Use of the VisuMax™ Femtosecond Laser



Status:Completed
Conditions:Ocular
Therapuetic Areas:Ophthalmology
Healthy:No
Age Range:22 - Any
Updated:3/23/2019
Start Date:July 2012
End Date:April 2016

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Use of the VisuMax™ Femtosecond Laser Lenticule Removal Procedure for the Correction of Myopia

The objective of this clinical trial is to evaluate the safety and effectiveness of the Carl
Zeiss Meditec VisuMax™ Femtosecond Laser lenticule removal procedure for the reduction or
elimination of myopia from ≥ -1.00 D to ≤ -8.00 D with ≤ -0.50 D cylinder and MRSE (Manifest
Refractive Spherical Equivalent) ≤ -8.25 D.

This is a prospective multi-center clinical trial in which a total of 360 eyes of consecutive
subjects will be enrolled, treated with the VisuMax™ Femtosecond Laser, and followed for a
12-month period. The study will be conducted at up to 8 clinical sites.

Enrollment will be phased such that 100 eyes will be initially enrolled and followed. When 50
of the initial eyes have reached the 3-month follow-up exam, an interim clinical study report
will be submitted to FDA along with a request to continue enrollment up to 360 eyes.

Subjects will be screened for eligibility, and informed consent will be obtained from those
who meet screening criteria and are interested in participating in the study. Eligible
subjects will be examined preoperatively to obtain a medical history and to establish a
baseline ocular condition. Baseline and postoperative measurements will include manifest
refraction, cycloplegic refraction, distance visual acuity (best corrected and uncorrected),
slit-lamp examination, fundus examination, corneal topography, central corneal pachymetry,
mesopic pupil measurement, wavefront analysis, mesopic contrast sensitivity, and intraocular
pressure (IOP).

Inclusion Criteria:

- Male and female subjects age 22 years of age and older;

- Spherical myopia from ≥ -1.00 D to ≤ -8.00 D, with ≤ -0.50 D cylinder and MRSE ≤ -8.25
D in the eye to be treated;

- A stable refraction for the past year, as demonstrated by a change in MRSE of ≤ 0.50 D
in the eye to be treated;

- A difference between cycloplegic and manifest refractions of < 0.75 D spherical
equivalent in the eye to be treated;

- UCVA worse than 20/40 in the eye to be treated;

- BSCVA at least 20/20 in the eye to be treated;

- Discontinue use of contact lenses for at least 2 weeks (for hard lenses) or 3 days
(for soft lenses) prior to the preoperative examination, and through the day of
surgery;

- All contact lens wearers must demonstrate a stable refraction (within ±0.5 D), as
determined by MRSE, on two consecutive examinations at least 1 week apart, in the eye
to be treated;

- Central corneal thickness of at least 500 microns in the eye to be treated;

- Willing and able to return for scheduled follow-up examinations;

- Able to provide written informed consent and follow study instructions in English.

Exclusion Criteria:

- Mesopic pupil diameter > 8.0 mm;

- Cylinder > -0.50 D;

- Treatment depth is less than 250 microns from the corneal endothelium;

- Eye to be treated is targeted for monovision;

- Fellow eye has BSCVA worse than 20/40;

- Abnormal corneal topographic findings, e.g. keratoconus, pellucid marginal
degeneration in either eye;

- History of or current anterior segment pathology, including cataracts in the eye to be
treated;

- Clinically significant dry eye syndrome unresolved by treatment in either eye;

- Residual, recurrent, active ocular or uncontrolled eyelid disease, corneal scars or
other corneal abnormality such as recurrent corneal erosion or severe basement
membrane disease in the eye to be treated;

- Ophthalmoscopic signs of progressive or unstable myopia or keratoconus (or keratoconus
suspect) in either eye;

- Irregular or unstable (distorted/not clear) corneal mires on central keratometry
images in either eye;

- History of ocular herpes zoster or herpes simplex keratitis;

- Deep orbits, strong blink, anxiety, pterygium, or any other finding suggesting
difficulty in achieving or maintaining suction;

- Difficulty following directions or unable to fixate;

- Previous intraocular or corneal surgery of any kind in the eye to be treated,
including any type of surgery for either refractive or therapeutic purposes;

- History of steroid-responsive rise in intraocular pressure, glaucoma, or preoperative
IOP > 21 mmHg in either eye;

- History of diabetes, diagnosed autoimmune disease, connective tissue disease or
clinically significant atopic syndrome;

- Immunocompromised or requires chronic systemic corticosteroids or other
immunosuppressive therapy that may affect wound healing;

- History of known sensitivity to planned study medications;

- Participating in any other ophthalmic drug or device clinical trial during the time of
this clinical investigation;

- Pregnant, lactating, or of child-bearing potential and not practicing a medically
approved method of birth control.
We found this trial at
5
sites
Sioux Falls, South Dakota 57105
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from
Sioux Falls, SD
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900 Northwest 17th Street
Miami, Florida 33136
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Miami, FL
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Greenwood Village, Colorado 80111
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Greenwood Village, CO
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Leawood, Kansas 66211
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from
Leawood, KS
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Madison, Wisconsin 53716
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Madison, WI
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