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Completed

NCT Number: NCT05588882

Wavefront-guided vs. Topography-guided LASIK

The study is comparing outcomes of wavefront-guided LASIK to topography-guided LASIK in a randomized contralateral fellow eye study in myopic participants.

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Key information

Age range

22 year–59 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Stanford University School of Medicine

Palo Alto, California, 94303, United States

About this study

The purpose of the study is to compare the results of wavefront-guided LASIK surgery to topography-guided LASIK surgery in participants with nearsightedness with or without astigmatism

Three FDA-approved laser devices are being used for the study.

Two excimer lasers are being used for the study. The excimer laser is used to perform the reshaping of the cornea under a LASIK flap to correct nearsightedness, farsightedness and astigmatism. The two lasers being utilized are the Johnson and Johnson Visx CustomVue excimer laser and the Alcon Allegretto laser in the study. Both have received FDA-approval via a PMA pathway.

One femtosecond laser is being used in the study. The femtosecond laser is used to create the LASIK flap during the first part of the LASIK procedure. The Intralase iFS150 femtosecond laser is being used in the study. The femtosecond laser received FDA- approval via a 510k pathway.

All three lasers are being used according to their approved indications.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

.

  • Subjects ages 22 to 59with healthy eyes. Nearsightedness between -1.00 diopters and -9.00 diopters.
  • Subjects with less than or equal to 3.00 diopters of astigmatism.

Exclusion criteria

.

  • Subjects under the age of 22 and over the age of 59
  • Subjects with excessively thin corneas.
  • Subjects with topographic evidence of keratoconus.
  • Subjects with ectactic eye disorders.
  • Subjects with autoimmune diseases.
  • Subjects who are pregnant or nursing.
  • Subjects must have similar levels of nearsightedness in each eye. They cannot be more than 1.5 diopter of difference between eyes.
  • Subjects with more than 3.00 diopters of astigmatism
  • Subjects must have similar levels of astigmatism in each eye. They cannot have more than 1.00 diopters of difference between eyes.

Treatment and study plan

Wavefront-guided LASIK

Procedure

Topography-guided utilizes topography mapping to perform the ablation

Other names: Topography-guided LASIK

Wavefront-guided

Procedure

Wavefront-guided utilizes aberrometry to perform the ablation

Primary outcomes

  1. Percentage of eyes achieving uncorrected visual acuity

    Time frame: One year

    Percentage of eyes achieving an uncorrected visual acuity of 20/40, 20/25 ,20/20, 20/16, 20/12.5 and 20/10 at post-operative month twelve

Secondary outcomes

  1. Percentage of eyes with a change in two or more lines of corrected visual acuity

    Time frame: One year

    Percentage of eyes gaining or losing two or more lines of corrected visual acuity Percentage of eyes gaining or losing 2 or more lines of corrected distance visual acuity

  2. Predictability

    Time frame: One year

    Percentage of eyes within +/- 0.50 and +/- 1.00 diopters of the intended corrected

  3. Patient Quality of Vision

    Time frame: One year

    Percentage of patients preferring the eye that underwent either Wavefront-guided or Topography-guided LASIK

  4. Change in corneal epithelial thickness

    Time frame: One year

    We will be measuring the average change in central corneal epithelial thickness from preoperative to post-operative month12 in eyes undergoing Wavefront-guided LASIK and Topography-guided LASIK

Sponsors and collaborators

Lead sponsor

Stanford University

Other

Registry information

Official study title

A Prospective Randomized Comparison of Topography-Guided LASIK Surgery to Wavefront-Guided LASIK Surgery

Important dates

Study start
2022
Primary completion
2024
Study completion
2024
First posted
Oct 20, 2022
Registry last updated
Sep 26, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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