Presbyopia Clinical Trial
Official title:
A Prospective Multicenter Clinical Trial to Evaluate the Safety and Effectiveness of the AcuFocus Corneal Inlay ACI 7000PDT Implanted Intrastromally for Modified Monovision in Presbyopic Subjects
The purpose of this study is to determine if the AcuFocus Corneal Inlay ACI 7000PDT will provide an effective method of for the correction of presbyopia in patients who have normal distance vision but need correction such as glasses or contact lenses to see clearly at near.
The design and mechanism of action of the AcuFocus™ Corneal Inlay (ACI 7000PDT) is based on
the well-established concept of small-aperture optics. In cameras, depth of focus is
controlled by reducing the aperture through which light enters; the smaller the aperture,
the greater the depth of focus. This concept also applies to the human eye. In the eye of an
emmetropic presbyope, the natural lens cannot fully accommodate to focus the light rays from
a near object onto a single point on the retina. Thus, a point object is imaged as a blur
circle on the retina, and images of extended objects are degraded as well. If an opaque disc
with a small aperture in the center is placed in front of the eye, the peripheral rays will
be obscured while the central rays pass unaffected. Since peripheral rays enter the eye at a
larger angle, they create a larger blur circle at the retinal image plane. Eliminating these
peripheral rays reduces the size of the blur circle, improving image resolution.
When the inlay is implanted in one eye, the increased depth of focus provides near and
intermediate visual acuity while having a minimal effect on distance acuity. Under binocular
conditions, the effect of having an inlay eye with a range of vision from distance to near
combined with the uncorrected vision in the fellow presbyopic eye, which will essentially
have good distance acuity with reduced near acuity, is similar to the contact lens modality
known as "modified monovision."
The ACI is expected to provide presbyopic patients with improvement in near and intermediate
vision.
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Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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