The objective of the Collaborative Longitudinal Evaluation of Keratoconus(CLEK) Study is to characterize the progression of keratoconus over a broad spectrum of disease severity. The study will include patients ages 12 through 65 inclusive with evidence of corneal irregularity in at least one eye and either Fleishers ring; Vogt's striae or corneal scarring in at least one eye. Progression of keratoconus will be measured by changes in corneal curvature (keratometry), visual acuity (high and low contrast Bailey-Lovie), visual quality of life (Javitt Visual Function Questionnaire), incidence of central corneal scarring, and contact lens required for definite apical clearance. Thirteen clinics will participate in recruiting and following a total of 1000 patients with keratoconus. Patients will be examined annually for the study for a minimum of 3 years. Resource enters for the study include the Study Chairman's office at the University of California-Berkeley, Photography Reading Center at Ohio State University, and the Data Coordinating Center at Washington University Medical School in St. Louis. The DCC is responsible for the conduct of the study in collaboration with the Executive Committee, Steering Committee, Policy Advisory Board and representatives of the National Eye Institute. The DCC is responsible for the study design, management of study data, monitoring the performance of the Reading Center and participating clinics, preparation of performance reports, analysis of data and presentation of results.

Agency
National Institute of Health (NIH)
Institute
National Eye Institute (NEI)
Type
Cooperative Clinical Research--Cooperative Agreements (U10)
Project #
1U10EY010077-01A2
Application #
2163760
Study Section
Special Emphasis Panel (SRC (01))
Project Start
1994-09-30
Project End
1999-09-29
Budget Start
1994-09-30
Budget End
1995-09-29
Support Year
1
Fiscal Year
1994
Total Cost
Indirect Cost
Name
Washington University
Department
Ophthalmology
Type
Schools of Medicine
DUNS #
062761671
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
Godefrooij, D A; de Wit, G A; Mangen, M J et al. (2016) Comment on 'Cost effectiveness of collagen crosslinking for progressive keratoconus in the UK NHS'. Eye (Lond) 30:1150-2
Jones-Jordan, Lisa A; Walline, Jeffrey J; Sinnott, Loraine T et al. (2013) Asymmetry in keratoconus and vision-related quality of life. Cornea 32:267-72
Rebenitsch, Ronald L; Kymes, Steven M; Walline, Jeffrey J et al. (2011) The lifetime economic burden of keratoconus: a decision analysis using a markov model. Am J Ophthalmol 151:768-773.e2
Fink, Barbara A; Sinnott, Loraine T; Wagner, Heidi et al. (2010) The influence of gender and hormone status on the severity and progression of keratoconus. Cornea 29:65-72
Kymes, Steven M; Walline, Jeffrey J; Zadnik, Karla et al. (2008) Changes in the quality-of-life of people with keratoconus. Am J Ophthalmol 145:611-617
Mahmoud, Ashraf M; Roberts, Cynthia J; Lembach, Richard G et al. (2008) CLMI: the cone location and magnitude index. Cornea 27:480-7
Szczotka-Flynn, L; Slaughter, M; McMahon, T et al. (2008) Disease severity and family history in keratoconus. Br J Ophthalmol 92:1108-11
Wagner, H; Barr, J T; Zadnik, K (2007) Collaborative Longitudinal Evaluation of Keratoconus (CLEK) Study: methods and findings to date. Cont Lens Anterior Eye 30:223-32
McMahon, Timothy T; Edrington, Timothy B; Szczotka-Flynn, Loretta et al. (2006) Longitudinal changes in corneal curvature in keratoconus. Cornea 25:296-305
Davis, Larry J; Schechtman, Kenneth B; Wilson, Brad S et al. (2006) Longitudinal changes in visual acuity in keratoconus. Invest Ophthalmol Vis Sci 47:489-500

Showing the most recent 10 out of 33 publications