Keratoconus and Post-keratoplasty
Conditions
Keywords
keratoconus, post-keratoplasty
Brief summary
A prospective observational study on keratoconus and post-keratoplasty will be conducted. We will enroll 50 subjects in each of 3 groups: keratoconus, post-PK, and post-DSAEK. The Optovue anterior segment OCT prototype will be used to perform 3-D corneal scans. These scans will be used to measure corneal thickness (pachymetry), corneal topography (anterior and posterior) and epithelial thickness maps. The ultrahigh-speed MIT OCT prototypes will also be used when they become available. A comprehensive eye examination, Placido-ring corneal topography, ultrasound pachymetry, and Scheimpflug camera imagery, will be performed for comparison. In some post-PK and post-DSAEK cases, vision will be primarily affected by regular astigmatism, myopia, or hyperopia, rather than HOA. These cases can be corrected by standard PRK (not OCT guided) with adjunctive mitomycin C treatment to prevent haze formation.107, 108 In these cases PRK will be performed according to the standard of care and will not be a part of the study protocol. The postoperative results will be observed at the 3-4 month visit with UCVA, manifest refraction, BSCVA, OCT scanning, Placido topography, ultrasound pachymetry, and Scheimpflug camera imagery
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
• Adults (18 & older) with keratoconus, keratoplasty, DSAEK procedures
Exclusion criteria
* Inability to give informed consent. * Inability to maintain stable fixation for OCT imaging. * Inability to commit to required visits to complete the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| validate OCT anterior topography | 3-4 month | The primary goal of this observational study is to validate OCT anterior topography by comparison with standard Placido-ring corneal topography |
Countries
United States