18-25 y: keratoconus stage I-III (progression not mandatory).
25-35 y: documented progression (meet ≥ 2 Table-1 criteria below) or, if recent documentation is absent, high-risk features for future progression: Kmax > 53 D, strong family history, severe atopy with persistent eye rubbing, or any of the following over 12 months: ΔKmax ≥ 1.0 D, thinnest pachymetry decrease ≥ 10 µm, or increase in manifest cylinder ≥ 1.0 D.
35-40 y: clear, unequivocal recent progression (meet ≥ 2 Table-1 criteria); late-onset documented progression may be considered.
Central corneal scars or opacities.
Prior ocular surgery or trauma (exception: prior LASIK if it is the cause of post-surgical ectasia, per protocol text).
Autoimmune disease or uncontrolled diabetes mellitus.
Pregnancy or lactation.
Contact lens wear within 2 weeks before baseline evaluation.
Sites
Instituto de Oftalmología FAP Conde de Valenciana, IAP Sede Centro
Recruiting
Chimalpopoca 14, Obrera, Cuauhtémoc, 06080 Ciudad de México, CDMX, Mexico
StudyPRoTECT
SponsorInstituto de Oftalmología Fundación Conde de Valenciana