Status:

COMPLETED

Corneal Crosslinking in Patients With Keratoconus and Post-Refractive Ectasia

Lead Sponsor:

Price Vision Group

Conditions:

Keratoconus

Post-Refractive Ectasia

Eligibility:

All Genders

10+ years

Phase:

PHASE2

Brief Summary

The purpose of this study is to evaluate the effectiveness of using riboflavin and UV light to treat progressive keratoconus or post-refractive corneal ectasia.

Detailed Description

The primary objective of this study is to evaluate two riboflavin-dosing regimens for corneal collagen cross-linking to slow the progressive changes in corneal curvature in eyes with progressive kerat...

Eligibility Criteria

Inclusion

  • 10 years of age or older
  • Having documented ectasia on topography or tomography after previous refractive surgery OR progressive keratoconus defined as one or more of the following changes over a period of 36 months or less before randomization:
  • An increase of ≥ 1.00 D in the steepest keratometry value (or sim K)
  • An increase of ≥ 1.00 D in regular astigmatism evaluated by subjective manifest refraction
  • A myopic shift (decrease in the spherical equivalent) of ≥ 0.50 D on subjective manifest refraction
  • Documented decrease in visual acuity associated with irregular astigmatism and topographic features of ectasia.
  • Subjects with keratoconus diagnosis only:
  • a. Axial topography consistent with keratoconus b. Presence of central or inferior steepening on the Pentacam map. c. Presence of one or more slit lamp findings associated with keratoconus, such as: i. Fleischer ring ii. Vogt striae iii. Corneal thinning iv. Corneal scarring
  • Contact Lens Wearers Only: Removal of contact lenses for the required period of time prior to the screening refraction:
  • Contact Lens Type Minimum Discontinuation Time Soft 3 Days Soft Extended Wear 1 Week Soft Toric 2 Weeks Rigid gas permeable 2 Weeks
  • Signed written informed consent

Exclusion

  • 1\. Any keratoconus patient over 21 years of age without evidence of progression of his corneal deformity.
  • 2\. Patients with excessively thin corneas. 3. Previous ocular condition in the eyes to be treated that may predispose the eye for future complications, for example:
  • a. History of corneal disease (e.g., herpes simplex, herpes zoster keratitis, recurrent erosion syndrome, corneal melt, corneal dystrophy, etc.) b. Clinically significant corneal scarring in the proposed treatment zone 4. A history of chemical injury or delayed epithelial healing in the eye(s) to be treated.
  • 5\. A known sensitivity to treatment medications. 6. Patients with a current condition that, in the treating physician's opinion, would interfere with or prolong epithelial healing.
  • 7\. Pregnancy (including plan to become pregnant) or lactation during the course of the study

Key Trial Info

Start Date :

May 1 2010

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 30 2017

Estimated Enrollment :

510 Patients enrolled

Trial Details

Trial ID

NCT01143389

Start Date

May 1 2010

End Date

August 30 2017

Last Update

June 6 2018

Active Locations (1)

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Price Vision Group

Indianapolis, Indiana, United States, 46260

Corneal Crosslinking in Patients With Keratoconus and Post-Refractive Ectasia | DecenTrialz