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Treatment of Keratoconus Using Collagen Cross-Linking By Means of Topical Riboflavin and UV Light.

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City:   Amherst
State:   New York
Zip Code:   14228
Conditions:   Keratoconus
Purpose:   The purpose of this study is to determine the effectiveness of collagen cross-linking in the cornea in halting the progression and possibly partially reversing the effects of keratoconus. Keratoconus is a progressive weakening in the cornea that causes irregular astigmatism and thinning of the cornea. The overall effect is reduction of vision, and in more advanced cases, scarring of the cornea that may lead to the need for corneal transplantation. Cross-linking has been shown increase the rigidity of the cornea. The patients would be treated once and then followed over 24 months. .
Study Summary:   The goal is for two groups of approximately 66 patients to be included in the study. One eye from the first group will undergo treatment, while the second group of age matched individuals will serve as a control. It will be a prospective, randomized, blinded study. Each patient will be randomized at the beginning of enrollment in the study and will receive a randomization number. The following parameters will be followed: 1. Best corrected spectacle acuity (BCSA) 2. The steepest keratometry measurement (KMax) as measured by computerized corneal topography 3. Apical corneal thickness 4. Corneal mechanical resistance. These measurements will be repeated at 1 month, 3 months, 6 months, 12, 18, and 24 months following treatment.
Criteria:   Inclusion Criteria: - no prior history of ocular surgery - treatment eye must have a maximum corneal power of between 47 D and 60 diopters - corneal thickness must be greater than 400 µ - absence of corneal scarring - patients must meet the diagnostic criteria for keratoconus, which include one or more of the following features: - high myopia - corneal ectasia as viewed by slit-lamp exam or measured by pachometry - Vogt's striae - topographic findings of superior flattening and inferior steepening of the cornea - presence of Fleischer ring Exclusion Criteria: - history of prior ocular surgery (history of contact lens use is not an exclusion criterion) - average corneal power > 60 D - presence of corneal scarring - corneal thickness 400 µ or less - history of herpes simplex virus keratitis - history of uveitis - pre-existing glaucoma
NCT ID:   NCT00841386
Primary Contact:   Principal Investigator
James J Reidy, M.D.
SUNY at Buffalo School of Medicine & Biomedical Sciences

James J. Reidy, M.D.
Phone: 716-881-7920
Email: jreidymd@mac.com
Backup Contact:   Email: jstutz@buffalo.edu
Jeanne Stutz
Phone: 716-881-7920
Location Contact:   Amherst, New York 14228
United States

Linda Grant, C.O.M.T.
Phone: 716-564-2020
Email: linda.grant@fichte.com

Site Status: Recruiting

Data Source:   ClinicalTrials.gov
Date Processed:   May 25, 2013
Modifications to this listing:   Only selected fields are shown, please use the link below to view all information about this clinical trial.
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