Keratoconus
Conditions
Keywords
Progression, Customized, Cross-Linking
Brief summary
The goal of this clinical trial is to document corneal ectasia stability in patients with keratoconus diagnosis treated with personalized cross linking energy. The main questions it aims to answer are: * Is it effective while using personalized (reduced) energy? * Is it safe for corneas thinner than 400 microns? Participants will be treated with personalized energy corneal cross linking and posteriorly, will attend subsequent follow-up consults
Interventions
Total fluence adapted to thinnest point pachymetry
Sponsors
Study design
Eligibility
Inclusion criteria
* Keratoconus diagnosed with corneal tomography/topography * Thinnest point pachymetry below 400 microns
Exclusion criteria
* Previous corneal cross linking history * Corneal scars not allowing best corrected visual acuity of 20/100 or better * Previous corneal hydrops history * Psychomotor retardation history
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Keratometry stability | Baseline and 6 months | Stability documented by changes in keratometries (measured in diopters) obtained with corneal tomography, as well as uncorrected visual acuity observed in follow up consults |
| Pachymetry stability | Baseline and 6 months | Stability documented by changes in pachymetry (measured in microns) obtained with corneal tomography |
| Uncorrected visual acuity stability | Baseline, 72 hours, 1 week, 3 months and 6 months | Stability documented by changes in uncorrected visual acuity (measured in logarithm of the minimum angle of resolution) obtained on physical examiantion |
| Corneal endothelium safety | Baseline, 72 hours, 1 week, 3 months and 6 months | Corneal endothelial cell count obtained by specular microscopy |
Countries
Mexico