NCT03498846
Unknown
Not Applicable
Modified Corneal Epithelial Autograft With Middle Lamellar Keratoplasty for Severe Corneal Burn
Sun Yat-sen University1 site in 1 country20 target enrollmentMay 10, 2018
ConditionsCorneal Burn
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Corneal Burn
- Sponsor
- Sun Yat-sen University
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Success rate of corneal reepithelialization in disease eyes
- Last Updated
- 6 years ago
Overview
Brief Summary
The purpose of this pilot study is to explore whether modified corneal epithelial autograft (EA) combined with allogeneic middle lamellar keratoplasty (AMLK) is more effective than limbal autograft (LA) with AMLK for ocular surface reconstruction in patients with severe corneal burn.
Investigators
Yingfeng Zheng
Clinical investigator
Sun Yat-sen University
Eligibility Criteria
Inclusion Criteria
- •Unilateral severe corneal burn with more than half limbal stem cells deficiency (LSCD). The history of the disease is at least 12 months at the time of screening visit.
- •Presence of superficial neo-vascularization affecting at least 2 cornea quadrants and involving central cornea.
- •Informed consent signed by a patient or legal guardian, or having the ability to comply with study assessments for the full duration of the study.
Exclusion Criteria
- •LSCD of mild degree, with less than 2 quadrants of neo-vessel invasion and without central cornea involvement.
- •LSCD by ocular surface disorders other than ocular burns.
- •Eyelids malposition.
- •The center corneal thickness\<450µm, the depth of corneal opacity\<150µm or the full corneal lamellar opacity.
- •High myopia with a spherical equivalent of -15.0 D or less.
- •Corneal or ocular surface infection within 30 days prior to study entry.
- •Ocular surface malignancy.
- •Uncontrolled diabetes with most recent HgA1c greater than 8.5%.
- •Renal failure with creatinine clearance ≤ 25mL/min per 1.73 m
- •Alanine aminotransferase \> 40IU/L, or aspartate aminotransferase \> 40IU/L.
Outcomes
Primary Outcomes
Success rate of corneal reepithelialization in disease eyes
Time Frame: 12 months
The success rate of patients with completely epithelized and avascular corneal surface in disease eyes
Study Sites (1)
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