- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01893671
Corneal Power, Astigmatism, and Aberration Changes After LASIK
April 4, 2018 updated by: David Huang, Oregon Health and Science University
Observational Study of Corneal Power, Astigmatism, and Aberration Changes After LASIK
The primary goal of the study is to determine if Optical Coherence Tomography (OCT) measurement of corneal power and astigmatism is more accurate than conventional Placido-ring corneal topography.
A second goal is to evaluate OCT-based epithelial thickness mapping.
The postoperative epithelial thickness variation will be used to calculate refractive effects and calibrate the smoothing parameter in the mathematical model relating corneal mean curvature and epithelial thickness.
A third goal is to assess the repeatability of OCT measurements.
A fourth goal is to develop a method of estimating the focusing power, astigmatism, and HOA of the crystalline lens based on measurements of the lens' anterior and posterior capsular topographies and positions with the ultrahigh-speed MIT OCT prototype.
Study Overview
Status
Completed
Detailed Description
A prospective observational study on refraction and HOA changes after LASIK will be conducted at OHSU and Baylor.
We will enroll 50 subjects undergoing routine LASIK for the correction of myopia or hyperopia.
The Optovue anterior segment OCT prototype will be used to measure corneal power, astigmatism, HOA, and epithelial thickness map.
The ultrahigh-speed MIT OCT prototypes will also be used when they become available.
A comprehensive eye examination will be performed preoperatively.
OCT scan, manifest refraction, visual acuity, Placido-ring corneal topography, slit scanning/Scheimpflug camera, and wavefront measurements will be acquired preoperatively and 3-6 months after the surgery.
The LASIK-induced refraction and wavefront HOA changes will be used as the reference standard to evaluate the accuracy of OCT-measured corneal power, astigmatism, and HOA changes.
The primary goal of the study is to determine if OCT measurement of corneal power and astigmatism is more accurate than conventional Placido-ring corneal topography.
A second goal is to evaluate OCT-based epithelial thickness mapping.
The postoperative epithelial thickness variation will be used to calculate refractive effects and calibrate the smoothing parameter in the mathematical model relating corneal mean curvature and epithelial thickness.
A third goal is to assess the repeatability of OCT measurements.
A fourth goal is to develop a method of estimating the focusing power, astigmatism, and HOA of the crystalline lens based on measurements of the lens' anterior and posterior capsular topographies and positions with the ultrahigh-speed MIT OCT prototype.
The reference standard for lens focusing power and astigmatism will be based on a Gaussian optics model that takes as inputs manifest refraction, crystalline lens position, axial eye length, and OCT corneal power and astigmatism measurements.
The reference standard for lens HOA will be the difference between wavefront HOA and corneal HOA.
For each eye, the best-fit effective index of the lens will be found so that OCT measurements will match the reference data.
Although the lens index is likely to be higher centrally than peripherally, this secondary perturbation will be accounted for by a posterior shift of the posterior lens capsule in OCT images, due to the fact that apparent distances in OCT images is a product of physical distance and optical group index.
Thus HOA due to index variation in the lens would translate to unevenness in the posterior capsule surface that could be measured with OCT.
Study Type
Observational
Enrollment (Actual)
22
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
-
-
Oregon
-
Portland, Oregon, United States, 97239
- Oregon Health & Science University
-
-
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
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Subjects undergoing routine LASIK for the correction of myopia or hyperopia with or without astigmatism
Description
Inclusion Criteria:
1. Patients who qualify for primary LASIK for either myopia or hyperopia, with or without astigmatism.
Exclusion Criteria:
- Inability to give informed consent.
- Inability to maintain stable fixation for OCT imaging.
- Inability to commit to required visits to complete the study.
- Eyes with concurrent cataract, retinal diseases, glaucoma, or other eye conditions that may limit the visual outcome after surgery
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
- Observational Models: Case-Only
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
---|
LASIK
Subjects undergoing routine LASIK for the correction of myopia or hyperopia.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
OCT measurement of corneal power and astigmatism vs Placido-ring
Time Frame: 5 year
|
primary goal of the study is to determine if OCT measurement of corneal power and astigmatism is more accurate than conventional Placido-ring corneal topography
|
5 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
An evaluation of OCT-based epithelial thickness mapping
Time Frame: 5 year
|
The postoperative epithelial thickness variation will be used to calculate refractive effects and calibrate the smoothing parameter in the mathematical model relating corneal mean curvature and epithelial thickness.
|
5 year
|
OCT measurements repeatability
Time Frame: 5 year
|
An assessment of the repeatability of OCT measurements
|
5 year
|
The Development of a method of estimating the focusing power, astigmatism, and HOA of the crystalline lens
Time Frame: 5 year
|
The Development of a method of estimating the focusing power, astigmatism, and HOA of the crystalline lens based on measurements of the lens' anterior and posterior capsular topographies and positions with the ultrahigh-speed MIT OCT prototype.
|
5 year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: David Huang, MD, PhD, Oregon Health & Science Universtiy
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
January 1, 2011
Primary Completion (Actual)
August 31, 2017
Study Completion (Actual)
August 31, 2017
Study Registration Dates
First Submitted
July 2, 2013
First Submitted That Met QC Criteria
July 2, 2013
First Posted (Estimate)
July 9, 2013
Study Record Updates
Last Update Posted (Actual)
April 5, 2018
Last Update Submitted That Met QC Criteria
April 4, 2018
Last Verified
April 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- OHSU IRB#6612
- R01EY018184 (U.S. NIH Grant/Contract)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
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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