Stromal Lenticule Implantation for Management of Herpetic Stromal Keratitis

NCT ID: NCT05156151

Last Updated: 2024-02-20

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

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-01

Study Completion Date

2025-01-01

Brief Summary

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The aim of this study is the evaluation of corneal transparency and improvement of visual acuity in patients with herpetic stromal keratitis.

Detailed Description

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Stromal keratitis is an infectious ocular disease of either necrotizing or non-necrotizing form, due to an HSV infection, and characterized by corneal stromal necrosis, inflammation, ulceration and infiltration by leukocytes.

In our study these early findings suggest that the use of corneal stromal lenticules with stromal stem cells and live keratocytes could be a safe and efficient treatment for stromal scar after herpetic keratitis, and excluding the recurrence of the disease by removing the corneal scar after herpetic infection using Smile and implanting the lenticule equal to the volume of the removed scar tissue.

Stromal lenticule implantation is relatively simple, low-cost and offers advantages over corneal transplantation as a definitive procedure in the treatment of this disease.

Conditions

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Stromal Keratitis

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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Stromal lenticule implantation for management of herpetic stromal keratitis

The thickness of the herpetic stromal scar in the cornea is calculated in microns in OCT. Based on that extraction is performed using SMILE, a new lenticular stromal pocket is placed in the same volume. AS-OCT evaluated the corneal topography, glass-corrected best visual acuity (BSCVA) measurements and electron microscopy. Postoperative complications were monitored during the follow-up period.

During the three year follow-up period, no signs of recurrence or infections were detected in this patient.

Group Type OTHER

Relex-Smile

Intervention Type OTHER

Interventions

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Relex-Smile

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* low transparenc of cornea
* low visual acuity
* recurrence of herpetic stromal keratitis

Exclusion Criteria

* previous corneal or anterior segment surgery
* any infection
Minimum Eligible Age

21 Years

Maximum Eligible Age

46 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eye Hospital Pristina Kosovo

OTHER

Sponsor Role lead

Responsible Party

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Dr. Faruk Semiz

Head of Ophthalmology Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Eye Hospital Pristina

Pristina, , Kosovo

Site Status

Countries

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Kosovo

Other Identifiers

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EyehospitalPrishtina

Identifier Type: -

Identifier Source: org_study_id

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