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CompletedNCT01726283Updated Aug 24, 2015

Combined CXL//UV and PRK or LASIK in Forme Fruste Keratoconus or Eyes With Potential Risk of Ectasia

An observational study in Fruste Keratoconus and Risk of Ectasia, sponsored by Cxlusa. Completed at 8 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-08-24.

Sponsored by Cxlusa · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
22
Ages
18 Years and older
Sex
All
01

Study 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.

Read the detailed description

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. CXL is thought to augment the tectonic strength of the cornea by using UVA light and the photo-mediator riboflavin. The purpose of this non-randomized study is to compare the visual results of patients who are suspicious for having an increased risk of ectasia with laser vision correction compared to a group of patients that does not have these risk factors. All excimer laser ophthalmic procedures currently being performed to correct myopia, hyperopia or astigmatism with FDA approved excimer lasers do so by removing corneal tissue and thereby potentially weakening the cornea biomechanically. This can result in ectasia even in patients without pre-existing risk factors.

02

Conditions studied

  • Fruste Keratoconus
  • Risk of Ectasia

Keywords

  • fruste keratoconus
  • ectasia
03

In context

Keratoconus

307 studies on the registry are indexed under Keratoconus; 56 are open to participants now.

This study's planned enrollment of 22 is below the median of 130 across 94 observational studies indexed under Keratoconus.

Browse Keratoconus studies →

Lead sponsor

Cxlusa is the lead sponsor of 7 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Primary Care Clinic

Inclusion criteria

  • 18 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.

Exclusion criteria

Exclusion Criteria:

  • 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
05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
22 participants (estimated)

Groups and cohorts

  • 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

    Device: Corneal Cross-Linking · Drug: Riboflavin

  • Subjects at Risk for Ectasia

    Patients undergoing vision correction surgery who are at a higher risk for developing post-operative ectasia

    Device: Corneal Cross-Linking · Drug: Riboflavin

Interventions

  • DeviceCorneal Cross-Linking

    Corneal cross-linking procedure conducted during vision correction surgery.

  • DrugRiboflavin

    Riboflavin will be instilled prior to corneal cross linking.

06

What researchers measure

Primary outcomes

  1. Postoperative Best-Corrected Visual Acuity

    Time frame: Month 9

Secondary outcomes

  1. Residual Refractive error at the 1, 3 and 6 month visits

    Time frame: Months 1, 3, and 6

07

Study locations

8 sites
  • 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
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 24, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01726283
Lead sponsor
Cxlusa
Responsible party
Sponsor
First posted
Nov 14, 2012
Start date
Oct 2011
Primary completion
Jul 2014
Completion
Jul 2014
Last update
Aug 24, 2015

Study contacts

William Trattler, MD
study director · Center For Excellence In Eye Care
Roy Rubinfeld
study director · CXL-USA

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2015. You cannot join it, but the record below documents what was studied.

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