4.3 Review

New Technologies in Clinical Trials in Corneal Diseases and Limbal Stem Cell Deficiency: Review from the European Vision Institute Special Interest Focus Group Meeting

Journal

OPHTHALMIC RESEARCH
Volume 64, Issue 2, Pages 145-167

Publisher

KARGER
DOI: 10.1159/000509954

Keywords

Cornea; Limbal stem cell deficiency; Dry eye disease; End points; European vision institute; Diagnostic; New technologies; Anterior segment OCT; Confocal laser scanning microscopy; Fuchs endothelial dystrophy; Graft versus host disease

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The article discussed new technologies for better diagnosing corneal diseases and limbal stem cell deficiency, including unmet needs and achievable new diagnostic technologies in areas such as dry eye, ocular surface inflammation, imaging, corneal neovascularization, and corneal grafting.
To discuss and evaluate new technologies for a better diagnosis of corneal diseases and limbal stem cell deficiency, the outcomes of a consensus process within the European Vision Institute (and of a workshop at the University of Cologne) are outlined. Various technologies are presented and analyzed for their potential clinical use also in defining new end points in clinical trials. The disease areas which are discussed comprise dry eye and ocular surface inflammation, imaging, and corneal neovascularization and corneal grafting/stem cell and cell transplantation. The unmet needs in the abovementioned disease areas are discussed, and realistically achievable new technologies for better diagnosis and use in clinical trials are outlined. To sum up, it can be said that there are several new technologies that can improve current diagnostics in the field of ophthalmology in the near future and will have impact on clinical trial end point design.

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