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The goal of this clinical trial is to determine the safety, efficacy, and comfort of the investigational TetraLens bandage contact lens in patients who have undergone photorefractive keratectomy (PRK). The main question[s] it aims to answer are:
Researchers will compare the study lens in one eye to a control lens in the contralateral (other eye)
The safety and efficacy of the methafilcon A and tetracaine HCL components of the TetraLens BCL have safety and efficacy profiles that are well established. This study aims to obtain the initial assessment of the safety efficacy and wearability of the TetraLens BCL for use a therapeutic bandage contact lens for short-term topical pain relief following ocular surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Receive Investigational TetraLens BCL | Experimental | At random, one eye will receive the contact lens that contains the tetracaine HCL |
|
| Receive standard bandage contact lens | Sham Comparator | At random, one eye will receive the standard of care bandage contact lens |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TetraLens bandage contact lens | Drug | Methafilcon-A contact lens eluding tetracaine ophthalmic solution |
|
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of TetraLens BCL in the management of pain following surgical procedures | Cumulative number of daily pain medications up to Day 6 post-operative | 6 days post-operative |
| Safety of TetraLens BCL | Corneal wound healing (re-epithelization) | 6 days post-operative |
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Inclusion Criteria:
Exclusion Criteria:
Patients who have experienced complications during PRK procedures
Women of childbearing potential that are pregnant, nursing, or planning a pregnancy, and are not using effective methods of contraception. Effective contraception methods include:
Known allergy to Tetracaine or contraindications for its use
Significant anisometropia of greater than 2 diopters of manifest refraction spherical equivalent (MRSE) between eyes or hyperopes
Subjects having a history of previous eye surgery
Subjects with planned MRSE treatment of greater than 6.00D
Subjects with uncontrolled dry eye disease in the opinion of the investigator
History of systemic disorder such as diabetes, connective tissue disorder (systemic lupus erythematosis, rheumatoid arthritis, Sjögren syndrome, mucous membrane pemphigoid), thyroid disease, or immunosuppressive disorders (Human Immunodeficiency Virus [HIV], long-term steroid use, transplant recipient), that may affect post-operative healing
Corneal disease that may affect outcomes including keratoconus, form fruste keratoconus, limbal stem cell deficiency, pellucid marginal degeneration, contact lens warpage, and/or herpes keratitis
Use of chronic glaucoma and or hypotensive topical medications than in the view of the investigator could cause epitheliopathy and affect the rate of re-epithelization
Visually significant cataract
Other pathology of the cornea or anterior segment including lagophthalmos, blepharitis, anterior membrane dystrophy, corneal neuropathy, recurrent erosions and/or scarring that would affect wound re-epithelization
Use of medications that may affect and/or decrease the rate of corneal healing [e.g., systemic and or topical medications (corticosteroids, antimetabolites such as mitomycin) and/or antiviral medications] and or recent use (within the past 6 months) of isotretinoin, amiodarone or any medications that can affect corneal integrity
Any other factors that in the opinion of the investigator could put the subject at safety risk
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| Name | Affiliation | Role |
|---|---|---|
| Vance Thompson, MD | Vance Thompson Vision | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vance Thompson Vision | Sioux Falls | South Dakota | 57108 | United States |
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| ID | Term |
|---|---|
| D058447 | Eye Pain |
| ID | Term |
|---|---|
| D005132 | Eye Manifestations |
| D005128 | Eye Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Control Acuvue Oasys Bandage contact Lens | Device | Standard of care bandage contact lens |
|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |