Degeneration, Ectasia, Keratoconus
Conditions
Brief summary
The purpose of this study is to evaluate the efficacy of ultraviolet-A (UVA)-induced cross-linking of corneal collagen (CXL) as a method to increase the biomechanical and biochemical stability of the cornea by inducing additional cross-links within or between collagen fibers using UVA light and the photo- mediator riboflavin. The purpose of this study is to generate data for presentation at medical meetings and for peer-review publication. The data generated by this study will not be submitted to the FDA to support commercialization of these riboflavin drops.
Interventions
Ciprofloxicin or Vigamox or other to be used qid till epithelialized.
Nonsteroidal (Acular, Voltaren Xibrom, etc) qid up to 5-10 days post-op
Steroid (FML, Pred Forte, Flarex, etc.) to be used qid to qd for 1-8 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* 12 years of age or older * Diagnosis of keratoconus, FFKC, post-LASIK ectasia, or pellucid marginal degeneration or forme fruste pellucid marginal degeneration (FFPMD). * Diagnosis of FFKC * History of Radial Keratotomy with fluctuating vision * Ability to provide written informed consent * Likely to complete all study visits * Minimum corneal thickness of at least 300 Measured by ultrasound or Pentacam * At least 6 months since last corneal surgery (Intacs/PRK/LASIK/Epi-LASIK/LASEK)
Exclusion criteria
* Severe corneal scarring that markedly affects vision * Contraindications to any study medications or their components * Pregnancy or breast feeding * Active Herpes Corneal Disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Increase the biomechanical and biochemical stability of the cornea by inducing additional cross-links within | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| increase the biomechanical and biochemical stability of the cornea between collagen fibers using UVA light and the photo- mediator riboflavin | 1 year |
Countries
United States