Clinical Comparison of the Performance of Two Marketed Ophthalmic Viscoelastic Devices (OVDs): The Bacterially Derived Healon PRO OVD and Animal-Derived Healon OVD

This clinical investigation compared the clinical performance of two marketed ophthalmic viscoelastic devices (OVDs): the bacterially derived Healon PRO OVD (test) and the animal-derived Healon OVD (control) under normal use conditions during cataract removal and lens implantation. This prospective,...

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Main Authors: Loay Daas, Jose Manuel Larrosa, Alicia Gavin, Carlos Isanta, Achim Langenbucher, Beth E. Jackson, Linda Tsai, Priya Janakiraman, Rafael Guerrero, Berthold Seitz
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2020/8874850
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author Loay Daas
Jose Manuel Larrosa
Alicia Gavin
Carlos Isanta
Achim Langenbucher
Beth E. Jackson
Linda Tsai
Priya Janakiraman
Rafael Guerrero
Berthold Seitz
author_facet Loay Daas
Jose Manuel Larrosa
Alicia Gavin
Carlos Isanta
Achim Langenbucher
Beth E. Jackson
Linda Tsai
Priya Janakiraman
Rafael Guerrero
Berthold Seitz
author_sort Loay Daas
collection DOAJ
description This clinical investigation compared the clinical performance of two marketed ophthalmic viscoelastic devices (OVDs): the bacterially derived Healon PRO OVD (test) and the animal-derived Healon OVD (control) under normal use conditions during cataract removal and lens implantation. This prospective, multicenter, randomized, parallel, participant/evaluator masked, postmarket investigation enrolled 139 subjects (170 eyes), 116 (143 eyes) of which were treated (73 test; 70 control group). Both test and control OVDs were used, at a minimum, to inflate the anterior chamber and protect the endothelium prior to cataract extraction according to the standard procedure. The surgeon completed a postsurgery OVD clinical performance questionnaire, and intraocular pressure (IOP) was measured before surgery and at the 1 day postoperative visit with Goldmann applanation tonometry. Any IOP measurement of 30 mmHg or higher was considered a “spike” and recorded as a study-specific, serious adverse event. The bacterially derived Healon PRO OVD was found to be statistically noninferior to the overall clinical performance of the animal-derived Healon OVD control; thus, the primary hypothesis was satisfied. There were no statistically significant differences between OVD groups for any of the additional endpoints relating to IOP changes or to safety, thus satisfying additional hypotheses. The Healon PRO OVD showed statistically significant improvements in surgeon ratings for ease of injectability, transparency/visibility, and ease of IOL placement. The safety profile was also similar between OVD groups with regards to serious and/or device-related adverse events, as well as medical and lens findings. The results of this clinical investigation support the safety and effectiveness of the bacterially derived, currently marketed Healon PRO OVD and indicate that the intraocular surgical performance was similar between the two OVDs.
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spelling doaj-art-1a30f05b71744d97b8dcd7eb01b3ea702025-02-03T06:00:48ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/88748508874850Clinical Comparison of the Performance of Two Marketed Ophthalmic Viscoelastic Devices (OVDs): The Bacterially Derived Healon PRO OVD and Animal-Derived Healon OVDLoay Daas0Jose Manuel Larrosa1Alicia Gavin2Carlos Isanta3Achim Langenbucher4Beth E. Jackson5Linda Tsai6Priya Janakiraman7Rafael Guerrero8Berthold Seitz9Department of Ophthalmology, Saarland University Medical Center UKS, Homburg, Saar, GermanyHospital Provincial de Nuestra Señora de Garcia, Zaragoza, SpainHospital Provincial de Nuestra Señora de Garcia, Zaragoza, SpainHospital Provincial de Nuestra Señora de Garcia, Zaragoza, SpainInstitute of Experimental Ophthalmology, Saarland University, Homburg, Saar, GermanyJohnson & Johnson Surgical Vision Inc., Santa Ana, CA, USAJohnson & Johnson Surgical Vision Inc., Santa Ana, CA, USAJohnson & Johnson Surgical Vision Inc., Santa Ana, CA, USAJohnson & Johnson Surgical Vision Inc., Santa Ana, CA, USADepartment of Ophthalmology, Saarland University Medical Center UKS, Homburg, Saar, GermanyThis clinical investigation compared the clinical performance of two marketed ophthalmic viscoelastic devices (OVDs): the bacterially derived Healon PRO OVD (test) and the animal-derived Healon OVD (control) under normal use conditions during cataract removal and lens implantation. This prospective, multicenter, randomized, parallel, participant/evaluator masked, postmarket investigation enrolled 139 subjects (170 eyes), 116 (143 eyes) of which were treated (73 test; 70 control group). Both test and control OVDs were used, at a minimum, to inflate the anterior chamber and protect the endothelium prior to cataract extraction according to the standard procedure. The surgeon completed a postsurgery OVD clinical performance questionnaire, and intraocular pressure (IOP) was measured before surgery and at the 1 day postoperative visit with Goldmann applanation tonometry. Any IOP measurement of 30 mmHg or higher was considered a “spike” and recorded as a study-specific, serious adverse event. The bacterially derived Healon PRO OVD was found to be statistically noninferior to the overall clinical performance of the animal-derived Healon OVD control; thus, the primary hypothesis was satisfied. There were no statistically significant differences between OVD groups for any of the additional endpoints relating to IOP changes or to safety, thus satisfying additional hypotheses. The Healon PRO OVD showed statistically significant improvements in surgeon ratings for ease of injectability, transparency/visibility, and ease of IOL placement. The safety profile was also similar between OVD groups with regards to serious and/or device-related adverse events, as well as medical and lens findings. The results of this clinical investigation support the safety and effectiveness of the bacterially derived, currently marketed Healon PRO OVD and indicate that the intraocular surgical performance was similar between the two OVDs.http://dx.doi.org/10.1155/2020/8874850
spellingShingle Loay Daas
Jose Manuel Larrosa
Alicia Gavin
Carlos Isanta
Achim Langenbucher
Beth E. Jackson
Linda Tsai
Priya Janakiraman
Rafael Guerrero
Berthold Seitz
Clinical Comparison of the Performance of Two Marketed Ophthalmic Viscoelastic Devices (OVDs): The Bacterially Derived Healon PRO OVD and Animal-Derived Healon OVD
Journal of Ophthalmology
title Clinical Comparison of the Performance of Two Marketed Ophthalmic Viscoelastic Devices (OVDs): The Bacterially Derived Healon PRO OVD and Animal-Derived Healon OVD
title_full Clinical Comparison of the Performance of Two Marketed Ophthalmic Viscoelastic Devices (OVDs): The Bacterially Derived Healon PRO OVD and Animal-Derived Healon OVD
title_fullStr Clinical Comparison of the Performance of Two Marketed Ophthalmic Viscoelastic Devices (OVDs): The Bacterially Derived Healon PRO OVD and Animal-Derived Healon OVD
title_full_unstemmed Clinical Comparison of the Performance of Two Marketed Ophthalmic Viscoelastic Devices (OVDs): The Bacterially Derived Healon PRO OVD and Animal-Derived Healon OVD
title_short Clinical Comparison of the Performance of Two Marketed Ophthalmic Viscoelastic Devices (OVDs): The Bacterially Derived Healon PRO OVD and Animal-Derived Healon OVD
title_sort clinical comparison of the performance of two marketed ophthalmic viscoelastic devices ovds the bacterially derived healon pro ovd and animal derived healon ovd
url http://dx.doi.org/10.1155/2020/8874850
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