The Homburg Keratoconus Center (HKC)
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ClinicalTrials.gov Identifier: NCT03923101 |
Recruitment Status :
Recruiting
First Posted : April 22, 2019
Last Update Posted : May 17, 2022
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Aim of this study is to conduct longitudinal and cross-sectional analyses about the corneal ectatic disease Keratoconus based on data obtained from Keratoconus patients in the Homburg Keratoconus Center (HKC).
The Homburg Keratoconus Center (HKC) was founded in 2010 and, up to now, comprises more than 2.000 Keratoconus patients. Topographic, tomographic and biomechanic characteristics of the disease are being analyzed with the intention to elucidate how the disease begins and develops during lifetime.
Condition or disease | Intervention/treatment |
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Keratoconus | Diagnostic Test: Topographic, tomographic and biomechanical analysis. |
Study Type : | Observational [Patient Registry] |
Estimated Enrollment : | 1200 participants |
Observational Model: | Cohort |
Time Perspective: | Other |
Target Follow-Up Duration: | 10 Years |
Official Title: | The Homburg Keratoconus Center (HKC) - a Keratoconus Observation Study |
Actual Study Start Date : | January 1, 2011 |
Estimated Primary Completion Date : | January 1, 2025 |
Estimated Study Completion Date : | January 1, 2030 |

Group/Cohort | Intervention/treatment |
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Patients with Keratoconus
Aim is to include as many Keratoconus patients as possible with the intention to elucidate how the disease begins and develops during lifetime.
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Diagnostic Test: Topographic, tomographic and biomechanical analysis.
The study is based upon data obtained during routine medical follow-ups using
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- An overview about development of anterior corneal curvature in Keratoconus disease during lifetime. [ Time Frame: 01/01/2011-01/01/2019 ]The anterior radius of curvature (ARC, 3mm zone) of Keratoconus patients as measured by the Pentacam high resolution (Oculus, Wetzlar, Germany) at different ages (according to: Belin MW and Duncan JK. Keratoconus: The ABCD grading system. Klin Monbl Augenheilkd. 2016; 233(6): 701-707) is put into relation to the age of the Keratoconus patients.
- An overview about development of posterior corneal curvature in Keratoconus disease during lifetime. [ Time Frame: 01/01/2011-01/01/2019 ]The posterior radius of curvature (PRC, 3mm zone) of Keratoconus patients as measured by the Pentacam high resolution (Oculus, Wetzlar, Germany) at different ages (according to: Belin MW and Duncan JK. Keratoconus: The ABCD grading system. Klin Monbl Augenheilkd. 2016; 233(6): 701-707) is put into relation to the age of the Keratoconus patients.
- An overview about development of the thinnest corneal pachymetry in Keratoconus disease during lifetime. [ Time Frame: 01/01/2011-01/01/2019 ]The thinnest corneal pachymetry of Keratoconus patients as measured by the Pentacam high resolution (Oculus, Wetzlar, Germany) at different ages (according to: Belin MW and Duncan JK. Keratoconus: The ABCD grading system. Klin Monbl Augenheilkd. 2016; 233(6): 701-707) is put into relation to the age of the Keratoconus patients.
- An overview about development of the best corrected distance visual acuity in Keratoconus disease during lifetime. [ Time Frame: 01/01/2011-01/01/2019 ]The best corrected distance visual acuity of Keratoconus patients as raised as part of the clinical examination at different ages (according to: Belin MW and Duncan JK. Keratoconus: The ABCD grading system. Klin Monbl Augenheilkd. 2016; 233(6): 701-707) is put into relation to the age of the Keratoconus patients.
- Reproducibility study: Kmax. [ Time Frame: 01/01/2011-01/01/2019 ]Measurements of Kmax measured by different devices (Pentacam high resolution, Oculus, Wetzlar, Germany; Anterior-Segment Optical Coherence Tomograph (AS-OCT) Casia 2, Tomey, Nagoya, Japan) are being compared and set into relation at different Keratoconus stages with the intention to investigate, whether measurement inaccuracies occur at later Keratoconus stages using different devices.
- Reproducibility study: Thinnest corneal pachymetry. [ Time Frame: 01/01/2011-01/01/2019 ]Measurements of the thinnest corneal pachymetry as measured by different devices (Pentacam high resolution, Oculus, Wetzlar, Germany; Anterior-Segment Optical Coherence Tomograph (AS-OCT) Casia 2, Tomey, Nagoya, Japan) are being compared and set into relation at different Keratoconus stages with the intention to investigate, whether measurement inaccuracies occur at later Keratoconus stages using different devices.
- Reproducibility study: Thinnest corneal pachymetry at the apex position. [ Time Frame: 01/01/2011-01/01/2019 ]Measurements of the thinnest corneal pachymetry at the apex position as measured by different devices (Pentacam high resolution, Oculus, Wetzlar, Germany; Anterior-Segment Optical Coherence Tomograph (AS-OCT) Casia 2, Tomey, Nagoya, Japan) are being compared and set into relation at different Keratoconus stages with the intention to investigate, whether measurement inaccuracies occur at later Keratoconus stages using different devices.

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Ages Eligible for Study: | Child, Adult, Older Adult |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Sampling Method: | Non-Probability Sample |
Inclusion Criteria:
- All Keratoconus patients presenting in the department of ophthalmology, Saarland University Medical Center, Homburg, Saarland, Germany.
Exclusion Criteria:
- Patients without Keratoconus.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03923101
Germany | |
Department of Ophthalmology | Recruiting |
Homburg, Saarland, Germany, 66421 | |
Contact: Elias Flockerzi, Dr.med. 0049-6841-16-22302 elias.flockerzi@uks.eu | |
Contact: Berthold Seitz, Prof.Dr.med. 0049-6841-16-22387 berthold.seitz@uks.eu |
Responsible Party: | Elias Flockerzi, Principal Investigator, Resident of Ophthalmology, Universität des Saarlandes |
ClinicalTrials.gov Identifier: | NCT03923101 |
Other Study ID Numbers: |
HKC |
First Posted: | April 22, 2019 Key Record Dates |
Last Update Posted: | May 17, 2022 |
Last Verified: | May 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Keratoconus Crosslinking Intracorneal ring segments Gas-permeable rigid contact-lenses |
Penetrating Keratoplasty Deep anterior lamellar Keratoplasty ABCD Grading System |
Keratoconus Corneal Diseases Eye Diseases |