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Pretreatment to Promote Graft Survival After Subsequent High-risk Corneal Transplantation [CrossCornealVision]
Sponsor: Claus Cursiefen
Summary
The trial evaluates the effect of corneal crosslinking as pre-treatment before corneal transplantation. The goal is to improve graft survival by reducing pathological vessels through pre-treatment.
Official title: UV Light-mediated Corneal Crosslinking as (Lymph)Angioregressive Pretreatment to Promote Graft Survival After Subsequent High-risk Corneal Transplantation [CrossCornealVision]
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
110
Start Date
2023-11-20
Completion Date
2028-09-30
Last Updated
2024-10-21
Healthy Volunteers
No
Conditions
Interventions
Corneal Crosslinking
Riboflavin isotonic, 0,1 % Vitamin B2, with Dextran 20,0%, for epi-off procedure or Riboflavin isotonic 0,1% (Vitamin B2), 1,1% HPMC without Dextran for epi-off) 0.1% riboflavin-5-phosphate and 20% dextran T-500) will be applied to the cornea after epithelial debridement every 2 min for 10 minutes before irradiation and every 2 minutes during the course of a 10 minute exposure to 365 nm UV-A with an irradiance rate of 9 mW/cm2. This dose, mode and scheme of the intervention follows the internationally recognized "accelerated CXL protocol" (Elbaz et al. 2014). The data existing shows equivalent outcome regarding efficacy and safety compared to the standard protocol. To avoid any damage to the limbal stem cells, the limbus will not be irradiated during the procedure, as a CXL device (with maximal diameter of 11 mm) will be used. Furthermore, the limbal area will additionally be protected by a custom-cut LSC protection shield. (Protocol V04\_0 Page 45-46)
Locations (7)
Augenklinik des Klinikums der Universität München
München, Bavaria, Germany
University Hospital of Cologne, Centre for Ophthalmology
Cologne, North Rhine-Westphalia, Germany
Universitätsklinikum Düsseldorf, Klinik für Augenheilkunde
Düsseldorf, North Rhine-Westphalia, Germany
Universitätsklinikum des Saarlandes, Klinik für Augenheilkunde
Homburg, Saarland, Germany
Charité - Universitätsmedizin Berlin, Klinik für Augenheilkunde
Berlin, Germany
Universitätsklinikum Freiburg, Klinik für Augenheilkunde
Freiburg im Breisgau, Germany
Klinik und Poliklinik für Augenheilkunde - Universitätsmedizin Rostock
Rostock, Germany