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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 400 (estimated) |
| Sponsor | Eye & ENT Hospital of Fudan University Academic / other |
| Locations | 1 site (Shanghai, Shanghai Municipality) |
| Status | Recruiting |
| Started | January 1, 2025 |
| Main results expected | October 31, 2026 |
| Study ends | December 31, 2030 |
| Registry record updated | March 6, 2026 |
| Trial ID | NCT07453992 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
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Eye and ENT hospital of Fudan University
Shanghai, Shanghai Municipality, China Recruiting
Study contacts
- Principal investigator: Jin Yang — Fudan University
- Study coordinator: Xuanqiao Lin
- Email: 1532483480@qq.com
- Phone: +8615088920668
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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.