Prospective Randomized Study Comparing Endothelial Cell Loss Using the Tan EndoGlide With Forceps for Insertion of the Donor Graft in DSAEK
Study Details
Study Description
Brief Summary
The Tan EndoGlide device results in less endothelial cell trauma during insertion of the donor corneal graft indicated by reduced endothelial cell loss at 1 year follow-up compared to the Forceps.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Forceps delivery of donor graft Using the forceps to insert the donor graft. |
Device: Forceps for delivery of the donor graft
Use of the forceps for delivery of the donor graft into the eye.
|
Experimental: Tan Endoglide for insertion of the donor graft Use of the Tan Endoglide for insertion of the donor graft. |
Device: Use of the Tan Endoglide to insert the donor graft
Using the Tan Endoglide to insert the donor graft into the eye
|
Outcome Measures
Primary Outcome Measures
- Donor Graft Endothelial cell counts [1 year]
- Best corrected visual acuity [1 year]
Secondary Outcome Measures
- Complications of surgery [1 year]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients presenting with corneal decompensation requiring DSAEK with or without cataract surgery for visual rehabilitation.
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Clinical diagnosis include endothelial cell dysfunction secondary to Fuchs endothelial dystrophy, pseudophakic or aphakic bullous keratopathy, failed penetrating keratoplasty or DSAEK, iridocorneal endothelial syndrome or trauma.
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Ability to understand the nature of the procedure and give full informed consent.
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Patients who are able to comply with the standard DSAEK follow-up protocol at the Toronto Western Hospital.
Exclusion Criteria:
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Patients with late stage corneal decompensation with stromal scarring unsuitable for DSAEK and therefore requiring penetrating keratoplasty.
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Patients with complex anterior segment pathology precluding successful DSAEK procedure.
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Patients not giving full informed consent to participate in the trial
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Toronto Western Hospital | Toronto | Ontario | Canada | M5T 2S8 |
Sponsors and Collaborators
- University Health Network, Toronto
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- REB-10-0632-B