Patient satisfaction with epithelium-off corneal crosslinking.
Marianne O Price, Matthew T Feng, Francis W Price
https://pubmed.ncbi.nlm.nih.gov/29605283/Actively Recruiting
Led by Price Vision Group · Updated on 2025-07-31
510
Participants Needed
1
Research Sites
4 weeks
Total Duration
Researchers are comparing two methods of corneal crosslinking to treat progressive keratoconus or corneal ectasia, conditions that affect the shape and strength of the cornea. This study evaluates accelerated versus standard treatment to understand which approach better manages these eye conditions. The trial is conducted by the Price Vision Group and includes participants aged 10 years and older. Participants receive one of two treatments either 0.1% riboflavin eye drops with 9 mWcm2 UVA light for 10 minutes accelerated, or 0.1% riboflavin eye drops with 3 mWcm2 UVA light for 30 minutes standard. These treatments aim to strengthen the cornea using different light intensities and durations. The study randomly assigns participants to one of these two groups. During the study, researchers measure changes in the maximum keratometry, which assesses corneal curvature, at 6 months. They also track changes in both corrected and uncorrected distance visual acuity over the same period. Participants undergo eye examinations and monitoring to assess treatment effects and safety throughout the study.
CONDITIONS
Comparison of Standard vs. Accelerated Corneal Crosslinking
M
Marianne Price, PhD
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Price Vision Group
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Accelerated crosslinking (9 mW/cm2 for 10 min) | Standard crosslinking (3 mW/cm2 for 30 min) |
|---|---|---|
| What it is | Accelerated corneal crosslinking uses riboflavin 0.1% eye drops plus UVA light at 9 mW/cm2 for 10 minutes, designed to strengthen the cornea in keratoconus and corneal ectasia. | Standard corneal crosslinking uses riboflavin 0.1% eye drops plus UVA light at 3 mW/cm2 for 30 minutes to strengthen the cornea in keratoconus and corneal ectasia. |
| Role in trial | Participants are randomized to receive the accelerated crosslinking protocol. | Participants are randomized to receive the standard crosslinking protocol. |
| Primary clinical use | Treatment for progressive keratoconus and corneal ectasia to halt or slow disease progression by strengthening the cornea. | Treatment for progressive keratoconus and corneal ectasia to slow or stop corneal weakening. |
| How it is given or performed | Participants receive eye drops and undergo UVA treatment at higher intensity for a shorter time (9 mW/cm2 UVA for 10 minutes) after removing the corneal epithelium. | Participants receive eye drops and undergo UVA treatment at standard intensity for a longer time (3 mW/cm2 UVA for 30 minutes) after removing the corneal epithelium. |
| Evidence status | Accelerated crosslinking has been evaluated in prospective studies for effectiveness in individuals with keratoconus and corneal ectasia, though long-term comparative results are less mature. | Standard crosslinking has longer-term clinical use and published evidence supporting its effectiveness in stabilizing keratoconus and corneal ectasia. |
| Important limitations | Long-term outcomes, rates of epithelial healing, and patient comfort compared to the standard protocol are still being investigated. Shorter procedure time may affect depth of treatment. | Longer procedure time and delayed recovery are potential drawbacks. Epithelial healing and patient experience can vary. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Single treatment session
Participants receive treatment with 0.1% riboflavin eye drops and UVA light, either 9 mW/cm2 for 10 minutes or 3 mW/cm2 for 30 minutes, depending on their assigned group.
1 treatment visit
Duration - 6 months
Participants are monitored for changes in corneal condition and visual acuity after treatment.
Periodic visits during 6 months post-treatment
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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https://pubmed.ncbi.nlm.nih.gov/29889294/Price Vision Group
Lead Sponsor