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 type | Interventional |
|---|---|
| Sex | All |
| Enrollment | 102 (estimated) |
| Sponsor | University Hospital Heidelberg Academic / other |
| Locations | 1 site (Heidelberg) |
| Status | Recruiting |
| Started | October 2, 2025 |
| Main results expected | October 2026 |
| Study ends | March 2027 |
| Registry record updated | January 28, 2026 |
| Trial ID | NCT07373821 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
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Department of Ophthalmology, University Hospital Heidelberg
Heidelberg, Germany Recruiting
Study contacts
- Study coordinator: Maximilian Friedrich, MD
- Email: maximilian.friedrich@med.uni-heidelberg.de
- Phone: +49 6221 56 37749
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Polishing the Descemet membrane before endothelial keratoplasty for Fuchs endothelial corneal dystrophy
This trial tests whether polishing the diseased Descemet membrane before injecting cultured endothelial cells helps improve graft adhesion and outcomes for people with Fuchs endothelial corneal dystrophy.
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VALIDATING the SUCCESS Score to predict need for endothelial keratoplasty after cataract surgery in Fuchs dystrophy
This study will test whether the SUCCESS Score, with corneal densitometry, can predict which people with Fuchs endothelial corneal dystrophy having cataract surgery will later need endothelial keratoplasty.
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DT-168 for people with Fuchs endothelial corneal dystrophy who are having a corneal transplant
This study will test whether DT-168 eye drops are safe, well tolerated, and how they act in people with Fuchs endothelial corneal dystrophy who are scheduled for corneal transplant.
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Comparing femtosecond laser-assisted versus conventional cataract surgery for people with Fuchs endothelial corneal dystrophy
This study will test whether femtosecond laser-assisted cataract surgery or conventional phacoemulsification better preserves corneal endothelial cells and vision in adults with moderate to severe Fuchs endothelial corneal dystrophy who need cataract surgery.
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Observing outcomes of posterior lamellar keratoplasty for eye conditions
This study looks at how well two types of eye surgeries for conditions like Fuchs' dystrophy and bullous keratopathy work in helping patients see better over time.
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Using N-acetyl cysteine eye drops to treat Fuchs Endothelial Corneal Dystrophy
This study is testing if N-acetyl cysteine eye drops can help people with Fuchs Endothelial Corneal Dystrophy and cataracts feel better and improve their eye health before surgery.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.