Study of Endothelial Keratoplasty Outcomes
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Purpose
Endothelial keratoplasty is a cornea-sparing transplant technique that replaces only the diseased endothelial cell layer of the patient's cornea. This technique offers many advantages compared with traditional full-thickness cornea transplants. Patients experience minimal change in glasses prescription and usually recover useful vision within weeks. Visual fluctuations are minimal during the healing process. The patient's cornea remains structurally intact and is more resistant to injury.
Endothelial keratoplasty is undergoing rapid and widespread adoption. Between 2005 and 2007, the number of corneas placed by US eye banks for endothelial keratoplasty increased ten-fold (2007 Eye Bank Association of America Annual Report). However, the procedure is less than 10 years old, and little is known about long term outcomes. Endothelial keratoplasty candidates at our center are invited to participate in an open enrollment, prospective study of the long-term outcomes of this procedure.
| Condition | Intervention |
|---|---|
|
Fuchs' Endothelial Corneal Dystrophy Bullous Keratopathy Iridocorneal Endothelial Syndrome Posterior Polymorphous Dystrophy |
Procedure: endothelial keratoplasty |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Open-enrollment, Prospective Study of Endothelial Keratoplasty Outcomes |
- Visual acuity [ Time Frame: 1, 3, 6, and 12 months and annually ] [ Designated as safety issue: No ]
- Endothelial cell density [ Time Frame: 6 months, 12 months and annually ] [ Designated as safety issue: No ]
- Intraocular pressure [ Time Frame: 1, 3, 6, 12 months and annually ] [ Designated as safety issue: Yes ]
- Manifest refraction [ Time Frame: 1, 3, 6, 12 months and annually ] [ Designated as safety issue: No ]
- corneal pachymetry [ Time Frame: 1, 3, 6, 12 months and annually ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 4000 |
| Study Start Date: | February 2008 |
| Estimated Primary Completion Date: | February 2018 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Treatment
Endothelial keratoplasty procedure is performed.
|
Procedure: endothelial keratoplasty
Endothelial keratoplasty is surgical replacement of the corneal endothelial cell layer (the cell layer lining the inner surface of the cornea).
Other Names:
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Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Male or female aged 18 or older
- Scheduled to undergo endothelial keratoplasty
- Able to provide written informed consent.
Exclusion Criteria:
- Age less than 18 years
Contacts and Locations| Contact: Francis W Price, Jr., MD | 317-814-2990 | fprice@pricevisiongroup.net |
| United States, Indiana | |
| Price Vision Group | Recruiting |
| Indianapolis, Indiana, United States, 46260 | |
| Contact: Francis W Price, Jr., MD | |
| Principal Investigator: Francis W Price, Jr., MD | |
| United States, Washington | |
| Art Giebel, MD | Recruiting |
| Walla Walla, Washington, United States, 99362 | |
| Contact: Arthur W Giebel, MD 714-227-1258 art.giebel@flying.md | |
| Principal Investigator: Arthur W Giebel, MD | |
| Principal Investigator: | Francis W Price, Jr., MD | Cornea Research Foundation of America |
More Information
Additional Information:
Publications:
| Responsible Party: | Cornea Research Foundation of America |
| ClinicalTrials.gov Identifier: | NCT00800111 History of Changes |
| Other Study ID Numbers: | CRFA2008-01 |
| Study First Received: | November 26, 2008 |
| Last Updated: | May 8, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Cornea Research Foundation of America:
|
failed penetrating keratoplasty |
Additional relevant MeSH terms:
|
Corneal Dystrophies, Hereditary Fuchs' Endothelial Dystrophy Corneal Edema Iridocorneal Endothelial Syndrome Corneal Diseases |
Eye Diseases Eye Diseases, Hereditary Genetic Diseases, Inborn Iris Diseases Uveal Diseases |
ClinicalTrials.gov processed this record on May 23, 2013