Health Condition 1: null- Patients with early or moderate keratoconus with documented proof of progression
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ï?? Mild to moderate degrees of keratoconus ï?? Documented evidence of progressive keratoconus ï?? Best Spectacle Corrected Visual Acuity (BSCVA) > 6/24 ï?? Age ( 21- 40 years ) ï?? Intolerance to RGP /Rose K/ Scleral lenses ï?? Central cone on topography ï?? Soft contact lens discontinued for minimum 1 week and Rigid Gas Permeable contact lens discontinued for minimum 3 weeks ï?? Ability to understand and willingness to sign informed consent ï?? Willingness to participate in follow up visits
Exclusion criteria
Exclusion criteria: • Age >40 years • Advanced keratoconus with apical scarring • Steep K values • Thinnest pachymetery • Minimum midperipheral pachymetery of 350µm or more • Endothelial Cell count > 1500 cells/mm² • Eccentric cone distribution on topography • Active atopic keratoconjunctivitis / Vernal catarrh • Evidence of ocular diseases like severe meibomian gland diseases, herpetic keratitis, uvietis, glaucoma. • Corneal ectasia due to previous laser ablative surgery(LASIK/ PRK) • H/o Riboflavin allergy • Dry eye status-Schirmerâ??s I value less than 10 mm • Long term ocular medication like β blockers. • Concurrent use of systemic medication likely to affect wound healing like corticosteroids or antimetabolites. • H/o immunocompromised state /pregnancy / nursing mothers . • Patients with unrealistic expectations.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| improvement in Uncorrected and Best corrected visual acuity and corneal stabilityTimepoint: day 1, day 15, 3 months and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Topography, ASOCT, Aberrations, Dry eyeTimepoint: 15 days, 3 months, 6 months | — |
Countries
India
Contacts
Nethradhama Superspeciality Eye Hospital