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CTRI Number  CTRI/2025/04/083817 [Registered on: 01/04/2025] Trial Registered Prospectively
Last Modified On: 18/03/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Single Arm Study 
Public Title of Study   Clinical outcomes after bilateral implantation of an Advanced Monofocal Intraocular Lens  
Scientific Title of Study   Visual and functional outcomes after bilateral implantation of an Enhanced monofocal Intraocular Lens targeted for Mini-Monovision 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  SUPRIYA SRIGANESH 
Designation  MS Ophthalmology, FPRS (Fellow in Phacorefractive Surgery)  
Affiliation  Nethradhama Superspeciality Eye Hopsital  
Address  Nethradhama Super Speciality Eye Hospital, Phacorefractive Department, OPD Division, Room number 202, 256/14, Kanakapura Rd, 7th Block, Jayanagar, Bengaluru Bangalore KARNATAKA 560041 India

Bangalore
KARNATAKA
560070
India 
Phone  8951027740  
Fax    
Email  dr.supriyasriganesh@nethradhama.org  
 
Details of Contact Person
Scientific Query
 
Name  NISHIKA JAIN 
Designation  MBBS, MS (Ophthalmology) 
Affiliation  Nethradhama Superspeciality Eye Hopsital  
Address  Nethradhama Super Speciality Eye Hospital, Phacorefractive Department, OPD Division, Room number 202, 256/14, Kanakapura Rd, 7th Block, Jayanagar, Bengaluru Bangalore KARNATAKA 560041 India

Bangalore
KARNATAKA
560070
India 
Phone  9712901438  
Fax    
Email  nishikajain@gmail.com  
 
Details of Contact Person
Public Query
 
Name  AKANKSHA SHARMA 
Designation  MBBS, MS (Ophthalmology) 
Affiliation  Nethradhama Superspeciality Eye Hopsital  
Address  Nethradhama Super Speciality Eye Hospital, Phacorefractive Department, OPD Division, Room number 202, 256/14, Kanakapura Rd, 7th Block, Jayanagar, Bengaluru Bangalore KARNATAKA 560041 India

Bangalore
KARNATAKA
560070
India 
Phone  09834843157  
Fax    
Email  akankshas1318@gmail.com  
 
Source of Monetary or Material Support  
Nethradhama Super Speciality Eye Hospital, #256/14, Kanakapura Rd, 7th Block, Jayanagar, Bengaluru Bangalore KARNATAKA 560041 India  
 
Primary Sponsor  
Name  NIL 
Address  NIL 
Type of Sponsor  Other [NIL] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
AKANKSHA SHARMA  Nethradhama Superspeciality Eye Hopsital  Nethradhama Super Speciality Eye Hospital, Phacorefractive Department, OPD Division, Room number 202, 256/14, Kanakapura Rd, 7th Block, Jayanagar, Bengaluru Bangalore KARNATAKA 560041 India
Bangalore
KARNATAKA 
09834843157

akankshas1318@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Nethradhama Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical, (2) ICD-10 Condition: H259||Unspecified age-related cataract,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NOT APPLICABLE  NOT APPLICABLE 
Intervention  Phacoemulsification with bilateral implantation of an Extended Depth Of Focus intraocular lens  The Vivinex Impress XY1-EM (Hoya Surgical Optics, Singapore) is an enhanced monofocal IOL made from glistening-free hydrophobic acrylate. Its aspheric optic design extends the depth of field, particularly improving vision in the intermediate range. Mini-monovision is a vision correction technique commonly used in cataract and refractive surgeries to reduce dependency on glasses, particularly for patients who want better near and intermediate vision without compromising distance vision. In this approach, one eye (usually the dominant eye) is optimized for distance vision, while the other eye is set for intermediate or near vision by using different intraocular lenses (IOLs) or modifying the prescription.  
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1.Eyes with senile cataract of grades 1-4 Nuclear Sclerosis, Cortical cataracts, Posterior subcapsular cataract
2. Age >35 years
3. Corneal astigmatism less than 0.75D
4. IOL power between +10D to +30D
5. In the bag IOL implantation


 
 
ExclusionCriteria 
Details  1. Eyes with corneal astigmatism >0.75 D
2. Hypermature/morgagnian/intumescent and brunescent cataracts >NS 4
3. Corneal disorders like- irregular astigmatism, keratoconus, pellucid marginal degeneration, corneal dystrophy, low endothelial cell counts <1500cells/ mm2
4. Pupillary abnormalities
5. History of glaucoma or intraocular inflammation
6. Macular disease or retinopathy, neuro-ophthalmic diseases, active infections, previous ocular surgery of any kind, any other ocular pathology.
7. Intraoperative or postoperative complications

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Uncorrected Distant Visual Acuity (UDVA), Uncorrected Intermediate Visual Acuity (UIVA) at 40, 60, 80cm and Uncorrected Near Visual Acuity  Post operative Day 1, 2 weeks and 3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Contrast sensitivity, Objective scatter index, Defocus curves & Aberrations  Post operative Day 1, 2 weeks & 3 months 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   15/04/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This study aims to assess the clinical outcomes, the level of spectacle independence, and patient satisfaction after bilateral implantation of an enhanced depth of focus (EDOF) IOL-Hoya Impress EDOF targeted for mini-monovision. The Vivinex Impress XY1-EM (Hoya Surgical Optics, Singapore) is an enhanced monofocal IOL made from glistening-free hydrophobic acrylate. Its aspheric optic design extends the depth of field, particularly improving vision in the intermediate range. Mini-monovision is a vision correction technique commonly used in cataract and refractive surgeries to reduce dependency on glasses, particularly for patients who want better near and intermediate vision without compromising distance vision. In this approach, one eye (usually the dominant eye) is optimized for distance vision, while the other eye is set for intermediate or near vision by using different intraocular lenses (IOLs) or modifying the prescription. 

 
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