Dresden Corneal Disease and Treatment Study

  • STATUS
    Recruiting
  • End date
    Dec 31, 2030
  • participants needed
    700
  • sponsor
    Technische Universität Dresden
Updated on 19 February 2024
keratoconus
corneal topography
corneal ectasia
corneal diseases

Summary

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.

Description

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.

Details
Condition Corneal disorder, Keratoconus, Corneal Ectasia, Corneal Astigmatism, Keratopathy
Age 18-65 years
Treatment corneal cross-linking, corneal topography and tomography
Clinical Study IdentifierNCT04251143
SponsorTechnische Universität Dresden
Last Modified on19 February 2024

Eligibility

Yes No Not Sure

Inclusion Criteria

corneal disease
corneal ectasia

Exclusion Criteria

pregnancy
age under 18 years
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