Impact of Iridotomy/Iridectomy Size on Postoperative Pupillary Block and Dysphotopsia Following DMEK
NCT07577635 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 100
Last updated 2026-05-11
Summary
Descemet membrane endothelial keratoplasty (DMEK) is the standard surgical treatment for corneal endothelial disorders. A postoperative pupillary block may occur despite routine preoperative laser iridotomy or intraoperative surgical iridectomy. Insufficient size or incomplete patency of the iridotomy/iridectomy (IT) may contribute to this complication, while excessively large openings may be associated with postoperative dysphotopsia. This prospective observational study investigates the association between IT size measured by anterior segment optical coherence tomography (AS-OCT) and the occurrence of postoperative pupillary block and dysphotopsia after DMEK.
Conditions
- Pupillary Block After DMEK
- Laser Iridotomy / Surgical Iridectomy
- Dysphotopsia
- Descemet Membrane Endothelial Keratoplasty (DMEK)
Interventions
- DIAGNOSTIC_TEST
-
Anterior Segment Optical Coherence Tomography (AS-OCT)
Additional anterior segment OCT imaging of the iris to quantify the size and patency of the iridotomy or iridectomy in DMEK patients, performed as a non-invasive, contact-free study-related diagnostic procedure alongside routine clinical examinations.
- OTHER
-
Dysphotopsia Questionnaire
Structured patient questionnaire to assess occurrence and severity of new postoperative dysphotopsia after DMEK.
Sponsors & Collaborators
-
University of Leipzig
lead OTHER
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-06-01
- Primary Completion
- 2027-01-01
- Completion
- 2027-07-01
More Related Trials
-
Tomographic Analysis of Anterior, Posterior, Total Corneal Refractive Power Changes After Laser-assisted Keratotomy
NCT03097302 ·Status: COMPLETED
-
Prognosis of Posterior Lamellar Keratoplasty, an Observational Cohort Study
NCT06859411 ·Status: RECRUITING
-
Evaluation of the Keratoconic Cornea After Corneal Collagen Cross Linking.
NCT03879421 ·Status: UNKNOWN ·Phase: NA
-
Descemet Endothelial Thickness Comparison Trial
NCT02373137 ·Status: UNKNOWN ·Phase: PHASE4
-
Influence of Supine Positioning on the Outcomes After Descemet Membrane Endothelial Keratoplasty (DMEK)
NCT07373821 ·Status: RECRUITING ·Phase: NA
-
Comparison of Visual Outcomes and Patient Satisfaction in Mild to Moderate Glaucoma Patients Undergoing Cataract Surgery With EDOF Versus Monofocal IOLs
NCT07436871 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Evaluation Of Deep Anterior Lamellar Keratoplasty By Anterior Segment Ocular Coherence Tomography
NCT05345652 ·Status: UNKNOWN
-
Risk Factors for Human Corneal Graft Failure : a Monocentric Retrospective Observational Cohort
NCT04791696 ·Status: COMPLETED
-
Intraocular Position of Secondary Iris-Fixated IOLs in Aphakic Eyes
NCT00773266 ·Status: COMPLETED
-
Intrastromal Corneal Ring Segments and Toric Phakic Posterior Intra-ocular Lenses Implantation in Keratoconus
NCT05055349 ·Status: UNKNOWN ·Phase: NA
-
IOL Implantation After KAMRA Inlay Removal
NCT03320473 ·Status: COMPLETED ·Phase: NA
-
To Compare the Clinical Outcomes of FemtoLASIK and ICL Implantation in Treating Moderate Myopia Focusing on Refractive Stability, Contrast Sensitivity and High Order Aberrations.
NCT07291986 ·Status: COMPLETED ·Phase: NA
-
Study on the Application of Intraoperative Optical Coherence Tomography Technique in the Diagnosis and Treatment of Lens Diseases
NCT06687356 ·Status: RECRUITING ·Phase: NA
-
Photopic and Mesopic Multifocal IOL Performance
NCT06978556 ·Status: ACTIVE_NOT_RECRUITING
-
Impact of Graft Thickness on Visual Gain After Descemet's Stripping Automated Endothelial Keratoplasty
NCT02883855 ·Status: COMPLETED
-
Outcomes in a Comparison of Manual Penetrating Keratoplasty and the IntraLase® Enabled Keratoplasty
NCT00566605 ·Status: UNKNOWN ·Phase: PHASE1
-
Optical Coherence Pachymetry to Evaluate Central Corneal Ablation Depth in Myopic Femtosecond Laser in Situ Keratomileusis
NCT02893644 ·Status: COMPLETED
-
Deep Anterior Lamellar Keratoplasty Using Dehydrated Versus Standard Organ Culture Stored Donor Corneas
NCT04430244 ·Status: UNKNOWN ·Phase: NA
-
Effects of Corneal Anatomical Match Between Donor and Recipient During DALK Surgery on Final Visual and Refractive Outcomes in Patients With KCN
NCT04130334 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Full 3D Eye Modeling in the Diagnosis and Treatment of Lens Diseases With Eye Structures Disorders
NCT07321769 ·Status: RECRUITING
-
Combined Corneal Wavefront-guided TPRK and ACXL Following ICRS Implantation in Management of Moderate Keratoconus
NCT04383301 ·Status: COMPLETED ·Phase: NA
-
Corneal Autograft for Limbal Dermoid
NCT03217461 ·Status: COMPLETED ·Phase: NA
-
Analysis of Topographic Corneal Parameters
NCT06220578 ·Status: COMPLETED
-
A Single Centre Study to Analyze Cataract Surgery Following Femtosecond Laser-Assisted and Manual Cataract Surgery
NCT01769313 ·Status: COMPLETED ·Phase: PHASE4
-
Observational Study of Keratoconus and Post-keratoplasty Eyes
NCT02109848 ·Status: COMPLETED