NCT01869517

Brief Summary

Various approaches, including surgical and non-surgical management have been proposed for keratoconus. One of the surgical procedures is Intrastromal Corneal Ring implantations that have been designed to achieve refractive readjustment by flattening the cornea. There are different models of Intrastromal Corneal rings available: intrastromal corneal ring segments (ICRS) such as Keraring and intrastromal corneal continuous ring (ICCR) like Myoring. Most studies of these two types of ring implantation outcomes are retrospective case series. Thus, this Randomized Clinical Trial study was designed with the aim of Comparing visual and refractive outcomes and complications of insertion Myoring versus Keraring using Femtosecond laser. Keratoconus patients with compound myopic astigmatism who meet the inclusion criteria will randomly allocated to the Keraring and Myoring groups. Subsequently, the clinical outcomes of two groups will be compared at one,3 and 6 months after surgery.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
23

participants targeted

Target at below P25 for phase_2

Geographic Reach
1 country

1 active site

Status
unknown

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

May 1, 2013

Completed
21 days until next milestone

First Submitted

Initial submission to the registry

May 22, 2013

Completed
14 days until next milestone

First Posted

Study publicly available on registry

June 5, 2013

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2015

Completed
Last Updated

June 5, 2013

Status Verified

June 1, 2013

Enrollment Period

2 years

First QC Date

May 22, 2013

Last Update Submit

June 1, 2013

Conditions

Outcome Measures

Primary Outcomes (1)

  • uncorrected visual acuity

    Snellen E chart

    6 months

Secondary Outcomes (7)

  • Corneal thickness

    6months

  • Corneal irregularities (3, 5 and 7 mm of central cornea)

    6 months

  • Front & back corneal elevation

    6 months

  • Corneal aberrometry

    6 months

  • Corneal eccentricity

    6 months

  • +2 more secondary outcomes

Study Arms (2)

Intrastromal corneal continuous ring (Myoring)

ACTIVE COMPARATOR
Other: Intrastromal corneal continuous ring (Myoring) implantation

Intrastromal corneal ring segments (Keraring)

ACTIVE COMPARATOR
Other: intrastromal corneal ring segments (Keraring) implantation

Interventions

Intrastromal corneal ring segments (Keraring)
Intrastromal corneal continuous ring (Myoring)

Eligibility Criteria

Age20 Years - 40 Years
Sexall
Age GroupsAdult (18-64)

You may qualify if:

  • keratoconus patients and :
  • age between 20 to 40
  • corneal thickness\> 380 microns
  • mean keratometry between 44 to 60 D
  • clear central cornea
  • Patients should be discontinued their contact lenses for 3 weeks prior to the exams
  • contact lenses in tolerance
  • /200\<visual acuity \<20/30

You may not qualify if:

  • Positive pregnancy test
  • Breast-feeding
  • History of glaucoma, cataract, vernal and atopic keratoconjunctivitis
  • History of previous ophthalmologic surgery, keratorefractive surgery on the operative eye
  • Dry eye
  • Corneal stromal disorders
  • History of herpetic keratitis
  • Pellucid marginal degeneration
  • Corneal grafts
  • Retinal disorders
  • Nystagmus and uncooperative disposition
  • Neuro-ophthalmologic disorders
  • Intraocular pressure \<10 mmHg or \>21 mmHg
  • Patients with autoimmune, connective tissue disorders, diabetes and immunosuppressive drugs users
  • Hyperopia

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Islamic Republic OF Iran

Tehran, Iran

RECRUITING

MeSH Terms

Conditions

Keratoconus

Interventions

Drug Implants

Condition Hierarchy (Ancestors)

Corneal DiseasesEye Diseases

Intervention Hierarchy (Ancestors)

Delayed-Action PreparationsDosage FormsPharmaceutical Preparations

Central Study Contacts

Alireza Baradaran-Rafii

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
clinical professor ,ophthalmic research center

Study Record Dates

First Submitted

May 22, 2013

First Posted

June 5, 2013

Study Start

May 1, 2013

Primary Completion

May 1, 2015

Last Updated

June 5, 2013

Record last verified: 2013-06

Locations