Keratoconus Clinical Trial
Official title:
Randomized Study of Corneal Collagen Cross-Linking With the UV-X System for the Treatment of Keratectasia in Eyes With Intacs Compared to Eyes Without Intacs
This study will determine the efficacy of collagen cross linking for progressive keratoconus and ectasia after lasik. It will try and determine which is a more effective treatment: collagen cross linking alone or collagen cross linking combined with Intacs, a treatment which has already been proven to be effective in decreasing corneal curvature in patients with keratoconus.
In this study we will attempt to determine whether Collagen Cross Linking alone, one combined
with insertion of INTACS is the most effective treatment for patients with progressive
keratoconus in patients who have progressive disease.
These treatments have been widely used outside of the United States for the treatment of
progressive keratoconus. Corneal Collagen Cross linking was recently approved in the United
States for the treatment of progressive keratoconus. We will attempt to study 600 patients
total. 300 patients will be assigned to cross linking only while another 300 will be assigned
to cross linking and INTACS. Once adequate number of study subjects have been recruited data
will be analyzed to determine which treatment is more effective. The following parameters
from Topography, OCT and Tomography will be studied(these are Max K(pentacam) Kvalue(Tomey
Topography)I-Svalue(Tomey Topography Astigmatism(Tomey Topography) and Min OCT(corneal
pachymetry) any one of these metrics that achieve a value of 1 or more will be included in
the analysis since the cornea is so irregular that values less than one could be artifact
;
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