A Study to Test the Potential of Brillouin Microscopy for Biomechanical Properties Measurements in Human Cornea

NCT ID: NCT03220529

Last Updated: 2022-08-02

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

85 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-30

Study Completion Date

2020-09-30

Brief Summary

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The purpose of this research study is to find out if the new Brillouin Ocular Scanner can measure the variation (difference) of the corneal elastic changes involved in the onset of corneal ectasia, induced by LASIK surgery and cornea collagen crosslinking (CXL) treatment. Ectasia refers to the thinning and bulging of the cornea and results in severe vision degradation (loss), which may occur because of a progressive disease (keratoconus) or because of LASIK surgery. It is believed that the structural weakening of the cornea plays a major role in developing ectasia. CXL is a treatment that is able to halt the progression of ectasia.

The Brillouin Ocular Scanner is a technique based on the principles used in the laser speed measuring of a car (radar gun). When laser light illuminates a moving sample, a portion of the light slightly changes color. In our body, e.g in eye and corneal tissue, very weak sound waves are naturally present and they can induce a similar color shift. Measuring this color shift with a sensitive light color meter (spectrometer), we will measure the sound speed in the tissue.

Detailed Description

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Conditions

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Pellucid Marginal Corneal Degeneration Keratoconus Keratectasia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Normal healthy subjects

Healthy subjects with normal appearing corneas respecting all the general inclusion/exclusion criteria. Multiple axial measurements with the Brillouin Ocular Scanner on the cornea will be carried out.

Group Type ACTIVE_COMPARATOR

Brillouin Ocular Scanner

Intervention Type DEVICE

Keratoconus subjects

Subjects classified as patients with mild, moderate, or advanced keratoconus. Multiple axial measurements with the Brillouin Ocular Scanner on the cornea will be carried out.

Group Type ACTIVE_COMPARATOR

Brillouin Ocular Scanner

Intervention Type DEVICE

Subjects diagnosed with PMD

Subjects with Pellucid marginal corneal degeneration (PMD). Multiple axial measurements with the Brillouin Ocular Scanner on the cornea will be carried out.

Group Type ACTIVE_COMPARATOR

Brillouin Ocular Scanner

Intervention Type DEVICE

Patients before and after LASK surgery

Healthy subjects who are scheduled to undergo LASIK surgery. Multiple axial measurements with the Brillouin Ocular Scanner on the cornea will be carried out.

Group Type ACTIVE_COMPARATOR

Brillouin Ocular Scanner

Intervention Type DEVICE

Patients with keratoconus before and after CXL

Subjects who are scheduled to undergo collagen crosslinking treatment. Multiple axial measurements with the Brillouin Ocular Scanner on the cornea will be carried out.

Group Type ACTIVE_COMPARATOR

Brillouin Ocular Scanner

Intervention Type DEVICE

Interventions

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Brillouin Ocular Scanner

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Subjects with healthy cornea
* Patients with mild, moderate, or advanced keratoconus
* Subjects diagnosed with PMD
* Patients before and after LASK surgery
* Patients with keratoconus before and after collagen crosslinking treatment

Exclusion Criteria

* Normal volunteer group: presbyopia and/or cataract
* Keratoconus subjects group: corneas with scars developed, received any ocular surgery, such as laser vision correction surgeries or CXL treatment
* Subjects diagnosed with PMD: excludes corneas received any ocular surgery, such as laser vision correction or CXL treatment
* Patients before and after LASK surgery Corneas received priori ocular surgeries, taking any ocular medications except season allergy medicine such as artificial tears
Minimum Eligible Age

15 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Massachusetts Eye and Ear Infirmary

OTHER

Sponsor Role collaborator

Massachusetts General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Seok Hyun Yun

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Seok Hyun Yun, PhD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Locations

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Massachusetts Eye and Ear Infirmary

Boston, Massachusetts, United States

Site Status

Institute for Refractive and Ophthalmic Surgery

Zurich, , Switzerland

Site Status

Countries

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United States Switzerland

References

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Scarcelli G, Besner S, Pineda R, Kalout P, Yun SH. In vivo biomechanical mapping of normal and keratoconus corneas. JAMA Ophthalmol. 2015 Apr;133(4):480-2. doi: 10.1001/jamaophthalmol.2014.5641. No abstract available.

Reference Type BACKGROUND
PMID: 25611213 (View on PubMed)

Scarcelli G, Besner S, Pineda R, Yun SH. Biomechanical characterization of keratoconus corneas ex vivo with Brillouin microscopy. Invest Ophthalmol Vis Sci. 2014 Jun 17;55(7):4490-5. doi: 10.1167/iovs.14-14450.

Reference Type BACKGROUND
PMID: 24938517 (View on PubMed)

Scarcelli G, Pineda R, Yun SH. Brillouin optical microscopy for corneal biomechanics. Invest Ophthalmol Vis Sci. 2012 Jan 20;53(1):185-90. doi: 10.1167/iovs.11-8281.

Reference Type BACKGROUND
PMID: 22159012 (View on PubMed)

Scarcelli G, Polacheck WJ, Nia HT, Patel K, Grodzinsky AJ, Kamm RD, Yun SH. Noncontact three-dimensional mapping of intracellular hydromechanical properties by Brillouin microscopy. Nat Methods. 2015 Dec;12(12):1132-4. doi: 10.1038/nmeth.3616. Epub 2015 Oct 5.

Reference Type BACKGROUND
PMID: 26436482 (View on PubMed)

Other Identifiers

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2015P002404

Identifier Type: -

Identifier Source: org_study_id

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