Using OCT to assess corneal health in Fuchs' Dystrophy

Evaluating Corneal Edema in Fuchs' Endothelial Dystrophy Using Optical Coherence Tomography

Observational Oregon Health and Science University · NCT04258787

This study is testing a new way to measure corneal swelling in people with Fuchs' dystrophy to see how it affects their vision after surgery.

Quick facts

Study typeObservational
Enrollment60 (estimated)
Ages18 Years and up
SexAll
SponsorOregon Health and Science University Academic / other
Locations1 site (Portland, Oregon)
Trial IDNCT04258787 on ClinicalTrials.gov

What this trial studies

This observational study utilizes optical coherence tomography (OCT) technology to measure corneal edema in patients with Fuchs' endothelial dystrophy and pseudophakic bullous keratopathy. The goal is to quantify the extent of corneal swelling and predict changes in vision following surgical interventions. Participants will undergo regular study visits to monitor their condition and the effects of treatment. The study aims to enhance understanding of corneal health in these conditions.

Who should consider this trial

Good fit: Ideal candidates include individuals with damaged or diseased corneal endothelium due to Fuchs' dystrophy or pseudophakic bullous keratopathy who can commit to study visits.

Not a fit: Patients who have undergone prior endothelial keratoplasty or have other significant ocular conditions that may complicate treatment are unlikely to benefit from this study.

Why it matters

Potential benefit: If successful, this study could improve the management and treatment outcomes for patients with Fuchs' dystrophy and related conditions.

How similar studies have performed: While the use of OCT in corneal assessments is established, this specific application in Fuchs' dystrophy and pseudophakic bullous keratopathy is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Damaged or diseased corneal endothelium from Fuchs' or PBK
* Willingness to commit to required study visits

Exclusion Criteria:

* Prior Endothelial Keratoplasty (EK) or any other surgery except uncomplicated cataract surgery
* Presence of a condition that increases the probability for treatment failure (e.g., heavily vascularized cornea, uncontrolled uveitis)
* Other primary endothelial dysfunction conditions (e.g., posterior polymorphous corneal dystrophy and congenital hereditary corneal dystrophy, iridocorneal endothelial syndrome)
* Central sub-epithelial or stromal scarring that could impact post-operative clarity assessment
* Peripheral anterior synechiae in the angle greater than 3 clock hours
* Hypotony
* Uncontrolled glaucoma
* Visually significant optic nerve or macular pathology

Where this trial is running

Portland, Oregon

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Fuchs DystrophyPseudophakic Bullous KeratopathyFuchsOptical Coherence TomographyPBK
Last reviewed 2026-06-13 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.