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Lens DiseasesNCT07321756

Evaluating Presbyopia-Correcting IOLs in Complex Cataract Cases With Anterior Segment Abnormalities

A study testing Unilateral Posterior Chamber Implantation of Presbyopia-Correcting IOL and Unilateral Posterior Chamber Implantation of Monofocal IOL in people with Lens Diseases, run by Second Affiliated Hospital, Zhejiang University, School of Medicine at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of cataract surgery has evolved from simply restoring sight to providing clear and comfortable full-range vision. Traditionally, monofocal IOLs remain the routine choice for special cases with anterior segment abnormalities-such as lens subluxation, cataract with chronic uveitis, post-laser refractive… Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Lens Diseases
What is being tested?
Unilateral Posterior Chamber Implantation of Presbyopia-Correcting IOL and Unilateral Posterior Chamber Implantation of Monofocal IOL
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
320 participants
Where
1 siteChina
Study dates
17 Nov 2025to 31 Dec 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Lens Subluxation Unilateral Implantation Group
  • Patients aged 18-80 years with diagnosed lens subluxation meeting surgical indications for lens surgery, enrolled unilaterally;
  • Informed consent for the study;
  • Ability to comply with full follow-up;
  • Kappa angle <0.5 mm, total higher-order aberration root mean square (HOA RMS) within the central 4-mm corneal zone <1 μm;
  • Mesopic natural pupil diameter between 3.0 mm and 5.5 mm;
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  • Expected postoperative astigmatism ≤1.0 D, with target spherical equivalent between 0.00 D and ±0.75 D;
  • Subjective desire to improve full-range visual function.
  • Inactive Long-standing Anterior Uveitis with Cataract Unilateral Implantation Group
  • Patients aged 18-80 years with diagnosed inactive long-standing anterior uveitis (quiet for ≥3 months) and cataract meeting surgical indications for lens surgery, enrolled unilaterally;
  • Centered pupil without significant deformity, with expected postoperative mesopic natural pupil diameter between 2.5 mm and 5.5 mm;
  • Informed consent for the study;
  • Ability to comply with full follow-up;
  • Kappa angle <0.5 mm, total higher-order aberration root mean square (HOA RMS) within the central 4-mm corneal zone <1 μm;
  • Expected postoperative astigmatism ≤1.0 D, with target spherical equivalent between 0.00 D and ±0.75 D;
  • Subjective desire to improve full-range visual function.
  • Post-myopic Laser Corneal Surgery with Cataract Unilateral Implantation Group
  • Patients aged 18-80 years with cataract following prior myopic laser corneal surgery meeting surgical indications for lens surgery, enrolled unilaterally;
  • Informed consent for the study;
  • Ability to comply with full follow-up;
  • Kappa angle <0.5 mm, total higher-order aberration root mean square (HOA RMS) within the central 4-mm corneal zone <1 μm;
  • Mesopic natural pupil diameter between 3.0 mm and 5.5 mm;
  • Expected postoperative astigmatism ≤1.0 D, with target spherical equivalent between 0.00 D and ±0.75 D;
  • Subjective desire to improve full-range visual function.
  • Aphakia with Insufficient Residual Capsular Support Unilateral Implantation Group
  • Patients aged 18-80 years with aphakia and insufficient residual capsular support meeting surgical indications for IOL implantation, enrolled unilaterally;
  • Informed consent for the study;
  • Ability to comply with full follow-up;
  • Kappa angle <0.5 mm, total higher-order aberration root mean square (HOA RMS) within the central 4-mm corneal zone <1 μm;
  • Mesopic natural pupil diameter between 3.0 mm and 5.5 mm;
  • Expected postoperative astigmatism ≤1.0 D, with target spherical equivalent between 0.00 D and ±0.75 D;
  • Subjective desire to improve full-range visual function.

Who cannot join

  • Lens Subluxation Unilateral Implantation Group
  • Patients with coexisting ocular developmental anomalies such as microphthalmos or microcornea.
  • Patients with severe or progressive ocular diseases (e.g., glaucoma, diabetic retinopathy, macular degeneration) or severe optic nerve disorders.
  • Patients with other organic ocular pathologies, including pathologic high myopia with fundus changes, significant pupillary abnormalities (excessively large or small pupils), severe corneal disease or scarring, high irregular astigmatism, chronic uveitis, or severe amblyopia.
  • Patients with lens disorders other than subluxation and cataract.
  • Patients experiencing intraoperative complications that may affect IOL position and outcome (e.g., posterior capsule rupture, iris prolapse)
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  • Patients with a history of prior ocular surgery such as corneal refractive laser surgery, glaucoma surgery, or vitrectomy.
  • Inactive Long-standing Anterior Uveitis with Cataract Unilateral Implantation Group
  • Patients with active systemic autoimmune diseases, or any systemic disease history or medication use known to significantly affect vision.
  • Patients with coexisting ocular developmental anomalies such as microphthalmos or microcornea.
  • Patients with severe or progressive ocular diseases (e.g., glaucoma, diabetic retinopathy, macular degeneration) or severe optic nerve disorders.
  • Patients with other organic ocular pathologies, including pathologic high myopia with fundus changes, severe corneal disease or scarring, high irregular astigmatism, active uveitis, significant abnormalities of the lens capsule or zonules, or severe amblyopia.
  • Patients experiencing intraoperative complications that may affect IOL position and outcome (e.g., posterior capsule rupture, iris prolapse).
  • Patients with a history of prior ocular surgery such as corneal refractive laser surgery, glaucoma surgery, or vitrectomy.
  • Post-myopic Laser Corneal Surgery with Cataract Unilateral Implantation Group
  • Patients with coexisting ocular developmental anomalies such as microphthalmos or microcornea.
  • Patients with severe or progressive ocular diseases (e.g., glaucoma, diabetic retinopathy, macular degeneration) or severe optic nerve disorders.
  • Patients with other organic ocular pathologies, including pathologic high myopia with fundus changes, significant pupillary abnormalities (excessively large or small pupils), severe corneal disease, high irregular astigmatism, chronic uveitis, significant abnormalities of the lens capsule or zonules, or severe amblyopia.
  • Patients experiencing intraoperative complications that may affect IOL position or outcome (e.g., posterior capsule rupture, iris prolapse).
  • Patients with a history of prior ocular surgery such as glaucoma surgery or vitrectomy.
  • Aphakia with Insufficient Residual Capsular Support Unilateral Implantation Group
  • Patients with coexisting ocular developmental anomalies such as microphthalmos or microcornea.
  • Patients with severe or progressive ocular diseases (e.g., glaucoma, diabetic retinopathy, macular degeneration) or severe optic nerve disorders.
  • Patients with other organic ocular pathologies, including pathologic high myopia with fundus changes, significant pupillary abnormalities (excessively large or small pupils), severe corneal disease or scarring, high irregular astigmatism, chronic uveitis, or severe amblyopia.
  • Patients experiencing intraoperative complications that may affect IOL position or outcome (e.g., iris prolapse).
  • Patients with a history of prior ocular surgery such as corneal refractive laser surgery, glaucoma surgery, or posterior vitrectomy.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • Second Affiliated Hospital, Zhejiang University School of Medicine

    Hangzhou, Zhejiang

    Wen Xu, Phd, 86+ 13858185223, xuwen2003@zju.edu.cn

    Recruiting

Other trials in China

About this study

Official title: Clinical Study on the Application of Presbyopia-correcting Intraocular Lenses in the Surgery of Cataract Patients With Combined Anterior Segment Structural Abnormalities

The goal of cataract surgery has evolved from simply restoring sight to providing clear and comfortable full-range vision. Traditionally, monofocal IOLs remain the routine choice for special cases with anterior segment abnormalities-such as lens subluxation, cataract with chronic uveitis, post-laser refractive cataract, and aphakia with insufficient capsular support. However, there is a growing demand among these patients for improved visual quality and spectacle independence.Currently, various presbyopia-correcting IOLs offer distinct advantages, providing more personalized options. The introduction and application of intraoperative optical coherence tomography (iOCT) ensures effective intraoperative monitoring. These advances make the precise implantation of presbyopia-correcting IOLs a promising extension to phacoemulsification in complex cataracts with anterior segment abnormalities.

Nevertheless, their exact benefits regarding visual quality, safety, and patient satisfaction require systematic evaluation through rigorous prospective studies and long-term follow-up. Under strict perioperative management, this study will employ iOCT to monitor the accurate implantation of presbyopia-correcting IOLs and will assess postoperative visual quality and patient satisfaction.

Read the detailed description

With the evolution of refractive cataract surgery, the goal of treatment has progressed from simple visual rehabilitation to providing clear and comfortable full-range vision through the implantation of functional intraocular lenses (IOLs). Traditionally, monofocal IOLs have been the standard choice for patients with anterior segment abnormalities-such as lens subluxation, cataract with a history of chronic anterior uveitis, post-laser refractive surgery cataract, or aphakia with insufficient capsular support-to minimize adverse optical outcomes. However, these patients, who span a broad age range, increasingly desire high postoperative visual quality and reduced spectacle dependence. Modern presbyopia-correcting IOLs offer advantages in material properties, structural design, and optical performance, improving biocompatibility and reducing visual disturbances such as glare and halos, thereby expanding personalized options. The integration of intraoperative optical coherence tomography (iOCT) further enhances the precision and safety of IOL implantation.

Based on these advancements, the precise implantation of presbyopia-correcting IOLs holds promise for complex cataract cases with anterior segment abnormalities. Nevertheless, their efficacy, safety, and impact on patient satisfaction require systematic evaluation through well-designed prospective studies. This prospective study aims to assess the clinical outcomes of precisely implanted presbyopia-correcting IOLs in patients with complex cataract and anterior segment structural abnormalities, including lens subluxation, chronic anterior uveitis, post-refractive surgery status, and aphakia with inadequate capsular support. Utilizing iOCT for real-time monitoring of anterior segment anatomy, capsular stability, and effective lens position (ELP) during surgery, the study will compare visual quality, safety parameters, and patient satisfaction between presbyopia-correcting IOLs and conventional monofocal IOLs, providing evidence to support individualized IOL selection in this population.

Conditions
Lens Diseases
Being tested
Unilateral Posterior Chamber Implantation of Presbyopia-Correcting IOL, Unilateral Posterior Chamber Implantation of Monofocal IOL
Medical subject headings
Lens Diseases

What participants receive

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

  • Unilateral Posterior Chamber Implantation of Presbyopia-Correcting IOLProcedure or surgery

    Based on the specific characteristics and needs of each of the four patient groups, a suitable presbyopia-correcting IOL will be selected and precisely implanted unilaterally in the posterior chamber.

  • Unilateral Posterior Chamber Implantation of Monofocal IOLProcedure or surgery

    Each control group will undergo unilateral posterior chamber implantation of the same-brand monofocal IOL as used in the experimental group, following conventional selection criteria.

Study groups in NCT07321756
Study groupRoleWhat they receive
Unilateral Posterior Chamber Presbyopia-Correcting IOL Implantation GroupExperimentalThis arm includes four cohorts of cataract patients with different types of anterior segment structural abnormalities: the lens subluxation group, the chronic anterior uveitis with cataract group, the post-myopic laser corneal surgery with cataract group, and the aphakia with insufficient capsular support group. Patients in each group will undergo unilateral posterior chamber implantation of a suitable type of presbyopia-correcting IOL based on their individual characteristics.
Receives: Procedure: Unilateral Posterior Chamber Implantation of Presbyopia-Correcting IOL
Unilateral Posterior Chamber Monofocal IOL Implantation GroupActive comparatorThis arm includes four cohorts of cataract patients with different types of anterior segment structural abnormalities: the lens subluxation group, the chronic anterior uveitis with cataract group, the post-myopic laser corneal surgery with cataract group, and the aphakia with insufficient capsular support group. Patients in each control group will undergo unilateral posterior chamber implantation of a monofocal IOL of the same brand as that used in the experimental group.
Receives: Procedure: Unilateral Posterior Chamber Implantation of Monofocal IOL

What is being measured

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

  1. Uncorrected Distance Visual Acuity (UDVA)

    Visual acuity measured at distance(at 5m) without correction.

    Measured: Preoperatively, and postoperatively at 1 day, 1 week, 1 month, and 3 months.

  2. Effective Lens Position (ELP)

    ELP determined by IOLMaster 700, anterior segment optical coherence tomography (AS-OCT), and anterior segment photography.

    Measured: Baseline, and postoperatively at 1 month, and 3 months

  3. Contrast sensitivity (at 2.5 m)

    Uncorrected binocular contrast sensitivity was recorded under mesopic, mesopic with glare, photopic, and photopic with glare conditions at spatial frequencies of 3, 6, 12, and 19 cpd.)

    Measured: Preoperatively, and postoperatively at 1 week, 1 month, and 3 months

  4. Defocus curve (at 5 m)

    Defocus curves were obtained monocularly and binocularly under uncorrected vision with a micro-monovision setup. Acuity was recorded across 13 refractive intervals from +2.00 D to -4.00 D in 0.50 D decrements.

    Measured: Preoperatively, and postoperatively at 1 month and 3 months

  5. Optical visual quality

    Visual symptoms (glare/halos/starburst) assessed via QoV questionnaire

    Measured: Postoperatively at 1 week, 1 month, and 3 months

  6. Visual Function Assessment

    Visual Function Index-14 Chinese Version (VF-14-CN) Questionnaire

    Measured: Postoperatively at 1 week, 1 month, and 3 months

  7. Best Corrected Visual Acuity (BCVA)

    Best Corrected Visual Acuity at distance (at 5m)

    Measured: Preoperatively, and postoperatively at 1 day, 1 week, 1 month, and 3 months

  8. Uncorrected Intermediate Visual Acuity (UIVA)

    Uncorrected visual acuity (UCVA) at intermediate.

    Measured: Preoperatively, and postoperatively at 1 day, 1 week, 1 month, and 3 months

  9. Uncorrected Near Visual Acuity (UNVA)

    Uncorrected visual acuity (UCVA) at near (at 40 cm).

    Measured: Preoperatively, and postoperatively at 1 day, 1 week, 1 month, and 3 months

Secondary outcomes (7)
  1. Intraocular pressure (IOP)

    Intraocular pressure (IOP) measured by non-contact tonometer.(mmHg)

    Measured: Preoperatively, and postoperatively at 1 day, 1 week, 1 month, and 3 months

  2. Pupil Diameter

    Measuring Pupil Diameter

    Measured: Preoperatively, and postoperatively at 1 day, 1 week, 1 month, and 3 months

  3. Ocular B-scan ultrasound

    Measured: Preoperatively, and postoperatively at 1 month and 3 months

  4. Dry Eye Assessment

    Dry eye assessment via Tear Film Break-Up Time (TFBUT)

    Measured: Preoperatively, and postoperatively at1 week, 1 month, and 3 months

  5. Fundus assessment

    Fundus assessment via fundus photography and macular optical coherence tomography (OCT).

    Measured: Preoperatively, and postoperatively at 1 week, 1 month, and 3 months

  6. Endothelial cell density

    Endothelial cell density(%)

    Measured: Preoperatively and postoperatively 1 month

  7. Frequency of using glasses

    Frequency ratings for the use of corrective glasses at a distance, medium range, and close range.

    Measured: Postoperatively at 1 week, 1 month, and 3 months

Timeline

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

  1. First posted7 Jan 2026
  2. Study start17 Nov 2025
  3. Primary completion31 Dec 2029 (estimated)
  4. Study completion31 Dec 2029 (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
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
320 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07321756
Sponsor's protocol ID
2025-1077
Status last verified
Dec 2025
First submitted
7 Dec 2025
Last updated
7 Jan 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Unilateral Posterior Chamber Implantation of Presbyopia-Correcting IOL and Unilateral Posterior Chamber Implantation of Monofocal IOL in people with Lens Diseases, run by Second Affiliated Hospital, Zhejiang University, School of Medicine at 1 site in China.

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 32 inclusion and 26 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: looking for participants now, as of the sponsor's last update on 7 Jan 2026. 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 China. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Wen Xu, Phd (86+13858185223, xuwen2003@zju.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Uncorrected Distance Visual Acuity (UDVA) (time frame: Preoperatively, and postoperatively at 1 day, 1 week, 1 month, and 3 months.). The study lists 9 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 7 Jan 2026.

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