A Comparison of Photorefractive Keratectomy (PRK), PRK With Mitomycin-C and Laser Subepithelial Keratomileusis (LASEK) in the Treatment of Moderate and High Myopia

NCT00415077 | Terminated

• 1 other identifier: WRAMC WU# 04-23009
• Study Type: interventional
• Target: 960
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to assess whether there is a significant difference in visual outcomes or corneal haze after surface ablation for moderate and high myopia in active duty service members treated with PRK, Mitomycin-C (MMC) PRK and LASEK.

Conditions

MODERATE AND HIGH MYOPIA

Outcome Measures

Primary Outcomes (1)

• Efficacy in terms of uncorrected visual acuity and post operative refraction. Safety in terms of maintenance of best spectacle corrected acuity within 2 lines of preoperative levels.

  12 months after surgery

Study Arms (3)

2

ACTIVE COMPARATOR

LASEK- laser-assisted subepithelial keratectomy

Procedure: MMC PRK

3

ACTIVE COMPARATOR

Mitomycin C PRK

Procedure: LASEK

1

ACTIVE COMPARATOR

PRK- Photorefractive keratectomy

Procedure: PRK

Interventions

PRK PROCEDURE

PRK

1

MMC PRK PROCEDURE

mitomycin C PRK

2

LASEK PROCEDURE

LASEK

3

Eligibility Criteria

• Age: 21 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Informed consent.
• Normal, healthy, active duty adults age 21 years or older. The lower age limit of 21 years is intended to ensure documentation of refractive stability.
• Manifest refractive spherical equivalent of greater than -4.00 diopters (D) up to -10.00 D.
• Best spectacle corrected visual acuity of 20/20 or better in both eyes.
• Demonstrated refractive stability, confirmed by clinical records. Neither the spherical nor the cylindrical portion of the refraction may have changed more than 0.50D during the 12-month period immediately preceding the baseline examination, as confirmed by clinical records.
• Both eyes must fall in the same refraction group and there must be less than 1 D difference between eyes.
• Soft contact lens users must have removed their lenses at least 2 weeks before baseline measurements. Hard contact lens users (PMMA or rigid gas permeable lenses) must have removed their lenses at least 4 weeks prior to baseline measurements and have 2 central keratometry readings and 2 manifest refractions taken at least 1 week apart that do not differ by more than 0.50 D in either meridian.
• Access to transportation to meet the follow-up requirements.
• Available for evaluation during the 1-year follow-up period.
• Consent of the subject's command to participate in the study.

You may not qualify if:

• Female subjects who are pregnant, breast-feeding or intend to become pregnant during the study. Women of childbearing age will take a urine pregnancy test before starting this study.
• Residual, recurrent or active ocular diseases or corneal abnormalities in either eye such as keratoconus, iritis, uveitis, keratoconjunctivitis sicca, vernal conjunctivitis, lagophthalmos, corneal scarring, glaucoma, previous steroid responder, occludable chamber angles, visually significant cataracts.
• Medical condition(s), which, in the judgment of the investigator, may impair healing, including but not limited to: collagen vascular disease, autoimmune disease, immunodeficiency diseases, and ocular herpes zoster or simplex.
• Concurrent topical or systemic medications that may impair healing, including corticosteroids, antimetabolites, isotretinoin (Accutane), amiodarone hydrochloride (Cordarone) and/or sumatripin (Imitrex).
• Any physical or mental impairment that would preclude participation in any of the examinations.
• Prior refractive or ocular surgery.

Sponsors & Collaborators

• Walter Reed Army Medical Center: lead
• Madigan Army Medical Center: collaborator
• C.R.Darnall Army Medical Center: collaborator
• Blanchfield Army Community Hospital: collaborator
• Tripler Army Medical Center: collaborator

Study Sites (1)

Walter Reed Army Medical Center, Center For Refractive Surgery

Washington D.C., District of Columbia, 20307, United States

Location

MeSH Terms

Interventions

Keratectomy, Subepithelial, Laser-Assisted

Intervention Hierarchy (Ancestors)

Corneal Surgery, Laser; Laser Therapy; Therapeutics; Ablation Techniques; Surgical Procedures, Operative; Keratectomy; Refractive Surgical Procedures; Ophthalmologic Surgical Procedures

Study Officials

• KRAIG S BOWER, MD

  DIRECTOR, CENTER FOR REFRACTIVE SURGERY WALTER REED ARMY MEDICAL CENTER

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: FED

Study Record Dates

• First Submitted: December 21, 2006
• First Posted: December 22, 2006
• Study Start: June 1, 2004
• Last Updated: July 16, 2010

Record last verified: 2010-07

Locations

US (1)