Donors Predisposed by Corneal Collagen Cross-linking in Deep Lamellar Keratoplasty for the Patients With Keratoconus

NCT ID: NCT05905978

Last Updated: 2023-06-15

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-30

Study Completion Date

2027-07-31

Brief Summary

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The Study was designed as a randomized controlled study with the following objectives:

To investigate whether use of donors predisposed by corneal collagen cross-linking (CXL) reduced myopic refractive errors for keratoconic eyes after Deep anterior lamellar keratoplasty (DALK).

Overall 70 patients are planned to recruit., the patients were assigned to CXL graft group, in which corneal donors predisposed by CXL were used, or the conventional graft group, in which corneal donors stored in corneal storage media were used. The patients will be followed-up for 24 months.

Detailed Description

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Keratoconus is a progressive ecstatic corneal disease characterized by forward bulging of the cornea, thinning of the corneal stroma, and irregular astigmatism. Corneal transplantation is necessary for patients with advanced keratoconus when spectacles and contact lens are inadequate for visual correction. Deep anterior lamellar keratoplasty is a conventional procedure for the treatment of keratoconus. However, DALK itself frequently causes abnormality of refraction, such as high degrees of astigmatism owing to irregular corneal surface for keratoconic eyes. Possible mechanisms of this progressive astigmatism include the recurrence of keratoconus in the grafts, progressive corneal thinning of the host cornea, or progressive misalignment of the graft- host interface over time, which prevents the achievement of satisfactory vision.

Corneal collagen cross-linking is believed to have the ability to halt or decrease the progression of keratoconus. CXL treats keratoconus by strengthening corneal stromal collagen bonds with riboflavin activated by ultraviolet A (UVA), and is now a first-line treatment for progressive keratoconus. In this randomized controlled trial, we performed CXL on corneal donor tissues with the aim of achieving corneal stromal stiffening, thereafter DALK was conducted for the patients with advanced keratoconus using the tissues predisposed by CXL. The goal of this study is evaluating whether the strengthening grafts could reduce postoperative myopic refractive errors or arrest the progression of keratoconus for the patients with DALK.

Conditions

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Keratoconus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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CXL graft group

Corneal donors predisposed by CXL were used and the conventional DALK procedure was conducted in patients

Group Type EXPERIMENTAL

Corneal donors predisposed by CXL

Intervention Type PROCEDURE

Corneal donors predisposed by CXL and DALK procedure was conducted in patients

Conventional graft group

Corneal donors stored in corneal storage media were used and the conventional DALK procedure was conducted in patients

Group Type ACTIVE_COMPARATOR

Corneal donors stored in corneal storage media

Intervention Type PROCEDURE

Corneal donors stored in corneal storage media and DALK procedure was conducted in patients

Interventions

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Corneal donors predisposed by CXL

Corneal donors predisposed by CXL and DALK procedure was conducted in patients

Intervention Type PROCEDURE

Corneal donors stored in corneal storage media

Corneal donors stored in corneal storage media and DALK procedure was conducted in patients

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 1.The best corrected visual quality of frame glasses is less than 0.3,2.The best corrected visual quality of rigid gas permeable contact lens (RGPCL) is less than 0.5/ RGPCL intolerance,3.The anterior corneal surface curvature \>55D,4.The thinnest corneal thickness is less than 400 μm. One of the above four items is met
* Patients must be willing and able to return for scheduled follow-up examinations for 36 months after surgery
* Ages:over 18 Years

Exclusion Criteria

* History of intraocular surgery
* Severe dry eye
* Severe eyelid and conjunctival scar
* Loss of vision in contralateral eye
* Pregnant and lactating women
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zhongshan Ophthalmic Center, Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Zhongshan Ophthalmic Center, Sun Yat-Sen University

Guangzhou, Guangdong, China

Site Status

Countries

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China

Central Contacts

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Ting Huang, MD, PHD

Role: CONTACT

86-13682205425

Xiaojuan Dong, MD, PHD

Role: CONTACT

86-13552338050

Facility Contacts

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Ling Jin

Role: primary

86-20-87334687

Other Identifiers

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2020KYPJ163

Identifier Type: -

Identifier Source: org_study_id

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