Corneal Autograft for Limbal Dermoid

June 23, 2025 updated by: Chunxiao Wang

A Non-randomized Controlled Clinical Trial of Corneal Autograft for Limbal Dermoid

To investigate the clinical efficacy of femtosecond laser-assisted autologous lamellar keratoplasty in treating corneal dermoids.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

19

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Guangdong
      • Guangzhou, Guangdong, China, 510070
        • Zhongshan Ophthalmic Center, Sun Yat-sen Univerisity

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

1 year to 30 years (Child, Adult)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  1. Age between 5 to 35 years old,
  2. Patients with limbal dermoid, scheduled for elective surgical excision,
  3. The distance of less than 5 mm of lesion encroachment into the cornea,
  4. The participant or their legal guardian has voluntarily chosen to participate in this study, has signed the informed consent form, and has demonstrated a high level of adherence to the study protocols and cooperation throughout the follow-up process.

Exclusion Criteria:

  1. Keratoconus,
  2. High myopia with a spherical equivalent of -15.0 D or less,
  3. Ocular and facial active inflammation such as keratitis, trachoma, dacryocystitis, blepharitis, meibomian gland dysfunction, Sjogren's syndrome, cicatricial pemphigoid etc,
  4. Corneal or ocular surface infection within 30 days prior to study entry,
  5. Severe cicatricial eye disease,
  6. Ocular surface malignancy,
  7. Ocular comorbidities that affect the prognosis of transplantation, such as advanced glaucoma or retinal diseases,
  8. History of allo-limbal transplantation, penetrating keratoplasty or anti-glaucoma filtering surgeries,
  9. Uncontrolled diabetes with most recent Hemoglobin A1c greater than 8.5%,
  10. Renal failure with creatinine clearance< 25ml/min,
  11. Alanine aminotransferase > 40IU/L, or aspartate aminotransferase > 40IU/L,
  12. Platelet levels < 150,000 or > 450,000 per microlite,
  13. Hemoglobin < 12.0 g/dL (male) or < 11.0 g/dL (female),
  14. Prothrombin time > 16s and activated partial thrombin time > 35s in patients not accepting anticoagulant therapy, An international normalized ratio greater than 3 in patients accepting anticoagulant therapy,
  15. Pregnancy (positive test) or lactation,
  16. Active immunological diseases,
  17. Signs of current infection, including fever and treatment with antibiotics,
  18. Participation in another simultaneous medical investigation or clinical trial.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Limbal autograft
Corneal dermoid tumor resection combined with femtosecond laser assisted limbal autograft
A commercial femtosecond laser to create a particular shaped graft for transplantation
Simple dermoid excision will be performed, followed by closure of the bare sclera and cornea by sutured femtosecond laser-assisted limbal autograft.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Corneal Thickness
Time Frame: 1 week, 1 month, 3 months, 6 months, 9 months, 12 months and 18 months postoperatively
To measure corneal thickness using anterior segment optical coherence tomography.
1 week, 1 month, 3 months, 6 months, 9 months, 12 months and 18 months postoperatively
Corneal Transparency
Time Frame: Preoperatively, 1 week, 1 month, 3 months, 6 months, 9 months, 12 months and 18 months postoperatively
The transparency and appearance of the cornea will be observed using slit-lamp microscopy
Preoperatively, 1 week, 1 month, 3 months, 6 months, 9 months, 12 months and 18 months postoperatively

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Best corrected visual acuity
Time Frame: Preoperatively, 1 week, 1 month, 3 months, 6 months, 9 months, 12 months and 18 months postoperatively
To measure best corrected visual acuity using ETDRS chart or Teller Acuity Cards.
Preoperatively, 1 week, 1 month, 3 months, 6 months, 9 months, 12 months and 18 months postoperatively
Corneal power, astigmatism and aberration
Time Frame: Preoperatively, 1 week, 1 month, 3 months, 6 months, 9 months, 12 months and 18 months postoperatively
To measure the changes of corneal power, astigmatism and aberration using autorefractor keratometer and wavefront aberrometer respectively.
Preoperatively, 1 week, 1 month, 3 months, 6 months, 9 months, 12 months and 18 months postoperatively
Cosmetic improvement
Time Frame: Preoperatively, 1 week, 1 month, 3 months, 6 months, 9 months, 12 months and 18 months postoperatively
A grading system from 0 to 4 with slit-lamp photographs will be used to determine cosmetic result of each graft.
Preoperatively, 1 week, 1 month, 3 months, 6 months, 9 months, 12 months and 18 months postoperatively

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Restoration of corneal surface
Time Frame: 1 week, 1 month, 3 months, 6 months, 9 months, 12 months and 18 months postoperatively
Restoration of a completely epithelized, stable, and avascular corneal surface.
1 week, 1 month, 3 months, 6 months, 9 months, 12 months and 18 months postoperatively

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Yizhi Liu, M.D.Ph.D., Zhongshan Ophthalmic Center, Sun Yat-sen University
  • Principal Investigator: Ting Huang, M.D.Ph.D., Zhongshan Ophthalmic Center, Sun Yat-sen University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 10, 2022

Primary Completion (Actual)

November 29, 2024

Study Completion (Actual)

November 29, 2024

Study Registration Dates

First Submitted

July 12, 2017

First Submitted That Met QC Criteria

July 12, 2017

First Posted (Actual)

July 14, 2017

Study Record Updates

Last Update Posted (Actual)

June 26, 2025

Last Update Submitted That Met QC Criteria

June 23, 2025

Last Verified

April 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • 2020KYPJ206

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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