Conventional Collagen Crosslinking in Young Keratoconus

NCT ID: NCT02008175

Last Updated: 2013-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-01-31

Study Completion Date

2013-11-30

Brief Summary

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Keratoconus is a chronic progressive non - inflammatory disorder characterised by progressive steepening and thinning of cornea and high myopic astigmatism, accounting for poor visual acuity in such individuals. Keratoconus seems to be more advanced on presentation, in young patients.

The investigators intend to evaluate the effectiveness of conventional collagen cross linking in young patients diagnosed with keratoconus.

Detailed Description

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Keratoconus is progressive ectatic corneal disorder characterised by progressive corneal thinning, steep corneal curvatures and usually associated with high irregular myopic astigmatism.

The major problems concerning keratoconus in young patients are;

1. Rapid rates of progression in young keratoconic corneas as compared to adults.
2. Poor biomechanical properties of young corneas.
3. Poor quality of vision, which predisposes to a very poor quality of life.
4. High rates of complications and failure post keratoplasty in young patients.

The investigators intend to evaluate the effectiveness of conventional collagen crosslinking in young patients with keratoconus with regards to keratometric indices and visual acuity.

Conditions

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Keratoconus

Keywords

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paediatric, keratoconus, collagen cross linking

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Conventional CXL

Crosslinking was done according to the standard protocol using hypo-osmolar riboflavin to saturate the cornea following epithelial debridement and ultra - violet light of 370nm with energy density of 3 milliwatts/sq.cm with riboflavin and distilled water alternated every 2 minutes was used for the procedure.

Group Type EXPERIMENTAL

Conventional CXL

Intervention Type RADIATION

Crosslinking was done according to the standard protocol using hypo-osmolar riboflavin (\<0.1%) to saturate the cornea following epithelial debridement and ultra - violet light of 370nm with energy density of 3 milliwatts/cm2 with riboflavin and distilled water alternated every 2 minutes was used for the procedure..

Interventions

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Conventional CXL

Crosslinking was done according to the standard protocol using hypo-osmolar riboflavin (\<0.1%) to saturate the cornea following epithelial debridement and ultra - violet light of 370nm with energy density of 3 milliwatts/cm2 with riboflavin and distilled water alternated every 2 minutes was used for the procedure..

Intervention Type RADIATION

Other Intervention Names

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Conventional collagen cross linking, C3R, Dresden protocol.

Eligibility Criteria

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Inclusion Criteria

* Patients aged 18 years and below.
* Patients diagnosed to have keratoconus at presentation and willing for follow - up at regular intervals post treatment.

Exclusion Criteria

* Any disease causing abnormal topography other than keratoconus.
* Any ocular condition predisposing towards poor vision (retinal , lens problems)
Minimum Eligible Age

3 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vasan Eye Care Hospital

OTHER

Sponsor Role lead

Responsible Party

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Dr.ANAND PARTHASARATHY, Dr. Ramesh Hariharan

Dr. Anand Parthasarathy

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dr.Anand Parthasarathy

Role: PRINCIPAL_INVESTIGATOR

Vasan Eye Care Hospital

Locations

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Vasan Eye Care Hospital

Chennai, Tamil Nadu, India

Site Status

Countries

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India

References

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Vinciguerra P, Albe E, Frueh BE, Trazza S, Epstein D. Two-year corneal cross-linking results in patients younger than 18 years with documented progressive keratoconus. Am J Ophthalmol. 2012 Sep;154(3):520-6. doi: 10.1016/j.ajo.2012.03.020. Epub 2012 May 24.

Reference Type BACKGROUND
PMID: 22633357 (View on PubMed)

Chatzis N, Hafezi F. Progression of keratoconus and efficacy of pediatric [corrected] corneal collagen cross-linking in children and adolescents. J Refract Surg. 2012 Nov;28(11):753-8. doi: 10.3928/1081597X-20121011-01.

Reference Type BACKGROUND
PMID: 23347367 (View on PubMed)

Caporossi A, Mazzotta C, Baiocchi S, Caporossi T, Denaro R, Balestrazzi A. Riboflavin-UVA-induced corneal collagen cross-linking in pediatric patients. Cornea. 2012 Mar;31(3):227-31. doi: 10.1097/ico.0b013e31822159f6.

Reference Type BACKGROUND
PMID: 22420024 (View on PubMed)

Other Identifiers

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PED_CXL

Identifier Type: -

Identifier Source: org_study_id