Using the VisuMax Femtosecond Laser System to Perform SMILE Optimized for Presbyopia by Modulation of Postoperative Spherical Aberration
1 other identifier
interventional
53
1 country
1
Brief Summary
The intended purpose of the investigational device in the study is the correction of myopia and myopia with astigmatism in the CE (Conformité Européene) approved range and optimized for presbyopic patients using the treatment option HiSMILE, installed on the VisuMax femtosecond laser.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2023
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 21, 2022
CompletedFirst Posted
Study publicly available on registry
January 13, 2023
CompletedStudy Start
First participant enrolled
October 13, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2026
CompletedOctober 18, 2023
October 1, 2023
2.3 years
December 21, 2022
October 16, 2023
Conditions
Outcome Measures
Primary Outcomes (3)
Performance
Percentage of eyes with ocular spherical aberration within the therapeutic range of 0.3 to 0.6 μm (Optical Society of America notation at 6 mm analysis diameter) at 3 months.
3 Months
Performance
Percentage of eyes with ocular spherical aberration within the therapeutic range of 0.3 to 0.6 μm (Optical Society of America notation at 6 mm analysis diameter) at 12 months.
12 Months
Safety Outcome
Percentage of eyes with loss of 2 lines (10 letters) or more of Corrected Distance Visual Acuity (CDVA) at 3 months postoperative compared to the baseline visit
3 Months
Study Arms (1)
HiSMILE treatment option
OTHERHiSMILE treatment option
Interventions
The non-CE labeled VisuMax treatment option HiSMILE is able to modify the lenticule shape in a way that should lead to a change in spherical aberration postoperatively.
Eligibility Criteria
You may qualify if:
- Presence of myopia up to -10.00 D with or without astigmatism up to 5.00 D and a maximum spherical equivalent of -12.50 D (SMILE CE approved range)
- Age of 40 years or older
- Presence of presbyopia
- Patients able to receive a refractive correction in both eyes and in addition a compensation of presbyopia, in which one eye should be targeted for far vision and one eye should be targeted for near vision
- Pre-operative CDVA of 20/25 or better in each eye as well as a Distance Corrected Near Visual Acuity (DCNVA) of 20/25 (J2) or worse
- Target refraction of the near eye between -0.50 D to -1.75 D
- Acceptance of anisometropia (no visual discomfort or disturbances during the Acceptance Test before surgery, eye intended for near vision determined during this test)
- Compliance with follow-up visits and examinations
You may not qualify if:
- Presence of at least one of the contraindications stated in the User Manual of the VisuMax option SMILE or in the Surgical Information Package provided to the patient by the London Vision Clinic before surgery
- Hyperopic refraction
- Mixed astigmatism refraction
- Emmetropic eyes, defined as spherical equivalent refraction \<-0.88 D, maximum hyperopia ≤+1.00 D and cylinder \<1.25 D
- Patients presenting any kind of amblyopia
- Previous intraocular or corneal surgery
- Participation in other ophthalmologic or pharmaceutical studies
- Women during pregnancy and/or lactation
- Patients whose freedom is impaired by administrative or legal order
- Persons incapable of giving consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
London Vision Clinic
London, W1G 7LA, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Dan Reinstein
London Vision Clinic
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Medical Director
Study Record Dates
First Submitted
December 21, 2022
First Posted
January 13, 2023
Study Start
October 13, 2023
Primary Completion
February 1, 2026
Study Completion
February 1, 2026
Last Updated
October 18, 2023
Record last verified: 2023-10
Data Sharing
- IPD Sharing
- Will not share