Myopia Clinical Trial
Official title:
Prospective Safety and Effectiveness Study of PRK for Myopia With or Without Astigmatism Using the ALLEGRETTO WAVE® EYE-Q Excimer Laser System
The purpose of this study is to evaluate the safety and effectiveness of the ALLEGRETTO WAVE EYE-Q excimer laser system for the reduction of myopia with or without astigmatism in subjects undergoing photorefractive keratectomy (PRK) treatment.
This was a prospective, multi-center, single group study. Subjects underwent bilateral PRK in
which the second eye was treated no sooner than 1 week and no later than 30 days after the
first eye's PRK treatment. Subjects were followed for 2 years after surgery.
The protocol underwent 4 amendments. The key differences between the protocol versions were
clarifications of the planned analyses and adverse event reporting procedures. There were no
changes in the inclusion and exclusion criteria or non-adverse event related study
assessments between the protocol versions 1-5.
Refractive stability of manifest refraction spherical equivalent (MRSE) and manifest
refractive cylinder was defined as established when:
- At least 95% of the treated eyes had a change ≤ 1.0 diopter between manifest refractions
performed at any 2 manifest refractions at least 3 months apart
- The mean rate of change, as determined by a paired analysis, was ≤ 0.5 diopter per year
(0.04 D/month) over the same time period
- The mean rate of change decreased monotonically over time, with a projected asymptote of
zero or a rate of change attributable to normal aging
- The 95% confidence interval for the mean rate of change included zero or a rate of
change attributable to normal aging.
Refractive stability was assessed for pairs of visits within an interval and was defined to
occur at the latter time point of the first interval at which stability was achieved.
In the final amendment to the protocol, 3 secondary objectives were made co-primary in
response to Agency comments. All endpoints and analyses were modified to match.
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