Eye math put to the test: can any formula predict the perfect lens for extreme eyes?
NCT ID NCT07724795
First seen Jul 24, 2026 · Last updated Jul 24, 2026
Summary
This study checks how accurately eight different formulas predict the lens power needed for people with very short or very long eyes after cataract surgery. Researchers will measure the actual vision result and compare it to what each formula predicted. The goal is to find which formula is most reliable for these uncommon eye shapes, where choosing the right lens is especially tricky.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could help surgeons choose the most accurate lens power formula for people with unusually short or long eyes, improving vision after cataract surgery.
- What could go wrong
- This is an observational study, not a treatment trial, so it won't directly change care yet. Results may not apply to all lens types or surgical techniques.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Jul 2027
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adults previously enrolled in the retrospective IOL power formula comparison study at the extremes of axial length at the study center, who underwent cataract surgery with a spherical (non-toric) monofocal IOL (HOYA Vivinex XY1, HOYA Vivinex Impress XY1-EM, or Johnson \& Johnson Tecnis 1-Piece DIB00) between January 2022 and December 2025, and whose preoperative axial length was below 22.0 mm or above 26.0 mm. A stratified random sample of 200 patients (110 short-eye, 90 long-eye) is drawn from this source cohort and invited to a single outcome visit.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * \- Participation in the retrospective IOL power formula comparison study at the extremes of axial length (pseudonymized study ID assigned; complete preoperative biometry and archived formula outputs for all eight formula pathways) * Cataract surgery with a spherical (non-toric) IOL of one of the three reference models (HOYA Vivinex XY1, HOYA Vivinex Impress XY1-EM, or Johnson \& Johnson Tecnis 1-Piece DIB00) at the study center between January 2022 and December 2025 * Preoperative axial length below 22.0 mm (short stratum) or above 26.0 mm (long stratum), measured on IOLMaster 700 * Documented implanted IOL model and power available from the operative record * At least 3 months since cataract surgery at the time of the outcome visit * Written informed consent for the outcome visit, including linkage of newly acquired postoperative data with the previously collected, pseudonymized preoperative planning data Exclusion Criteria: * \- Interval ocular surgery on the study eye since the original cataract surgery that may affect refraction or IOL position (e.g., corneal refractive surgery, IOL exchange or repositioning, secondary IOL implantation, or any intraocular surgery). Uncomplicated YAG laser capsulotomy without IOL repositioning is not an exclusion criterion * Implanted IOL not matching one of the three reference platforms (e.g., toric, multifocal or EDOF IOL, a different monofocal platform, or a sulcus-fixated IOL) * Toric IOL implantation * Acute ocular pathology preventing reliable refraction or biometric measurement * Cognitive or physical limitations precluding standardized subjective manifest refraction * Documented intraoperative complication with confirmed or suspected IOL malpositioning (e.g., posterior capsule rupture with vitreous loss, zonular dialysis requiring a capsular tension ring, sulcus placement) * Withdrawal of informed consent Note: macular pathology is not an exclusion criterion; macular status is documented on OCT and analyzed as a covariate.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Klinik Hietzing, Augenabteilung
Vienna, State of Vienna, 1130, Austria
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Could a donated corneal lens fix farsightedness after cataract surgery?
- Laser touch-up after cataract surgery: can Relex-Smile fix leftover nearsightedness?
- Laser touch-up may sharpen blurry vision after cataract surgery
- Laser eye surgery may offer a One-Time fix for reading glasses — a trial puts it to the test
- Large survey aims to uncover hidden vision and hearing loss in older adults