Supported by ASCRS, Clinical Research Consultants,
and Document Solutions Group, this web site is designed to further our understanding
of corneal ectasia after LASIK.
Phase I will provide a database for submission of data
on patients who have developed ectasia after LASIK.
Collective data will be analyzed and compared to control groups of patients
who have undergone LASIK without complications, in an effort to validate known risk
factors for LASIK and to discover new ones.
Phase II will include prospective clinical trials of
LASIK in cases with preoperative characteristics that might raise concern about
the development of ectasia, but have not been proven to increase the risk of developing
it. Examples of such cases might include
eyes with preoperative corneal thicknesses of less than 480 microns and asymmetrical
inferior steepening that does not meet published criteria for forme fruste keratoconus. It is anticipated that physicians who
participate in Phase I of this project will be selected to participate in Phase
II.
Ophthalmologists who care for patients with ectasia
are encouraged to participate in the registry by entering de-identified data on
their patients. Each participant will
have access to his/her own database and, eventually, to de-identified data from
other participants. The database will
be analyzed periodically for reports to the profession in an effort to identify
previously unrecognized risk factors for ectasia and share this information most
efficiently.
This is a “work in progress,” and we are willing to
make changes in the registry that might facilitate data entry or analysis.
Please forward comments and recommendations to me at
ophtrds@emory.edu.
Thank you for your interest and participation.
R. Doyle Stulting, MD, PhD
Professor of Ophthalmology
Emory University
Atlanta, GA