An observational study in Corneal Ectasia, Corneal Disease and Corneal Astigmatism, sponsored by Technische Universität Dresden. Recruiting at 1 site in Germany. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2023-02-28.
Sponsored by Technische Universität Dresden · Observational
The purpose of this study is long-term follow up of patients with corneal diseases to analyze the quality of surgical interventions and diagnosis. Corneal ectasia, especially keratoconus, is a corneal disease that leads to an irreversible loss of visual acuity while the cornea becomes steeper, thinner and irregular. For these patients, surgical intervention (e.g. corneal cross-linking) is performed, in case of disease progression. Overall, a long-term follow up is needed to evaluate an early disease progression as well as corneal stability after surgical intervention.
Corneal ectasia (e.g. keratoconus) is a corneal disease that is characterized by irregular steepening of corneal curvature, stromal thinning and reduced biomechanical properties. As a result of this, visual acuity is reduced and can improved by spectacles in early state or with rigid gas permeable contact lenses in mild as well as advanced stage of the disease. Furthermore, in moderate and advanced cases stromal scarring occurs that affected the vision negatively. Therefore, a corneal transplantation is needed. Since the introduction of corneal cross-linking, the amount of corneal transplantations has been reduced. It is necessary to perform closely examinations to detect the progression of the disease as well as post-operatively follow-ups to confirm treatment success.
Parameters being analyzed are:
Age, sex, refraction, family history, known duration of ectasia, previous ocular surgery, systemic diseases, systemic and topical medication;
biomicroscopy, anterior optical coherence tomography (OCT), Scheimpflug-based tomography (Pentacam), Biomechanical assessment (Ocular Response Analyzer and Corneal Visualization with the Scheimpflug Technology), optical biometry, confocal microscopy, endothelium cell count.
313 studies on the registry are indexed under Keratoconus; 56 are open to participants now.
This study's planned enrollment of 700 is above the median of 130 across 97 observational studies indexed under Keratoconus.
Browse Keratoconus studies →Technische Universität Dresden is the lead sponsor of 247 studies on the registry; 46 are open to participants now.
Compared within Keratoconus, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Corneal Diseases. The counts are of registry records indexed under each term, refreshed daily. How we classify →
Patients with corneal diseases attending a University Hospital Corneal Diseases Service.
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.
Exclusion Criteria:
Keratoconus, Keratoconus suspects
Procedure: corneal cross-linking · Diagnostic Test: corneal topography and tomography
UV-A Irradiation and riboflavin
Detailed Information about corneal tomography is used for diagnosis
Follow-up intervals
To find the best follow-up intervals for keratoconus patients with or without progression of the disease
Time frame: 15 years
postoperative follow-up intervals
To find the best follow-up intervals for keratoconus patients after surgical Intervention.
Time frame: 15 years
Assessment of treatment quality
What is the best treatment option for the individual patient?
Time frame: 15 years
Started Mar 2018 (actual). Primary completion is estimated for Dec 2025, 93 months after the start.
Of 33 non-industry observational studies under Keratoconus, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 204. This study's planned 93 months is above that.
Counting every sponsor, half of 36 studies reached it within 30 months; a quarter within 13 and three quarters within 95.
How these figures are worked out, and which studies are left out of them.
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