Dry Eye Disease
Conditions
Brief summary
Prospective controlled pilot study to compare the outcome of ProKera® (PK) and conventional treatment in patients with moderate to severe Dry Eye Disease (DED)
Interventions
subjects will receive cryopreserved amniotic membrane
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects with moderate to severe DED (Grade 2-4 DEWS) * Age range: 21 years and older. * Both genders and all ethnic groups comparable with the local community. * Subjects able to understand and willing to sign a written informed consent. * Subjects able and willing to cooperate with investigational plan. * Subjects able and willing to complete postoperative follow-up.
Exclusion criteria
* Symblepharon or lid abnormality preventing ProKera placement. * Ocular infection within 14 days prior to study entry. * Active ocular allergies. * Previous ocular surgery or injury within 3 months before enrollment. * Previous brain surgery, or Trigeminal nerve damage. * Other conditions that may affect corneal nerves such as diabetes, thyroid disorders. * Contact lens wearers. * Pregnancy or subject expecting to be pregnant. * Inability or unwillingness of subject to give written informed consent. * Subjects with known intolerance to PK. * Subjects use concomitant therapy that affects tear functions or ocular surface integrity. * Subjects currently engaged in another clinical trial.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Short-term efficacy in terms of ocular clinical symptoms | Change from Baseline to 1 month | Assessed by SPEED questionnaire, pain score, and dry eye workshop grading |
| Short-term efficacy in terms of corneal nerve regeneration | Change from Baseline to 1 month | Assessed by corneal topography |
| Short-term efficacy in terms of ocular surface integrity | Change from Baseline to 1 month | Assessed by in vivo confocal microscopy |
| Short-term efficacy in terms of corneal sensitivity | Change from Baseline to 1 month | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Long-term efficacy in terms of corneal nerve regeneration | Change from Baseline to 3 month | Assessed by corneal topography |
| Long-term efficacy in terms of ocular surface integrity | Change from Baseline to 3 month | Assessed by in vivo confocal microscopy |
| Long-term efficacy in terms of corneal sensitivity | Change from Baseline to 3 month | — |
| Long-term efficacy in terms of ocular clinical symptoms | Change from Baseline to 3 month | Assessed by SPEED questionnaire, pain score, and dry eye workshop grading |
Countries
United States