Comparison of Unity and Centurion phacoemulsification systems for bilateral cataract surgery
Official title: Cumulative Dissipated Energy (CDE) and Total Phacoemulsification Energy (Joules) of Unity VCS/CS With 4D Phaco Compared to Centurion System With OZil
Run by Advanced Vision Care · NCT07468877 · Data updated 2026-11-12
This test compares the Unity and Centurion phacoemulsification systems to see which uses less ultrasound time and cumulative dispersed energy in adults having sequential bilateral cataract surgery for nuclear sclerosis.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Advanced Vision Care Academic / other |
| Locations | 1 site (Los Angeles, California) |
| Status | Recruiting |
| Started | February 13, 2026 |
| Main results expected | February 13, 2027 |
| Study ends | February 13, 2027 |
| Registry record updated | March 18, 2026 |
| Trial ID | NCT07468877 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) with bilateral nuclear sclerosis cataracts graded LOCS III 3 or higher who are scheduled for uncomplicated sequential bilateral phacoemulsification with IOL implantation and can consent are ideal candidates.
✕Probably not a fit
Patients with complex cataracts (zonulopathy, need for capsular support or pupil expansion devices), those undergoing femtosecond-assisted procedures, unilateral cataracts, or patients under 18 are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Unity and Centurion are two phacoemulsification platforms used to remove cataractous lenses; this study compares their performance during standard bilateral cataract extraction with intraocular lens implantation. The trial will enroll 30 subjects (60 eyes) with LOCS III grade 3 or higher nuclear sclerosis who are scheduled for uncomplicated sequential bilateral phacoemulsification, with both eyes operated on by the same surgeon. During each procedure the study will record cumulative dispersed energy (CDE) and ultrasound time to allow direct within-patient comparison between systems. Subjects with complex zonular pathology, need for pupil expansion devices, or other factors that could affect the surgical procedure are excluded.
Why it matters
Potential benefit: If successful, one system could be shown to use less ultrasound energy and time, which may reduce corneal endothelial stress and speed visual recovery.
How similar studies have gone: Previous device-to-device comparisons of phacoemulsification platforms have reported measurable differences in CDE and ultrasound time, so the approach is established though results depend on surgeon technique and case mix.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Healthy patients 18 years or older undergoing uncomplicated sequential bilateral cataract surgery with phacoemulsification and IOL implantation * Expected to undergo sequential cataract surgery in both eyes * Must have bilateral nuclear sclerosis cataracts classified using LOCS III as grade 3 or above (see appendix III) * Both eyes will be operated on by the same surgeon * Have the ability to consent for study and procedure planned Exclusion Criteria: * Patients under 18 years of age. * Complex cataract cases involving zonulopathy (e.g., pseudoexfoliation syndrome, traumatic zonular weakness) that may require use of zonular support devices during surgery (e.g. capsular hooks) and/or implantation of capsular tension rings or other zonular support devices, and in the investigator's judgment, may interfere with the surgical procedure or study outcome measures. * Require mechanical pupil expanding devices (e.g., iris hooks, Malyugin rings, etc.) * Undergoing femtosecond laser-assisted lens fragmentation. * Surgical complications, in the opinion of the investigator, occurring either intraoperatively or postoperatively (including capsule tears, iris trauma, or decentered intraocular lens) and not attributable to the study device or study design. * Prior ocular surgery (including intraocular, oculoplastic, corneal or refractive surgical procedure) performed within the last 3 months or at any time that in the investigator's clinical judgment, if it interferes with the outcome measures of this study. * Presence of endothelial cell dystrophies and/or corneal comorbidities. * History of intraocular inflammation (e.g., uveitis, iritis). * History of retinal edema or presence of a clinically significant epiretinal membrane that, in the investigator's clinical judgment, may interfere with the outcome measures of this study. * History of retinal surgery (e.g.retinal detachment repair, membrane peel) involving vitrectomy. * Dense brunescent cataract that in the investigator's clinical judgment, may interfere with the outcome measures of this study.
Where it's running
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Advanced Vision Care
Los Angeles, California, United States Recruiting
Study contacts
- Principal investigator: Nicole R Fram, M.D. — Advanced Vision Care
- Study coordinator: Orly Shiler
- Email: orlyjr@inorbit.com
- Phone: 3102291220
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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High-frequency pulsed vacuum versus phacoemulsification for bilateral cataract surgery
This trial will test a new high-frequency pulsed vacuum technique against standard phacoemulsification in adults who need cataract surgery in both eyes to see if recovery is faster and surgery is safer.
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Evaluating the safety and effectiveness of iDose TR with cataract surgery
This study is testing if adding the iDose TR implant during cataract surgery can safely lower eye pressure better than just having cataract surgery alone for people with glaucoma or high eye pressure.
-
Immediate versus delayed bilateral cataract surgery in France
This study will test whether doing cataract surgery on both eyes the same day is as safe and cost-effective as doing the two operations on separate days for adults in France with cataracts in both eyes.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.