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April 12, 2026Cornea0 citations

A Multicenter, Randomized, Double-Masked, Sham-Controlled Phase 3 Study to Evaluate the Efficacy and Safety of Epithelium-on Corneal Crosslinking in Keratoconus Subjects 8 to 45 Years of Age: Baseline Endothelial Studies

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MBMichael Wellington BelinJDJanet DeMarchiBBBeth Ann Benetz

Key Points

  • To evaluate the efficacy and safety of epithelium-on corneal crosslinking in individuals with keratoconus.
  • Conducted a multicenter randomized phase 3 trial
  • Included subjects aged 8 to 45 with diagnosed keratoconus
  • Implemented sham-controlled and double-masked study design
  • Analyzed baseline endothelial studies to assess impact on ECD
  • As keratoconus severity increases, endothelial cell density (ECD) significantly decreases
  • Even in advanced keratoconus stages, ECD values remain within a physiological range

Abstract

Increasing keratoconus tomographic severity results in a significant decrease in ECD. However, even in the most advanced stages, the ECD remains within physiological range.

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Cite This Study

Belin et al. (2026) studied this question.

synapsesocial.com/papers/69db380f4fe01fead37c6397https://doi.org/10.1097/ico.0000000000004160
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Pathology of Corneal Endothelium in Keratoconus2010 · 47 citations
  2. 2Induction of Cross-links in Corneal Tissue1998 · 917 citations
  3. 3Laser Scanning In Vivo Confocal Microscopy Reveals Reduced Innervation and Reduction in Cell Density in All Layers of the Keratoconic Cornea2008 · 151 citations
  4. 4Endothelial alterations in 712 keratoconus patients2017 · 34 citations
  5. 5Correlation of Corneal Endothelial Changes With Different Stages of Keratoconus2014 · 28 citations