The Chirila Keratoprosthesis: Phase I human clinical trial

Geoffrey J. Crawford, Celia R. Hicks, Qiaojun Lou, Sarojini Vijayasekaran, Donald Tan, Bridget Mulholland, Traian V. Chirila, Ian J. Constable

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To undertake a preliminary safety and performance evaluation of an artificial cornea, the Chirila Keratoprosthesis, in human patients.

Design. A prospective, interventional case series.

Participants: Fourteen consecutive patients with blindness of corneal origin not treatable by repeated standard penetrating keratoplasty.

Methods. Keratoprostheses were manufactured and implanted. The patients, all with preoperative visual acuity of light perception to count fingers (CF), were followed clinically in adherence to a protocol.

Main Outcome Measures: Safety (kerato prosthesis retention, incidence of serious complications) and performance (visual acuity, comfort, appearance).

Results: Ninety-three percent of kerato prostheses were retained to the date of reporting, up to 2.5 years. One keratoprosthesis (7%) was removed in a manner that restored the patient's preoperative condition. All but one patient maintained their preoperative level of visual acuity or improved on it, with most achieving their estimated full potential visual acuity, (range, count fingers - 20/20).

Conclusions: This keratoprosthesis is acceptably safe and has demonstrated an ability to restore vision in cases in which alternative management would have had a poor prognosis. More extensive trials are warranted. Ophthalmology 2002;109:883-889 (C) 2002 by the American Academy of Ophthalmology.

Original languageEnglish
Pages (from-to)883-889
Number of pages7
JournalBMC Ophthalmology
Volume109
Issue number5
DOIs
Publication statusPublished - May 2002
EventAnnual Meeting of the American-Academy-of-Ophthalmology - DALLAS
Duration: 22 Oct 200025 Oct 2000

Keywords

  • ARTIFICIAL CORNEA
  • RABBIT CORNEA
  • IMPLANTATION
  • SPONGES

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