Surface Ablation With Corneal Cross Linking in Mild Keratoconus
Study Details
Study Description
Brief Summary
Interventional and comparative prospective study: Sixty-nine eyes (38 patients) suffering from keratoconus (stages 1-2 Amsler-Krumeich classification) will be divided into four groups. The four groups underwent topography- and non-topography-guided PRK with sequential and simultaneous CXL. The main outcome measures will be pre-and postoperative uncorrected distance visual acuity (UDVA), best-corrected distance visual acuity (CDVA), manifest refraction, contrast sensitivity, and keratometry
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Photorefractive Keratectomy with Corneal Cross-Linking For correction of refractive error |
Procedure: Photorefractive Keratectomy with Corneal Cross-Linking
To our knowledge, this study is one of the first to compare the visual results of non-topography-guided and topography-guided photorefractive keratectomy (PRK) applying sequential and simultaneous corneal cross-linking (CXL) treatment for keratoconus. Considering recent advances in cross-linking and imaging in keratoconus, the outcomes of this study can lead us to several non-invasive algorithm management options.
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Outcome Measures
Primary Outcome Measures
- Visual Acuity [3 year]
Evaluation of the uncorrected visual acuity, best corrected visual acuity, astigmatism, intraocular pressure and endothelial cell loss before and after the last operation.
Eligibility Criteria
Criteria
Inclusion criteria for the study focused on patients over 34 (range from 34 to 41) with stable corneal topography and refraction for at least six months and an estimated residual bed thickness of >410 µm.
exclusion from the study included the presence of macular or retinal disease, dry eye, history of recurrent corneal erosions, anterior segment abnormalities, unstable refractive error, post-surgically residual stromal bed thickness of under 350 mm, autoimmune disease, collagen vascular disease, immunosuppressive therapy, or current use of systemic corticosteroids, diabetes mellitus, pregnancy, and lactation.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Negah Eye Hospital | Tehran | Iran, Islamic Republic of | 1544914599 |
Sponsors and Collaborators
- Shahid Beheshti University
- Negah Eye Center
- Tehran University of Medical Sciences
Investigators
- Principal Investigator: Azad sanginabadi, PhD, Iran University of Medical Sciences
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SBMU