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

Ophthalmic Res. 2021;64(2):145-167. doi: 10.1159/000509954. Epub 2020 Jul 7.

Abstract

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.

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

Publication types

  • Review

MeSH terms

  • Clinical Trials as Topic*
  • Congresses as Topic
  • Corneal Diseases / metabolism
  • Corneal Diseases / pathology
  • Corneal Diseases / surgery*
  • Epithelium, Corneal / metabolism
  • Epithelium, Corneal / pathology*
  • Europe
  • Humans
  • Limbus Corneae / cytology*
  • Stem Cell Transplantation / methods*
  • Stem Cells / cytology*