Comparison of Lioli™, Pioli™, and Pioli™ Plus intraocular lens injectors

Comparative Clinical Study of Intraocular Lens Injectors Lioli™, Pioli™, and Pioli™ Plus

Observational AST Products, Inc. · NCT07140029

This will test whether three different IOL injectors—Lioli™, Pioli™, and Pioli™ Plus—change corneal incision size or complication rates for people aged 40 and older having cataract surgery.

Quick facts

Study typeObservational
Enrollment120 (estimated)
Ages40 Years and up
SexAll
SponsorAST Products, Inc. Industry-sponsored
Locations1 site (Seville, Sevilla)
Trial IDNCT07140029 on ClinicalTrials.gov

What this trial studies

This observational study follows patients aged 40 and older who undergo routine phacoemulsification cataract surgery with an Asqelio™ monofocal IOL using one of three injector systems. Participants are assigned to use either a manually loaded injector (Lioli™) or one of two preloaded systems (Pioli™ or Pioli™ Plus) and have measurements taken before and after surgery, including incision size and visual tests. Investigators will record intraoperative and postoperative complications and compare outcomes between the injector groups. The study is conducted at Clínica OftalVist Sevilla and uses standard clinical follow-up to capture safety and surgical performance data.

Who should consider this trial

Good fit: Ideal participants are adults aged 40 or older scheduled for phacoemulsification with implantation of an Asqelio™ monofocal IOL and who have clear intraocular media besides cataract and corneal astigmatism ≤1.0 D.

Not a fit: Patients with prior corneal surgery, irregular corneas, significant retinal or optic nerve disease, advanced diabetic retinopathy, very shallow anterior chambers, pregnancy, or other listed exclusion criteria are unlikely to benefit from participation.

Why it matters

Potential benefit: If successful, the findings could show that a particular injector reduces incision size or complications, which may shorten recovery and improve surgical safety.

How similar studies have performed: Prior device reports and small comparative series have suggested preloaded injectors can reduce handling and incision manipulation, but head-to-head comparative data remain limited.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 40 years or older
* Scheduled for cataract surgery using phacoemulsification technique
* Planned implantation of an Asqelio™ monofocal intraocular lens (IOL)
* Clear intraocular media, except for the presence of cataract (i.e., no other significant ocular opacities)

Exclusion Criteria:

* Preoperative corneal astigmatism \> 1.0 diopter (D)
* Previous corneal surgery or history of ocular trauma
* Irregular cornea (e.g., keratoconus)
* Choroidal hemorrhage
* Microphthalmos
* Severe corneal dystrophy
* Uncontrolled or medically controlled glaucoma
* Clinically significant macular changes
* Severe concomitant ocular disease
* Cataract not related to aging
* Severe optic nerve atrophy
* Diabetic retinopathy
* Proliferative diabetic retinopathy
* Amblyopia
* Extremely shallow anterior chamber
* Severe chronic uveitis
* Pregnant or breastfeeding
* Rubella
* Mature or dense cataracts that prevent preoperative retinal examination
* History of retinal detachment
* Concurrent participation in another drug or medical device clinical study

Where this trial is running

Seville, Sevilla

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions CataractLens Implantation, Intraocular
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.