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NCT Number: NCT03882606

Implantation of SML in Patients With Dry Age-related Macular Degeneration and Myopic Maculopathy

Age-related macular degeneration (AMD) is the leading cause of irreversible vision loss in developed countries among people over 50 years of age. Myopic maculopathy is also an important cause of irreversible vision loss. Reduced near visual acuity is still a major problem with all forms of AMD and myopic maculopathy. Various intraocular lenses for near vision (IOLs) or telescopic systems have been described but are not widely accepted and almost all solutions require phakic status of the eye and are implanted during cataract surgery. Therefore, these devices are not appropriated for pseudophakic AMD and myopic maculopathy patients. Scharioth Macula Lens (SML, Medicontur) is a magnifying intraocular lens for pseudophakic patients implanted in the ciliary sulcus in one eye of each patient. The implant has a bifocal optic, with a central 1.5mm diameter optical zone equivalent to +10D add and a peripheral zone optically neutral. The implantation of the add-on SML can improve the near visual acuity of pseudophakic patients with AMD and myopic maculopathy without impairing their distance visual acuity.

The principal objective is to compare the near visual acuity, the far visual acuity and the self-reported vision health status before and after the SML implantation.

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Key information

Conditions

Age-Related Macular Degeneration Eye Diseases Lens, Intraocular Macular Degeneration Myopic Maculopathy Retinal Degeneration Retinal Diseases

Age range

50 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Consorci Sanitari de Terrassa

Terrassa, Barcelona (spain), 08227, Spain

About this study

We present a prospective study of a cohort of patients with age-related macular degeneration and myopic maculopathy treated with SML implantation. The study was approved by the ethics committee at the Consorci Sanitari de Terassa (Barcelona, Spain).

Patients will be examined for best corrected visual acuity prior to the surgery at 6 meter and for reading at 40cm (with a +2.5D) and 15 cm (with +6D). Improvement of the reading ability at 15 cm compared to 40 cm will predict the potential for vision improvement with the add on lens.

The preoperative and postoperative assessment will include a full ophthalmological exam, visual acuity for distance and near, optical coherence tomography of the anterior chamber and of the macula, axial length and keratometry examination using biometry and VFQ25 questionnaire.

Postoperative assessment will be performed at day 1, 1 week, 1, 3 and 6 months after surgery.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Eye with better distance visual acuity or non-dominant eye in case of equal visual acuity in both eyes
  • Best corrected visual acuity 0.1-0.4 (Snellen)
  • Pseudophakia
  • Preoperative testing of corrected near visual acuity (CNVA) at 15cm (+6 D) better than CNVA at 40 cm (+2.5D)
  • understand the principle of this implant (reduced reading distance, maximum magnification)
  • signing the informed consent

Exclusion criteria

  • complicated cataract surgery
  • excessive zonular weakness
  • chronic uveitis
  • active rubeosis iridis
  • central corneal opacities
  • inability to understand the principle of this implant (reduced reading distance, maximum magnification)
  • Narrow anterior chamber (<2.8mm)
  • Narrow angle
  • glaucoma
  • Phakic
  • Current treatment with intravitreal injections
  • active maculopathy
  • atrophy
  • photopic pupil size less than 2.5 mm
  • severe eye pathology
  • previous retinal surgery

Treatment and study plan

Scharioth Macula Lens (SML, Medicontur)

Device

magnifying intraocular lens for pseudophakic patients implanted in the ciliary sulcus in one eye of each patient

Primary outcomes

  1. change in near visual acuity

    Time frame: will be performed at day 1, 1 week, 1, 3 and 6 months after surgery

    to compare the near visual acuity before and after the SML implantation

  2. change in VFQ25 score

    Time frame: will be performed at day 1, 1 week, 1, 3 and 6 months after surgery

    to compare the VFQ25 score before and after the SML implantation

  3. change in far visual acuity

    Time frame: will be performed at day 1, 1 week, 1, 3 and 6 months after surgery

    to compare the far visual acuity before and after the SML implantation

Sponsors and collaborators

Lead sponsor

Consorci Sanitari de Terrassa

Other

Collaborators

  • Medicontur Medical Engineering Ltd

Registry information

Official study title

Near Visual Acuity and Quality of Life Improvement After Implantation of the add-on Scharioth Macula Lens (SML, Medicontur) in Patients With Dry Age-related Macular Degeneration and Myopic Maculopathy

Important dates

Study start
2019
Primary completion
2023
Study completion
2023
First posted
Mar 20, 2019
Registry last updated
Jun 17, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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