About this trial
Corneal endothelial cell dysfunction is usually a corneal disease caused by damage or loss of corneal endothelial cells. It is characterized by corneal edema, opacity, and subepithelial bullae, leading to pain, blurred vision, or even blindness. Conventional treatments usually involve allogeneic corneal transplantation or corneal endothelial transplantation. Anterior chamber cell transplantation is a breakthrough treatment for corneal endothelial diseases developed in recent years. Autologous urine-derived epithelial cells greatly reduce the risk of immune rejection and the use of anti-rejection drugs, avoiding reliance on and waiting for corneal donors.
Eligibility criteria
Qualifiers
Patients diagnosed with corneal endothelial cell dysfunction, including those with a history of at least one penetrating keratoplasty.
Patients aged 18 years or older and 85 years or younger at the time of informed consent acquisition (regardless of gender).
Patients with central corneal endothelial cell density below 500-800 cells/mm² or unmeasurable, as detected by corneal endothelial microscopy or confocal microscopy.
Patients who can voluntarily participate in the study and provide written informed consent.
Disqualifiers
Patients with unexplained keratoconjunctival diseases.
Patients with active corneal infections or systemic infections (e.g., positive for bacteria, fungi, HBV, HCV, or other viruses).
Patients with an intraocular pressure (IOP) of ≥30 mmHg (excluding those whose IOP can be controlled below 21 mmHg with glaucoma medications).
Patients with neovascularization observed in the angle of the anterior chamber or who have undergone treatment for neovascular glaucoma.
Trial design
Treatments tested in this trial
- Autologous urinary-derived epithelial cell injection
Treatment groups
Locations
1Sponsors and collaborators
Suxia Li
Lead sponsor
Shandong Eye Hospital
Sponsor institution