The purpose of the study is to explore whether femtosecond laser-assisted corneal epithelial autograft is more effective than limbal conjunctival autograft for ocular surface reconstruction in patients with limbal stem cell deficiency (LSCD).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Epithelial tissue, equal in area to the diseased eye's cornea bed, will be obtained from the fellow eye using femtosecond laser technology. This corneal epithelial autograft is then ready for transplantation on the disease eye, following removal of scarred and diseased epithelium.
A 3- to 5- clock hour limbal-conjunctival autograft will be obtained from the fellow eye. This is then ready for transplantation on the disease eye following removal of scarred and diseased epithelium.
A commercial femtosecond laser to create a particular shaped graft for transplantation
Zhongshan Ophthalmic Center, Sun Yat-sen Univerisity
Guanzhou, Guangdong, China
RECRUITINGRestoration of corneal surface in the diseased eye
Restoration of a completely epithelized, stable, and avascular corneal surface in the diseased eye.
Time frame: 1 year
Restoration of corneal surface in the fellow eye
Restoration of a completely epithelized, stable, and avascular corneal surface in the fellow eye.
Time frame: 1 year
Uncorrected and best-corrected visual acuity in both eyes
To measure changes of uncorrected and best-corrected visual acuity using ETDRS chart.
Time frame: 1 year
Corneal power, astigmatism and aberration in both eyes
To changes of corneal power, astigmatism and aberration using autorefractor keratometer and wavefront aberrometer respectively.
Time frame: 1 year
Corneal sensation in both eyes
To assess corneal sensation using Cochet-Bonnet esthesiometer.
Time frame: 1 year
Corneal thickness in both eyes
To measure corneal thickness using anterior segment optical coherence tomography (AS-OCT).
Time frame: 1 year
Density of stromal nerve and stromal keratocytes in both eyes
To assessing density of stromal nerve and stromal keratocytes using in vivo confocal microscopy.
Time frame: 1 year
Reconstruction of limbal palisades of Vogt in the diseased eye
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
A diamond knife to create a particular shaped limbal graft for transplantation
To assessing reconstruction of limbal palisades of Vogt using in vivo confocal microscopy.
Time frame: 1 year
Corneal haze in both eyes
To measuring corneal haze using in vivo confocal microscopy.
Time frame: 1 year