Toric Performance And Constant Evaluation
PACE
Prospective Assessment of Constant Optimization and Visual Outcomes Following Monofocal Toric IOL Implantation
1 other identifier
interventional
130
4 countries
6
Brief Summary
The main purpose of this investigation is to support safety and performance assessment of the investigational device with a focus on optimizing the IOL constants based on refractive outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Jul 2026
6 active sites
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
March 10, 2026
CompletedFirst Posted
Study publicly available on registry
March 13, 2026
CompletedStudy Start
First participant enrolled
July 13, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 28, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
February 28, 2028
July 22, 2026
July 1, 2026
1.6 years
March 10, 2026
July 21, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Refractive predictability
Difference between predicted Manifest Refraction Spherical Equivalent and achieved Manifest Refraction Spherical Equivalent at the final postoperative visit: Percentage of first implanted eyes within ± 1.0 D
From preoperative visit to the final postoperative visit at twelve months
Secondary Outcomes (16)
Refractive outcomes
From preoperative visit to the final postoperative visit at twelve months
Refractive predictability
From preoperative visit to the final postoperative visit at twelve months
Reduction in cylindrical power
From preoperative visit to the final postoperative visit at twelve months
IOL Rotation
From preoperative visit to the final postoperative visit at twelve months
Stability of IOL axis orientation
Between 30 to 60 days and 120 to 180 days
- +11 more secondary outcomes
Other Outcomes (8)
Preservation of Corrected Distance Visual Acuity
12-Months Postoperatively
Contrast Sensitivity
Six-Months Postoperatively
Posterior Capsule Opacification
12-Months Postoperatively
- +5 more other outcomes
Study Arms (1)
Unilateral or bilateral implantation of investigational device
EXPERIMENTALInterventions
The device under investigation is a CE-approved monofocal bitoric, aspheric, aberration-correcting intraocular lens indicated for aphakia after surgical extraction of the cataractous natural lens and is also indicated for the correction of regular corneal astigmatism.
Eligibility Criteria
You may qualify if:
- Aged 18 years or older;
- Patients willing, able, and with sufficient cognitive awareness to comply with examination procedures and schedule for follow-up visits;
- Patients with clinically significant age-related cataract (cataract grades of 1, 2, 3 on the LOCSIII scale, but otherwise healthy, requiring surgical treatment, and scheduled for unilateral or bilateral phacoemulsification or Femtosecond-Laser-Assisted cataract surgery;
- Patients with existing regular corneal astigmatism of minimum 0.75 D in at least the first eye to be operated.
- Signed informed consent form;
- Corrected distance visual acuity projected to be better than 0.2 logMAR after the cataract surgery, as determined by Investigator's medical judgment;
- Calculated IOL power within the range of the investigational IOL; SE +18.0 D to +28.0 D (0.5 D Steps), and between a Cylinder range of +1.0 D to +2.5 D (0.5 D Steps);
- Dilated pupil size large enough to visualize TIOL axis markings postoperatively; at least 5.5mm;
- Clear intraocular media other than cataract.
You may not qualify if:
- Previous intraocular or corneal surgery in either eye that might confound the outcome of the study or increase the risk to the subject;
- Keratometric astigmatism (assessed by IOL Master) of minimum 0.75 D in the first eye
- Traumatic cataract;
- Pregnancy or lactation;
- Concurrent participation in another drug or device investigation within the last 30 days;
- Irregular astigmatism;
- Instability of keratometry or biometry measurements;
- Subjects wearing contact lenses as standard vision aid;
- Abnormal pupil;
- Any anterior segment pathology that could significantly affect outcomes (e.g. chronic or recurrent uveitis, iritis, aniridia, rubeosis iridis, etc.);
- History of concurrent intraocular inflammation;
- Abnormal corneal findings in either eye (e.g. keratoconus, pellucid marginal degeneration, or clinically significant corneal membrane dystrophies);
- History of any clinically significant retinal or ocular pathology or ocular diagnosis (e.g. diabetic retinopathy, ischemic diseases, macular degeneration, retinal detachment, optic neuropathy optic nerve atrophy, amblyopia, strabismus, microphthalmus, epiretinal membrane, Choroidal hemorrhage etc.) in the study eyes that could alter or limit final postoperative visual prognosis;
- Pseudoexfoliation syndrome (according to investigator judgement);
- Uncontrolled glaucoma or IOP higher than 24mmHg under ocular hypertension treatment;
- +7 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Carl Zeiss Meditec AGlead
- targomedGmbHcollaborator
Study Sites (6)
Oční klinikaO
Prague, Prague, 18100, Czechia
Oční Centrum Praha
Prague, Czechia
Universitätsklinikum Heidelberg
Heidelberg, 69120, Germany
PVK Precise Vision GmbH
Rheine, 48429, Germany
Ofatlivist Alicante
Alicante, 03001, Spain
Ayrshire Eye Clinic
Ayr, Ayrshire, KA7 2SP, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Gerd Auffarth, Dr. Med
University Hospital Heidelberg
- PRINCIPAL INVESTIGATOR
Andrea Janeková, MD, Ph.D
Eye Centre Prague
- PRINCIPAL INVESTIGATOR
Florian Kretz, MD
PVK Precise Vision GmbH
- PRINCIPAL INVESTIGATOR
Jiří Pašta, Doc.MUDr
Premium Clinic
- PRINCIPAL INVESTIGATOR
Satish Srinivasan, M.D
Ayrshire Eye Clinic
- PRINCIPAL INVESTIGATOR
Pedro Tañá, M.D
Oftalmología Vistahermosa S.L
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 10, 2026
First Posted
March 13, 2026
Study Start
July 13, 2026
Primary Completion (Estimated)
February 28, 2028
Study Completion (Estimated)
February 28, 2028
Last Updated
July 22, 2026
Record last verified: 2026-07