Clinical trial Recruiting at 1 site Interventional

Lying on your back after DMEK: 1 day versus 5 days

Official title: Influence of Supine Positioning on the Outcomes After Descemet Membrane Endothelial Keratoplasty (DMEK)

Run by University Hospital Heidelberg · NCT07373821 · Data updated 2026-11-12

This trial sees if lying on your back for five days after DMEK surgery helps the transplant stick better than lying on your back for one day for people with Fuchs endothelial corneal dystrophy or corneal failure.

Quick facts

Study typeInterventional
SexAll
Enrollment102 (estimated)
SponsorUniversity Hospital Heidelberg
Academic / other
Locations1 site (Heidelberg)
StatusRecruiting
StartedOctober 2, 2025
Main results expectedOctober 2026
Study endsMarch 2027
Registry record updatedJanuary 28, 2026
Trial IDNCT07373821 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with Fuchs endothelial corneal dystrophy or bullous keratopathy scheduled for DMEK who can tolerate lying on their back are the ideal candidates.

Probably not a fit

People who cannot lie flat because of back, respiratory, or cardiac conditions, or those with other eye diseases that affect graft outcomes, may not receive benefit from this positioning approach.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized trial assigns patients who receive Descemet membrane endothelial keratoplasty (DMEK) to lie supine for either 1 day or 5 days after surgery to compare graft attachment and the need for additional procedures. Participants wear a movement sensor that records head position to measure adherence and undergo regular vision tests and anterior-segment OCT imaging to quantify any detachment. Patients also complete symptom questionnaires, keep a diary of comfort and issues, and report any adverse events such as back pain. Primary outcomes include detachment size and rebubbling rates, with safety and tolerability as secondary outcomes.

Why it matters

Potential benefit: If successful, longer supine positioning could reduce graft detachment and lower the need for rebubbling after DMEK.

How similar studies have gone: Previous case series and small trials suggest supine positioning helps graft attachment, but the optimal duration is unclear and randomized data are limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Fuchs Endothelial Corneal Dystrophy Bullous Keratopathy

Exclusion Criteria:

Comorbidities preventing supine positioning

Where it's running

  • Department of Ophthalmology, University Hospital Heidelberg
    Heidelberg, Germany
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.