Combined CXL//UV and PRK or LASIK in Forme Fruste Keratoconus or Eyes With Potential Risk of Ectasia
Combined Collagen Crosslinking/Ultraviolet-A and Photorefractive Keratectomy or LASIK in Forme Fruste Keratoconus or Eyes With Potentially Elevated Risk of Ectasia
1 other identifier
observational
22
1 country
8
Brief Summary
This study is being performed to evaluate the efficacy of ultraviolet-A (UVA)-induced cross-linking of corneal collagen (CXL) in strengthening and optimizing the biomechanical and biochemical stability of the cornea in patients with fruste keratoconus (FFKC), corneas that are suspicious for FFKC and corneas thought to be at higher risk of developing ectasia that will be undergoing laser vision correction.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Oct 2011
Typical duration for all trials
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2011
CompletedFirst Submitted
Initial submission to the registry
November 9, 2012
CompletedFirst Posted
Study publicly available on registry
November 14, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2014
CompletedAugust 24, 2015
August 1, 2015
2.8 years
November 9, 2012
August 20, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Postoperative Best-Corrected Visual Acuity
Month 9
Secondary Outcomes (1)
Residual Refractive error at the 1, 3 and 6 month visits
Months 1, 3, and 6
Study Arms (2)
low risk subjects for developing post-operative ectasia
Patients undergoing vision correction surgery who are not at a higher risk for developing post-op ectasia
Subjects at Risk for Ectasia
Patients undergoing vision correction surgery who are at a higher risk for developing post-operative ectasia
Interventions
Corneal cross-linking procedure conducted during vision correction surgery.
Riboflavin will be instilled prior to corneal cross linking.
Eligibility Criteria
Primary Care Clinic
You may qualify if:
- years of age or older
- Up to 4 potential risk factors for ectasia
- A. Abnormal Topography: Consistent with forme fruste keratoconus, forme fruste pellucid marginal degeneration, asymmetric astigmatism, or increased posterior float/posterior corneal surface shape.
- B. Corneal thickness of 500 microns or less, as measured by ultrasound, Orbscan, or Pentacam
- C. Age 18 to 25
- D. Planned Residual stromal bed between 250 and 300 microns
- Ability to provide written informed consent
- Likely to complete all study visits
- Best spectacle-corrected visual acuity (BSCVA) of 20/25 in each eye
- Patients with and without previous laser vision correction are eligible for participation.
You may not qualify if:
- Frank keratoconus, Pellucid, or Post-LASIK ectasia
- Less than 20/30 BSCVA in either eye
- Corneal scarring that markedly affects vision
- Contraindications to any study medications or their components
- Pregnancy or breast feeding
- Active Herpes Corneal Disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cxlusalead
Study Sites (8)
Schwartz Laser Eye Center
Scottsdale, Arizona, 85260, United States
Clear View Eye & Laser Medical Center
San Diego, California, United States
The Center for Excellence in Eye Care
Miami, Florida, United States
TLC Laser Eye Center
Rockville, Maryland, 20852, United States
Talamo Laser Eye Center
Waltham, Massachusetts, United States
Minnesota Eye Consultants
Minneapolis, Minnesota, United States
Cleveland Eye Clinic
Breckville, Ohio, United States
TLC Laser Eye Center
Fairfax, Virginia, 22031, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
William Trattler, MD
Center For Excellence In Eye Care
- STUDY DIRECTOR
Roy Rubinfeld
CXL-USA
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 9, 2012
First Posted
November 14, 2012
Study Start
October 1, 2011
Primary Completion
July 1, 2014
Study Completion
July 1, 2014
Last Updated
August 24, 2015
Record last verified: 2015-08