgery). The study lists 2 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 May 2025.

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