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CTRI Number  CTRI/2025/11/097387 [Registered on: 13/11/2025] Trial Registered Prospectively
Last Modified On: 11/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A study comparing vision clarity and daily visual comfort after cataract surgery using two types of trifocal eye lenses 
Scientific Title of Study   Comparison of visual performance and quality of vision between two trifocal intraocular lenses randomized clinical trial 
Trial Acronym  Nil  
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Prashant Tomar  
Designation  Pg Student  
Affiliation  Command Hospital Eastern Command  
Address  Department of ophthalmology command hospital eastern command
New Alipore, Kolkata, West Bengal ,India
Kolkata
WEST BENGAL
700053
India 
Phone  6397754136  
Fax    
Email  Tomarprashant337@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Santosh Kumar  
Designation  Professor  
Affiliation  Command Hospital Eastern Command  
Address  Department of Ophthalmology, Command Hospital (Eastern Command)
New Alipore, Kolkata, West Bengal ,India
Kolkata
WEST BENGAL
700027
India 
Phone  9602906343  
Fax    
Email  Santo21051977@gmail.com   
 
Details of Contact Person
Public Query
 
Name  Santosh Kumar  
Designation  Professor  
Affiliation  Command Hospital Eastern Command  
Address  Department of Ophthalmology, Command Hospital (Eastern Command), New Alipore, Kolkata, West Bengal
Department of Ophthalmology, Command Hospital (Eastern Command), New Alipore, Kolkata, West Bengal
Kolkata
WEST BENGAL
700027
India 
Phone  9602906343  
Fax    
Email  Santo21051977@gmail.com   
 
Source of Monetary or Material Support  
Department of Ophthalmology, Command Hospital (Eastern Command), Alipore, Kolkata – 700027, West Bengal, India 
 
Primary Sponsor  
Name  Prashant Tomar  
Address  Department of ophthalmology command hospital eastern command Kolkata  
Type of Sponsor  Other [Self] 
 
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 
Prashant Tomar  Command Hospital Eastern Command Kolkata   Department of Ophthalmology, Command Hospital (Eastern Command), Alipore, Kolkata – 700027, West Bengal, India
Kolkata
WEST BENGAL 
6397754136

TOMARPRASHANT337@GMAIL.COM 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institutional ethical committee command hospital eastern command Alipore Kolkata -27   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H259||Unspecified age-related cataract,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  BVI PhysIOL Trifocal Intraocular Lens implantation   Patients undergoing phacoemulsification for age-related cataract will receive BVI PhysIOL trifocal intraocular lens implantation. Surgery will be performed under aseptic precautions using standard phacoemulsification technique by the same surgeon. Follow-up will be done at 1 week and 1 month postoperatively. Outcome measures include uncorrected distance, intermediate, and near visual acuity, assessment of glare and halos, and quality of vision questionnaire (Rasch score).”  
Comparator Agent  Tecnis Synergy Trifocal Intraocular Lens implantation   Patients undergoing phacoemulsification for age-related cataract will receive Tecnis Synergy trifocal intraocular lens implantation. The same surgical technique, surgeon, and postoperative follow-up protocol will be used as in the intervention group. Visual outcomes, glare, halos, and quality of vision will be assessed and compared.”  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Patients aged greater than 18 years with age-related cataract.


2. Willing for trifocal intraocular lens implantation.


3. Desire for spectacle independence at all distances.


4. Willing to participate in the study and provide written informed consent.


5. Able to comply with postoperative follow-up schedule.



 
 
ExclusionCriteria 
Details  1. History of previous ocular surgery or trauma.


2. Presence of ocular comorbidities such as glaucoma, diabetic retinopathy, or macular degeneration.


3. Irregular corneal astigmatism or keratoconus.


4. Corneal opacity or any other condition affecting visualization of intraocular structures.


5. Systemic diseases that may affect vision or healing, such as uncontrolled diabetes mellitus or multiple sclerosis.


6. Intraoperative complications such as posterior capsular rupture or zonular weakness.


7. Psychiatric illness or cognitive impairment that affects the ability to complete subjective questionnaires.

8. Patients with unrealistic expectations regarding postoperative visual outcomes.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA at 60–80 cm), and uncorrected near visual acuity (UNVA at 40 cm) after implantation of BVI PhysIOL and Tecnis Synergy trifocal intraocular lenses.
 
Uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA at 60–80 cm), and uncorrected near visual acuity (UNVA at 40 cm) after implantation of BVI PhysIOL and Tecnis Synergy trifocal intraocular lenses.
 
 
Secondary Outcome  
Outcome  TimePoints 
1. Assessment of glare & halos using NEI near vision subscale — at 4 weeks postoperatively.


2. Quality of vision assessment using Rasch-scored Quality of Vision questionnaire — at 4 weeks postoperatively.


3. Patient satisfaction with visual performance — at 4 weeks postoperatively.

 
4 weeks postoperatively  
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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   N/A 
Date of First Enrollment (India)   22/11/2025 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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 randomized controlled clinical trial aims to compare the visual performance and quality of vision after implantation of two different trifocal intraocular lenses in patients undergoing phacoemulsification for age-related cataract. Fifty patients aged 18 years or above with senile cataract will be recruited from the Department of Ophthalmology, Command Hospital (Eastern Command), Kolkata. Eligible patients without ocular comorbidities such as glaucoma, macular degeneration, or significant corneal astigmatism (>1.0 D) will be randomized into two equal groups of 25 each. Group A will receive BVI PhysIOL trifocal intraocular lenses, and Group B will receive Tecnis Synergy trifocal intraocular lenses.

Preoperative evaluation will include visual acuity assessment, slit-lamp examination, intraocular pressure measurement, and fundus examination. Standard phacoemulsification with IOL implantation will be performed in all cases. Postoperative follow-up will be done at one week and one month.

The primary outcomes will include uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA at 60–80 cm), and uncorrected near visual acuity (UNVA at 40 cm). Secondary outcomes will include assessment of glare and halos using the NEI near vision subscale and evaluation of visual quality using the Rasch-scored Quality of Vision (Q of V) questionnaire.

The total study duration will be 18 months for data collection and 2 months for data analysis. Ethical clearance has been obtained from the Institutional Ethical Committee, and written informed consent will be taken from all participants. The study will adhere to the principles of the Declaration of Helsinki and good clinical practice guidelines.


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