In Vivo Confocal Microscopic Analysis of Corneal Nerve Changes After ProKera Slim® for Dry Eye
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Dry Eye Disease
- Sponsor
- Tissue Tech Inc.
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Short-term efficacy in terms of corneal nerve regeneration
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
Prospective controlled pilot study to compare the outcome of ProKera® (PK) and conventional treatment in patients with moderate to severe Dry Eye Disease (DED)
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subjects with moderate to severe DED (Grade 2-4 DEWS)
- •Age range: 21 years and older.
- •Both genders and all ethnic groups comparable with the local community.
- •Subjects able to understand and willing to sign a written informed consent.
- •Subjects able and willing to cooperate with investigational plan.
- •Subjects able and willing to complete postoperative follow-up.
Exclusion Criteria
- •Symblepharon or lid abnormality preventing ProKera placement.
- •Ocular infection within 14 days prior to study entry.
- •Active ocular allergies.
- •Previous ocular surgery or injury within 3 months before enrollment.
- •Previous brain surgery, or Trigeminal nerve damage.
- •Other conditions that may affect corneal nerves such as diabetes, thyroid disorders.
- •Contact lens wearers.
- •Pregnancy or subject expecting to be pregnant.
- •Inability or unwillingness of subject to give written informed consent.
- •Subjects with known intolerance to PK.
Outcomes
Primary Outcomes
Short-term efficacy in terms of corneal nerve regeneration
Time Frame: Change from Baseline to 1 month
Assessed by corneal topography
Short-term efficacy in terms of ocular surface integrity
Time Frame: Change from Baseline to 1 month
Assessed by in vivo confocal microscopy
Short-term efficacy in terms of corneal sensitivity
Time Frame: Change from Baseline to 1 month
Short-term efficacy in terms of ocular clinical symptoms
Time Frame: Change from Baseline to 1 month
Assessed by SPEED questionnaire, pain score, and dry eye workshop grading
Secondary Outcomes
- Long-term efficacy in terms of corneal nerve regeneration(Change from Baseline to 3 month)
- Long-term efficacy in terms of ocular surface integrity(Change from Baseline to 3 month)
- Long-term efficacy in terms of corneal sensitivity(Change from Baseline to 3 month)
- Long-term efficacy in terms of ocular clinical symptoms(Change from Baseline to 3 month)