Corneal Autograft for Limbal Dermoid
A Non-randomized Controlled Clinical Trial of Corneal Autograft for Limbal Dermoid
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Guangdong
-
Guangzhou, Guangdong, China, 510070
- Zhongshan Ophthalmic Center, Sun Yat-sen Univerisity
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age between 5 to 35 years old,
- Patients with limbal dermoid, scheduled for elective surgical excision,
- The distance of less than 5 mm of lesion encroachment into the cornea,
- 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:
- Keratoconus,
- High myopia with a spherical equivalent of -15.0 D or less,
- Ocular and facial active inflammation such as keratitis, trachoma, dacryocystitis, blepharitis, meibomian gland dysfunction, Sjogren's syndrome, cicatricial pemphigoid etc,
- Corneal or ocular surface infection within 30 days prior to study entry,
- Severe cicatricial eye disease,
- Ocular surface malignancy,
- Ocular comorbidities that affect the prognosis of transplantation, such as advanced glaucoma or retinal diseases,
- History of allo-limbal transplantation, penetrating keratoplasty or anti-glaucoma filtering surgeries,
- Uncontrolled diabetes with most recent Hemoglobin A1c greater than 8.5%,
- Renal failure with creatinine clearance< 25ml/min,
- Alanine aminotransferase > 40IU/L, or aspartate aminotransferase > 40IU/L,
- Platelet levels < 150,000 or > 450,000 per microlite,
- Hemoglobin < 12.0 g/dL (male) or < 11.0 g/dL (female),
- 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,
- Pregnancy (positive test) or lactation,
- Active immunological diseases,
- Signs of current infection, including fever and treatment with antibiotics,
- Participation in another simultaneous medical investigation or clinical trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Limbal autograft
Corneal dermoid tumor resection combined with femtosecond laser assisted limbal autograft
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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.
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What is the study measuring?
Primary Outcome Measures
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
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
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
Sponsor
Sponsor
Investigators
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
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2020KYPJ206
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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