Clinical trial Recruiting at 1 site Interventional Ages 18 and up

How three toric intraocular lenses rotate after cataract surgery

Official title: Postoperative Rotational Dynamics of Different Toric Intraocular Lens Designs

Run by Eye & ENT Hospital of Fudan University · NCT07453992 · Data updated 2026-11-12

This study tests how well three commercial toric intraocular lenses hold their orientation over the first three months after cataract surgery in adults with corneal astigmatism.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment400 (estimated)
SponsorEye & ENT Hospital of Fudan University
Academic / other
Locations1 site (Shanghai, Shanghai Municipality)
StatusRecruiting
StartedJanuary 1, 2025
Main results expectedOctober 31, 2026
Study endsDecember 31, 2030
Registry record updatedMarch 6, 2026
Trial IDNCT07453992 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18 or older with age-related cataract and regular corneal astigmatism who are candidates for implantation of one of the three study toric intraocular lenses.

Probably not a fit

Patients with prior ocular surgery, irregular corneal astigmatism, zonular weakness, active ocular inflammation or other conditions that affect biometric reliability or surgery outcome are unlikely to benefit from enrollment.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a prospective comparative cohort study enrolling adults having phacoemulsification with implantation of one of three commercially available toric intraocular lenses (TECNIS Toric II ZCU, AcrySof IQ Toric, AT TORBI 709M). Postoperative lens rotation is measured by registering retroillumination photographs to an end-of-surgery baseline using iris and scleral landmarks. Patients are followed on postoperative day 1, day 3, week 1, week 2, month 1, and month 3 to define the time course of rotational changes. Associations between rotational outcomes and ocular biometric parameters are analyzed using linear mixed-effects models to inform individualized lens selection and perioperative management.

Why it matters

Potential benefit: If successful, the results could help surgeons choose toric lenses that are less likely to rotate, improving visual outcomes and reducing the need for reintervention.

How similar studies have gone: Previous research has shown variable rotational stability across different toric lens models with some lenses demonstrating better stability, but direct, detailed three-way time-course comparisons are relatively limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adults aged 18 years or older with age-related cataract scheduled for phacoemulsification cataract surgery.
* Presence of regular corneal astigmatism requiring toric intraocular lens implantation.
* Eligible for implantation of one of the three study toric intraocular lenses based on preoperative evaluation.
* Ability to understand the study procedures and provide written informed consent.

Exclusion Criteria:

* History of prior ocular surgery in the study eye.
* History of ocular trauma in the study eye.
* Irregular corneal astigmatism or corneal pathology affecting reliable biometric measurement.
* Intraoperative complications, including anterior capsular tear or posterior capsular rupture.
* Inadequate pupillary dilation during surgery or postoperative examinations.
* Evidence of zonular weakness, zonular dialysis, or lens subluxation.
* Active ocular infection or inflammation.
* Any other ocular or systemic condition judged by the investigator to potentially affect intraocular lens stability or study outcomes.

Where it's running

  • Eye and ENT hospital of Fudan University
    Shanghai, Shanghai Municipality, China
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.