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Development of simple limbal epithelial transplantation for treatment of limbal stem cell deficiency in Thailand

Phase 2
Recruiting
Conditions
imbal stem cell deficiency
limbal stem cell deficiency (LSCD)
limbal simple stem cell transplantation (SLET)
Registration Number
TCTR20170609001
Lead Sponsor
ational Science and Technology Development Agency
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
30
Inclusion Criteria

1. Patients with unilateral or bilateral limbal stem cell deficiency (LSCD) from chemical or thermal burns, chronic keratitis, multiple corneal surgeries, and prolonged use of eye drops
2. Patients with clinical signs of LSCD at least 180 degrees of the corneal circumference
3. Patients diagnosed with LSCD by impression cytology

Exclusion Criteria

1. Patients aged below 18 years
2. Patients with severe dry eye (Schirmer's test = 0 mm)
3. Patients with uncontrollable glaucoma
4. HIV-infected patients
5. Patients with hepatitis C virus infection
6. Patients with ongoing ocular infection
7. Patients with contraindications of ocular surgery or general anesthesia
8. Patients with pregnancy
9. Patients unable to follow-up
10. Patients with non-compliance, physically or mentally

Additional exclusion criteria for allo-SLET patients
1. Patients with contraindications of immunosuppressive agents or sterioids e.g. uncontrollable diabetes mellitus, ongoing systemic infection, hepatic failure, renal failure, etc.
2. Patients allergic to immunosuppressive agents or steroids

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Ocular surface status pre-op, post-op at 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, 30, 33, 36 mo signs of limbal deficiency, impression cytology, and in vivo confocal microscopy,Ocular surface status Three years signs of limbal deficiency, impression cytology, and in vivo confocal microscopy
Secondary Outcome Measures
NameTimeMethod
/A N/A N/A
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