Outcomes of a New Trans-epithelial Photorefractive Keratectomy (Streamlight PRK) Compared to Conventional PRK Procedures

NCT ID: NCT04710082

Last Updated: 2021-07-20

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

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-01

Study Completion Date

2021-06-30

Brief Summary

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Photorefractive keratectomy (PRK) involves mechanical or alcohol assisted debridement of the epithelium that leads to potential basement membrane (BM) injury ,with resultant more significant haze and pain compared to laser assisted epithelial removal known as 2 step trans-epithelial PRK (PTK-PRK). Our study is focusing on comparing the outcomes of the conventional 2 step trans-epithelial PTK-PRK to the new single step trans-epithelial PRK (StreamLight PRK, Alcon lab, TX, USA).

Detailed Description

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Photorefractive keratectomy (PRK) is nowadays one of the commonest refractive procedures in laser vision correction (LVC). PRK differs from laser in situ keratomileusis (LASIK) in that it's a flapless procedure involving the removal of corneal epithelium with different techniques including manual removal , alcohol assisted removal or excimer laser assisted removal with phototherapeutic keratectomy (PTK). Mechanical or alcohol assisted debridement of the epithelium may lead to potential basement membrane (BM) injury ,with resultant more significant haze and pain compared to laser assisted epithelial removal known as 2 step trans-epithelial PRK (PTK-PRK).

Single step trans-epithelial PRK allows removing the epithelium and stroma in a single step with a single ablation profile.

Previous studies paid particular attention for comparing the 2 step PTK-PRK procedure or the new single step PRK procedure to the conventional PRK procedures involving epithelial removal whether manual or alcohol assisted.

The aim of this study is to focus on comparing the different outcomes of the new single step Trans-epithelial PRK (StreamLight Technology) versus the routine 2 step PTK-PRK in terms of postoperative vision, epithelial healing, pain scoring and haze evaluation.

Conditions

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Myopia ≤ -6 Diopters or Myopic Astigmatism ≤ -4 Diopters

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Patients planned to undergo conventional 2 step trans-epithelial PTK-PRK

Patients planned to undergo:

1. Epithelial removal using Phototherapeutic Keratectomy PTK as a separate step.
2. Laser Vision Correction using Excimer laser wavefront optimized technology.

Group Type ACTIVE_COMPARATOR

Photorefractive keratectomy (PRK)

Intervention Type PROCEDURE

Photorefractive keratectomy (PRK) is a surgical procedure used by ophthalmic surgeons to treat patients presented with refractive errors and involves corneal epithelial removal followed by application of excimer laser to correct different refractive errors including Myopia, Hyperopia and Astigmatism.

Patients planned to undergo the new single step trans-epithelial (StreamLight) PRK.

Patients planned to undergo:

Epithelial removal and Excimer wavefront optimized Laser Vision Correction in a single step using the new StreamLight Technology.

Group Type ACTIVE_COMPARATOR

Photorefractive keratectomy (PRK)

Intervention Type PROCEDURE

Photorefractive keratectomy (PRK) is a surgical procedure used by ophthalmic surgeons to treat patients presented with refractive errors and involves corneal epithelial removal followed by application of excimer laser to correct different refractive errors including Myopia, Hyperopia and Astigmatism.

Interventions

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Photorefractive keratectomy (PRK)

Photorefractive keratectomy (PRK) is a surgical procedure used by ophthalmic surgeons to treat patients presented with refractive errors and involves corneal epithelial removal followed by application of excimer laser to correct different refractive errors including Myopia, Hyperopia and Astigmatism.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Myopia up to -6 diopters
2. Myopic astigmatism up to -4 diopters
3. Corneal thinnest location ≥ 500 um and a residual stromal bed ≥ 300um.

Exclusion Criteria

1. Patients not candidates for LVC.
2. Hyperopic patients.
3. Systemic disease that contraindicates LVC.
4. Intra- or post-operative complications.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Mahmoud Abdel-Radi

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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TIBA eye center

Asyut, , Egypt

Site Status

Countries

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Egypt

References

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Kaluzny BJ, Cieslinska I, Mosquera SA, Verma S. Single-Step Transepithelial PRK vs Alcohol-Assisted PRK in Myopia and Compound Myopic Astigmatism Correction. Medicine (Baltimore). 2016 Feb;95(6):e1993. doi: 10.1097/MD.0000000000001993.

Reference Type BACKGROUND
PMID: 26871764 (View on PubMed)

Abdel-Radi M, Shehata M, Mostafa MM, Aly MOM. Transepithelial photorefractive keratectomy: a prospective randomized comparative study between the two-step and the single-step techniques. Eye (Lond). 2023 Jun;37(8):1545-1552. doi: 10.1038/s41433-022-02174-4. Epub 2022 Jul 21.

Reference Type DERIVED
PMID: 35864163 (View on PubMed)

Other Identifiers

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TEPRK

Identifier Type: -

Identifier Source: org_study_id

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