Pseudoexfoliation SyndromeCorPEXNCT06731530
Corneal Biomechanics, Optical Properties and Anterior Segment Structural Features in Patients With Pseudoexfoliation
An observational study of Pseudoexfoliation Syndrome and Biomechanical Parameters, run by Aristotle University Of Thessaloniki at 1 site in Greece.
Trial summary
The purpose of this study is to assess the effect of pseudoexfoliation syndrome on corneal biomechanics, optical clarity of the cornea, and anterior segment structural features. Read more about this study
- Who is it for?
- Ages 60 to 80 yearsHealthy volunteers can take part
- Conditions the study is for
- Pseudoexfoliation Syndrome, Biomechanical Parameters, Corneal Densitometry
- What is being tested?
- Pentacam-AXL, HD Analyzer and Corvis ST
- Type of treatment
- Medical device
- How many people
- 86 participants
- Where
- 1 siteGreece
- Study dates
- 13 Dec 2024to May 2025
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 60 to 80 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: Participants will be selected from patients who consult at the outpatient clinic of the 2nd Department of Ophthalmology, General Hospital Papageorgiou, Thessaloniki, Greece.
Who may be able to join
- age 60-80 years.
- unilateral or bilateral pseudophakia (cataract surgery undergone at Papageorgiou General Hospital, Thessaloniki, Greece).
- open anterior chamber angle (grade > 2, van Herick method).
Who cannot join
- History of intraocular surgery other than uncomplicated cataract surgery (phakoemulsification).
- Cataract surgery within the last 3 months.
- History of ocular trauma.
- Use of contact lenses.
- Corneal pathology.
- Use of anti-VEGF medications.
Show all 12Show fewer
- History of uveitis or active uveitis.
- Hypertension (IOP > 21 mmHg) or glaucoma.
- Myopia or hyperopia greater than 3 diopters.
- Astigmatism greater than 1.5 diopters.
- Posterior capsular opacification grade 2, 3, or 4 based on the EPCO grading scale.
- Tear break-up time <10 sec
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Greece1 site, 1 recruiting
- Recruiting
2nd Department of Ophthalmology, Papageorgiou General Hospital
Thessaloniki, 56429
Paraskevi Petridou, MD, MSc, 00306985565799, evina_petridou@hotmail.com
About this study
Official title: A Comparative Study of Anterior Segment Structural Features, Biomechanical Behaviour and Optical Properties of the Cornea in Patients With and Without Pseudoexfoliation Syndrome.
The purpose of this study is to assess the effect of pseudoexfoliation syndrome on corneal biomechanics, optical clarity of the cornea, and anterior segment structural features.
Read the detailed description
A case group of patients with pseudoexfoliation syndrome will ungergo examinations to evaluate corneal optical properties (Pentacam-AXL, HD analyzer), biomechanics (Corvis ST) and anterior segment structural features (OCT-A Angiovue, Pentacam-AXL, IOLMaster V.5.4, Topcon SP-1P). The same examinations will be performed on a group of age-matched controls, and the results will be compared.
Corneal optical density will be assessed by backscatter measurement (COD, corneal optical density) using Pentacam AXL (Oculus, Wetzlar, Germany).
Corneal optical density will also be assessed by forward-scatter measurement (OSI, objective scatter index) using HD Analyzer (Visiometrics, Terassa, Spain, Keeler). The level of agreement between the two optical density indicators (OSI, COD) will be evaluated.
Corneal biomechanics measurements will be performed using Corvis Scheimpflug Technology. The main biomechanical parameter of the Corvis ST is DA (deformation amplitude). DA quantifies how the cornea deforms in response to an air puff and helps evaluate corneal stiffness and elasticity.
An additional objective is the study of structural parameters of the cornea as well as, more broadly, the anterior segment in pseudoexfoliation syndrome (PEX) patients, aiming to understand and describe the effects of PEX with the highest possible accuracy. Specifically, using the Pentacam-AXL (Oculus, Wetzlar, Germany), the IOLMaster V.5.4 (Carl Zeiss Meditec), the OCT-Angiography Angiovue (Optovue, Inc., Fremont, California, USA), and the specular microscope Topcon SP-1P (Topcon Medical Inc., Tokyo, Japan), a comparative study will be conducted across a range of variables and maps: corneal topographic data, keratometric measurements, curvature radius data, pachymetric data, anterior chamber depth and volume, angle width, axial length, pupil diameter, and endothelial cell density. Some of these data, such as central corneal thickness, can be measured by two of the aforementioned devices. In this case, we will also attempt to evaluate the level of agreement between the two devices.
- Being tested
- Pentacam-AXL, HD Analyzer, Corvis ST, OCT-A Angiovue, IOLMaster V.5.4
- Keywords
- pseudoexfoliation syndrome, biomechanical parameters, corneal transparency
- Medical subject headings
- Exfoliation Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Pentacam-AXLDevice
Pentacam-AXL (Oculus, Wetzlar, Germany)
HD AnalyzerDevice
HD Analyzer (Visiometrics, Terassa, Spain, Keeler)
Corvis STDevice
Corvis ST (Oculus, Germany)
OCT-A AngiovueDevice
OCT-A Angiovue (Optovue, Inc., Fremont, California, USA)
IOLMaster V.5.4Device
IOLMaster V.5.4 (Carl Zeiss., Meditec)
Topcon SP-1PDevice
Topcon SP-1P (Topcon Medical Inc., Tokyo, Japan)
BCVA (ETDRS), Slit lamp examination, Goldmann Applanation Tonometry, Fundus examinationOther
BCVA (ETDRS), Slit lamp examination, Goldmann Applanation Tonometry, Fundus Examination
| Study group | Role | What they receive |
|---|---|---|
| PEX group (patients WITH pseudoexfoliation syndrome) | right or left eye of pseudophakic patients diagnosted with PEX syndrome pre-operatively (PEX positive, as recorded in the pre-operative medical file) Receives: Device: Pentacam-AXL; Device: HD Analyzer; Device: Corvis ST; Device: OCT-A Angiovue; Device: IOLMaster V.5.4; Device: Topcon SP-1P; Other: BCVA (ETDRS), Slit lamp examination, Goldmann Applanation Tonometry, Fundus examination | |
| Control group (patients WITHOUT pseudoexfoliation syndrome) | right or left eye of pseudophakic patients without a pre-operative diagnosis of pseudoexfoliation syndrome (PEX negative, as recorded in the pre-operative medical file) Receives: Device: Pentacam-AXL; Device: HD Analyzer; Device: Corvis ST; Device: OCT-A Angiovue; Device: IOLMaster V.5.4; Device: Topcon SP-1P; Other: BCVA (ETDRS), Slit lamp examination, Goldmann Applanation Tonometry, Fundus examination |
What is being measured
The primary outcome is the main question the study is designed to answer.
Corneal optical density assessed by backscatter measurement
Corneal optical density assessed by backscatter measurement (COD, corneal optical density) using Pentacam AXL (Oculus, Wetzlar, Germany)
Measured: Baseline, during examination : approx. 1 hour
Corneal optical density assessed by forward-scatter measurement
Corneal optical density assessed by forward-scatter measurement (OSI, objective scatter index) using HD Analyzer (Visiometrics, Terassa, Spain, Keeler)
Measured: Baseline, during examination : approx. 1 hour
Secondary outcomes (6)
Corneal biomechanics using Corvis Scheimpflug Technology
The main biomechanical parameter of the Corvis ST : DA (deformation amplitude). DA quantifies how the cornea deforms in response to an air puff and helps evaluate corneal stiffness and elasticity.
Measured: Baseline, during examination : approx. 1 hour
Optical quality measured by HD-analyzer : Strehl ratio
Specific measurement variable: Total score of Strehl ratio; Value [no dimension];
Measured: Baseline, during examination : approx. 1 hour
Optical quality measured by HD-analyzer : MTF cut-off
Specific measurement variable: Total score of Modulation transfer function (MTF) cut-off; Value [c/deg];
Measured: Baseline, during examination : approx. 1 hour
Corneal biomechanics using Corvis Scheimpflug Technology : velocity
Velocity during the first and the second applanation of the cornea, measured using Corvis ST [m/s]
Measured: Baseline, during examination : approx. 1 hour
Corneal biomechanics using Corvis Scheimpflug Technology : length
First and second applanation length (mm)
Measured: Baseline, during examination : approx. 1 hour
Corneal biomechanics using Corvis Scheimpflug Technology : bIOP
Biomechanically corrected IOP (bIOP) (mmHg)
Measured: Baseline, during examination : approx. 1 hour
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Dec 2024
- Study start13 Dec 2024
- Primary completionMay 2025 (estimated)
- Study completionMay 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Pseudoexfoliation SyndromeStudies of the same condition, open and under way.
- More trials run by Aristotle University Of ThessalonikiThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case-control
- Time perspective
- Cross-sectional
- Enrolment
- 86 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Aristotle University Of Thessaloniki
- Sponsor type
- University, hospital or other
- Collaborators
- Papageorgiou General Hospital
- Responsible party
- Principal investigator, Nikolaos Ziakas, Aristotle University Of Thessaloniki
- Investigators
- Nikolaos Ziakas, Professor, Study chair, Aristotle University Of Thessaloniki
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06731530
- Sponsor's protocol ID
- 36661
- Acronym
- CorPEX
- Status last verified
- Dec 2024
- First submitted
- 19 Nov 2024
- Last updated
- 27 Dec 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Deidentified Individual Participant Data (IPD) that underline published results, along with related data dictionaries, will be available only to researchers who will provide a methodologically sound proposal, after acceptance of the proposed protocol by our Institution's IRB. Data requestors will need to sign a data access agreement. The study protocol and statistical analysis plan will also be available, if needed.
Study at a glance
From the registry record, last updated by the sponsor on 27 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Comparative Study of Anterior Segment Structural Features, Biomechanical Behaviour and Optical Properties of the Cornea in Patients With and Without Pseudoexfoliation Syndrome.
- ClinicalTrials.gov ID
- NCT06731530
- Acronym / sponsor ID
- CorPEX / 36661
- Keywords
- pseudoexfoliation syndrome, biomechanical parameters, corneal transparency
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 86 participants (estimated)
- Lead sponsor
- Aristotle University Of ThessalonikiUniversity, hospital or other
- Collaborators
- Papageorgiou General Hospital
- Study start
- 13 Dec 2024 (actual)
- Primary completion
- May 2025 (estimated)
- Study completion
- May 2025 (estimated)
- First posted
- 12 Dec 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the effect of pseudoexfoliation syndrome on corneal biomechanics, optical clarity of the cornea, and anterior segment structural features.
Detailed description
A case group of patients with pseudoexfoliation syndrome will ungergo examinations to evaluate corneal optical properties (Pentacam-AXL, HD analyzer), biomechanics (Corvis ST) and anterior segment structural features (OCT-A Angiovue, Pentacam-AXL, IOLMaster V.5.4, Topcon SP-1P). The same examinations will be performed on a group of age-matched controls, and the results will be compared.
Corneal optical density will be assessed by backscatter measurement (COD, corneal optical density) using Pentacam AXL (Oculus, Wetzlar, Germany).
Corneal optical density will also be assessed by forward-scatter measurement (OSI, objective scatter index) using HD Analyzer (Visiometrics, Terassa, Spain, Keeler). The level of agreement between the two optical density indicators (OSI, COD) will be evaluated.
Corneal biomechanics measurements will be performed using Corvis Scheimpflug Technology. The main biomechanical parameter of the Corvis ST is DA (deformation amplitude). DA quantifies how the cornea deforms in response to an air puff and helps evaluate corneal stiffness and elasticity.
An additional objective is the study of structural parameters of the cornea as well as, more broadly, the anterior segment in pseudoexfoliation syndrome (PEX) patients, aiming to understand and describe the effects of PEX with the highest possible accuracy. Specifically, using the Pentacam-AXL (Oculus, Wetzlar, Germany), the IOLMaster V.5.4 (Carl Zeiss Meditec), the OCT-Angiography Angiovue (Optovue, Inc., Fremont, California, USA), and the specular microscope Topcon SP-1P (Topcon Medical Inc., Tokyo, Japan), a comparative study will be conducted across a range of variables and maps: corneal topographic data, keratometric measurements, curvature radius data, pachymetric data, anterior chamber depth and volume, angle width, axial length, pupil diameter, and endothelial cell density. Some of these data, such as central corneal thickness, can be measured by two of the aforementioned devices. In this case, we will also attempt to evaluate the level of agreement between the two devices.
Study design
- Observational model
- Case-control
- Time perspective
- Cross-sectional
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| PEX group (patients WITH pseudoexfoliation syndrome) | – | Device: Pentacam-AXL, Device: HD Analyzer, Device: Corvis ST, Device: OCT-A Angiovue, Device: IOLMaster V.5.4, Device: Topcon SP-1P, Other: BCVA (ETDRS), Slit lamp examination, Goldmann Applanation Tonometry, Fundus examinationright or left eye of pseudophakic patients diagnosted with PEX syndrome pre-operatively (PEX positive, as recorded in the pre-operative medical file) |
| Control group (patients WITHOUT pseudoexfoliation syndrome) | – | Device: Pentacam-AXL, Device: HD Analyzer, Device: Corvis ST, Device: OCT-A Angiovue, Device: IOLMaster V.5.4, Device: Topcon SP-1P, Other: BCVA (ETDRS), Slit lamp examination, Goldmann Applanation Tonometry, Fundus examinationright or left eye of pseudophakic patients without a pre-operative diagnosis of pseudoexfoliation syndrome (PEX negative, as recorded in the pre-operative medical file) |
Who may qualify
- Ages
- 60 to 80 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- Participants will be selected from patients who consult at the outpatient clinic of the 2nd Department of Ophthalmology, General Hospital Papageorgiou, Thessaloniki, Greece.
Key inclusion criteria (3 listed)
- age 60-80 years.
- unilateral or bilateral pseudophakia (cataract surgery undergone at Papageorgiou General Hospital, Thessaloniki, Greece).
- open anterior chamber angle (grade > 2, van Herick method).
Key exclusion criteria (12 listed)
- History of intraocular surgery other than uncomplicated cataract surgery (phakoemulsification).
- Cataract surgery within the last 3 months.
- History of ocular trauma.
- Use of contact lenses.
- Corneal pathology.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Pentacam-AXLPentacam-AXL (Oculus, Wetzlar, Germany) | Device | Control group (patients WITHOUT pseudoexfoliation syndrome), PEX group (patients WITH pseudoexfoliation syndrome) |
| HD AnalyzerHD Analyzer (Visiometrics, Terassa, Spain, Keeler) | Device | Control group (patients WITHOUT pseudoexfoliation syndrome), PEX group (patients WITH pseudoexfoliation syndrome) |
| Corvis STCorvis ST (Oculus, Germany) | Device | Control group (patients WITHOUT pseudoexfoliation syndrome), PEX group (patients WITH pseudoexfoliation syndrome) |
| OCT-A AngiovueOCT-A Angiovue (Optovue, Inc., Fremont, California, USA) | Device | Control group (patients WITHOUT pseudoexfoliation syndrome), PEX group (patients WITH pseudoexfoliation syndrome) |
| IOLMaster V.5.4IOLMaster V.5.4 (Carl Zeiss., Meditec) | Device | Control group (patients WITHOUT pseudoexfoliation syndrome), PEX group (patients WITH pseudoexfoliation syndrome) |
| Topcon SP-1PTopcon SP-1P (Topcon Medical Inc., Tokyo, Japan) | Device | Control group (patients WITHOUT pseudoexfoliation syndrome), PEX group (patients WITH pseudoexfoliation syndrome) |
| BCVA (ETDRS), Slit lamp examination, Goldmann Applanation Tonometry, Fundus examinationBCVA (ETDRS), Slit lamp examination, Goldmann Applanation Tonometry, Fundus Examination | Other | Control group (patients WITHOUT pseudoexfoliation syndrome), PEX group (patients WITH pseudoexfoliation syndrome) |
Primary outcome
Corneal optical density assessed by backscatter measurement
Time frame: Baseline, during examination : approx. 1 hour
Corneal optical density assessed by backscatter measurement (COD, corneal optical density) using Pentacam AXL (Oculus, Wetzlar, Germany)
Corneal optical density assessed by forward-scatter measurement
Time frame: Baseline, during examination : approx. 1 hour
Corneal optical density assessed by forward-scatter measurement (OSI, objective scatter index) using HD Analyzer (Visiometrics, Terassa, Spain, Keeler)
6 secondary outcomes
Corneal biomechanics using Corvis Scheimpflug Technology
Time frame: Baseline, during examination : approx. 1 hour
Optical quality measured by HD-analyzer : Strehl ratio
Time frame: Baseline, during examination : approx. 1 hour
Optical quality measured by HD-analyzer : MTF cut-off
Time frame: Baseline, during examination : approx. 1 hour
Corneal biomechanics using Corvis Scheimpflug Technology : velocity
Time frame: Baseline, during examination : approx. 1 hour
Corneal biomechanics using Corvis Scheimpflug Technology : length
Time frame: Baseline, during examination : approx. 1 hour
Corneal biomechanics using Corvis Scheimpflug Technology : bIOP
Time frame: Baseline, during examination : approx. 1 hour
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Dec 2024.
- Individual participant dataSharing planned: Yes. Deidentified Individual Participant Data (IPD) that underline published results, along with related data dictionaries, will be available only to researchers who will provide a methodologically sound proposal, after acceptance of the proposed protocol by our Institution's IRB. Data requestors will need to sign a data access agreement. The study protocol and statistical analysis plan will also be available, if needed.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Nikolaos Ziakas, Professor study chair
Aristotle University Of Thessaloniki
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Pseudoexfoliation Syndrome and Biomechanical Parameters, run by Aristotle University Of Thessaloniki at 1 site in Greece.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 27 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Greece. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Paraskevi Petridou, MD, MSc (00306985565799, evina_petridou@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Corneal optical density assessed by backscatter measurement (time frame: Baseline, during examination : approx. 1 hour). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Dec 2024.