Ireland
--:--IST
Recruiting Not applicable

Effectiveness of PKP vs DSAEK in Terms of 2-year Postoperative Visual Acuity in Advanced BPK

NCT06818747 · tracked via the Priya Life Science France tracker
Phase
Not applicable
Started
2025-05-21
Last updated
2026-06-24

Condition(s) studied

Bullous Pseudophakic KeratopathyPenetrating Keratoplasty

Investigational drug(s) / intervention(s)

Best corrected monocular visual acuity

Best corrected monocular visual acuity: Assessed with the Monoyer scale and expressed in logMAR at 24 months after corneal transplantation

Study summary

This is an open-label multicenter randomised controlled clinical trial with 2 parallel arms with a 1:1 ratio. Patients meeting the eligibility criteria will be offered to participate in the study during an ophthalmology consultation. If they agree, they are randomised into one of the 2 arms, surgery is scheduled, and baseline visual acuity, quality of life, patient satisfaction, pain level, and central corneal thickness are recorded (inclusion visit). The following visits involve: the corneal transplant procedure (DSAEK or PKP depending on the randomisation) and follow-up visits at 1, 6, 12, and 24 months. At each visit, visual acuity, patient satisfaction, pain level and complications will be determined. At 6, 12, and 24 months, endothelial cell density, central corneal thickness and required optical correction will be measured. At 12 and 24 months, quality of life, will also be determined.

Eligibility

Sex
ALL
Min age
50 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * The patient: 1. Is ≥ 50 years old. 2. Has advanced PBK, with a best corrected visual acuity that lies between being able to see a hand move (i.e. 2 logMAR, included) and 2/10 excluded (i.e. 0.7 logMAR, excluded) and a central corneal thickness that exceeds 600 μm. 3. Is indicated for a corneal transplant. 4. Is pseudophakic. 5. Has provided free and informed written consent. 6. Is affiliated to a social security scheme. 7. Can be followed-up by the same investigating team during the study period. Exclusion Criteria: * The patient: 1. Has a history of corneal transplant on either eye (i.e. the study surgery will be the first corneal transplant for the patient). 2. Has an anterior chamber lens implant or is aphakic. 3. Has an ocular comorbidity that will impact visual acuity recovery: exudative or advanced atrophic AMD, advanced diabetic retinopathy (macular edema), advanced glaucoma (damage to the central visual field), important sequelae of central venous thrombosis of the retina or retinal detachment, previous amblyopia. 4. Has a contraindication to general anesthesia. 5. Is deprived of freedom, or under a legal protective measure. 6. Is included in another clinical study. 7. Has a severe general condition that might lead to premature discontinuation of the trial before the end of treatment period.

Primary outcome measure(s)

  • DSAEK and PKP comparison in terms of visual acuity — At 24 postoperative months
    Best corrected monocular visual acuity (assessed with the Monoyer scale and expressed in logMAR)

Trial sites (11)

FacilityCityRegionStatus
CHU Besançon - Hôpital Jean Minjoz Besançon France Recruiting
CHU Bordeaux - Hopital Pellegrin Bordeaux France Recruiting
CHU Brest - Hopital Morvan Brest France Recruiting
CHR Metz-Thionville Hopital de Mercy Metz France Recruiting
CHU Nantes - Hôpital Hotel-Dieu Nantes France Not Yet Recruiting
APHP - Hopital Cochin Paris France Not Yet Recruiting
Chno Xv Xx Paris France Not Yet Recruiting
CHU Saint-Etienne - Hôpital Nord Saint-Etienne France Recruiting
CHRU Strasbourg - Nouvel Hôpital Civil Strasbourg France Recruiting
CHU Toulouse - Hopital Purpan Toulouse France Recruiting
CHRU Tours Tours France Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06818747 on ClinicalTrials.gov ↗ ← All trials in France