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CompletedNCT02301598Updated Dec 2, 2014

Femtosecond Laser-assisted Anterior Lamellar Keratoplasty

An interventional study of FS-ALK (Femtolaser-assisted anterior lamellar keratoplasty) in Keratoconus and Corneal Opacity, sponsored by The S.N. Fyodorov Eye Microsurgery State Institution. Completed. Open to participants aged 18 Years to 52 Years. Per ClinicalTrials.gov, last updated 2014-12-02.

Sponsored by The S.N. Fyodorov Eye Microsurgery State Institution · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
13
Allocation
Not applicable
Ages
18 Years to 52 Years
01

Study summary

The purpose of the study is evaluating safety and clinical efficiency of full femtosecond laser-assisted anterior lamellar keratoplasty (FS-ALK) for curing patients with keratoconus and corneal opacities

Read the detailed description

Keratoplasty is the most widely spread tissue transplantation procedure. Although penetrating keratoplasty (PKP) is still commonly used for curing corneal dystrophy and opacities of different genesis, lamellar techniques provide significant advantages in terms of safety and predictability.

Al in all 13 FS-ALK procedures were performed for 11 eyes with advanced keratoconus and 2 eyes with superficial corneal scattering Before and after surgery uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), postoperative astigmatism, endothelial cell loss, central cornea thickness, residual recipient's tissue thickness, corneal hysteresis (CH) and corneal resistance factor (CFR) were evaluated . At 1-year follow-up Confoscan investigation of donor-recipient interface was performed.

All FS-ALK procedures were performed with Intralase FS 60kHz femtosecond laser in a following way. At first a 80% thickness corneal graft was prepared. Then maximum thickness recipients corneal dissection was performed according to OCT (optical coherence tomography) data and superficial tissue was removed. Transplant was fixed in a resulted bed by continuous suture.

02

Conditions studied

  • Keratoconus
  • Corneal Opacity

Keywords

  • femtosecond laser
  • anterior lamellar keratoplasty
  • atomic-force microscopy
03

In context

Keratoconus

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

This study's enrollment of 13 is below the median of 40 across 205 interventional studies indexed under Keratoconus.

Browse Keratoconus studies →

Lead sponsor

The S.N. Fyodorov Eye Microsurgery State Institution is the lead sponsor of 11 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 52 Years
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Advanced keratoconus or stromal corneal scattering
  • Normal endothelial cell density

Exclusion criteria

Exclusion Criteria:

  • Acute keratoconus in the anamnesis
  • Low endothelial cell density
  • Age under 18 years
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    FS-ALK

    Femtosecond laser-assisted maximum thickness anterior lamellar keratoplasty (FS-ALK) was performed for 11 eyes of 11 patients with advanced keratoconus and 2 eyes of 2 patients with superficial corneal scattering.

    Procedure: FS-ALK (Femtolaser-assisted anterior lamellar keratoplasty)

Interventions

  • ProcedureFS-ALK (Femtolaser-assisted anterior lamellar keratoplasty)

    The procedure was a non-penetrating transplantation of 80% thickness corneal graft

    Also known as: Femto-ALK

06

What researchers measure

Primary outcomes

  1. Mean endothelial cell loss

    Time frame: 12 months after surgery

  2. Mean postoperative astigmatism

    Time frame: 12 months after surgery

  3. UCVA (uncorrected visual acuity)

    Time frame: 12 months after surgery

  4. BSCVA (best spectacle-corrected visual acuity)

    Time frame: 12 months after surgery

Secondary outcomes

  1. Corneal hysteresis

    Evaluation of biomechanical qualities of the cornea

    Time frame: 12 months after surgery

  2. Corneal resistance factor

    Evaluation of biomechanical qualities of the cornea

    Time frame: 12 months after surgery

  3. Central corneal thickness

    measured by OCT (optical coherence tomography - Optovue)

    Time frame: 12 months after surgery

  4. Residual recipient's tissue thickness

    measured by OCT (optical coherence tomography - Optovue)

    Time frame: 12 months after surgery

07

Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jan 2012, a primary completion of Sep 2012 and a completion of Sep 2013. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 20, 2014
First posted
Nov 26, 2014
Start
Jan 2012
Primary completionActual
Sep 2012
CompletionActual
Sep 2013
Last update
Dec 2, 2014
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 2, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02301598
Lead sponsor
The S.N. Fyodorov Eye Microsurgery State Institution
Responsible party
Alexey Pashtaev (Alexey Pashtaev MD, PhD, The S.N. Fyodorov Eye Microsurgery State Institution) — Principal investigator
First posted
Nov 26, 2014
Start date
Jan 2012
Primary completion
Sep 2012
Completion
Sep 2013
Last update
Dec 2, 2014

Study contacts

Boris Malyugin, MD,PhD,prof.
study director · The S.N. Fedorof Federal State Institution

Oversight

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

Not currently enrolling

This study is completed, as verified in Nov 2014. You cannot join it, but the record below documents what was studied.

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