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Pain pathways and corneal nerve healing after corneal crosslinking for keratoconus

Studies brain pain pathways and corneal nerves after crosslinking in people with keratoconus.

Key facts

Who runs it
Boston Children's Hospital
Where
Boston, United StatesSee the site
Trial code
Registry title
fMRI and IVCM Cornea Microscopy of CXL in Keratoconus
Status
Recruiting
People taking part
60 people, planned
Started
4 Oct 2021
Expected to end
Dec 2027
Type of study
Observational, 2 groups
Record updated
19 December 2025

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for people with keratoconus (a thinning, cone-shaped cornea) who plan to have corneal crosslinking (CXL). It also looks for healthy volunteers without keratoconus as a comparison group.

Age
8 to 35 years
Sex
All sexes
Disease stage
CXL group: a clinical diagnosis of keratoconus and planning CXL treatment. Comparison group: no keratoconus.
Earlier treatment
People who have ever worn contact lenses cannot join.

Main reasons for not taking part

  • Fear of closed spaces, or unable to lie still in an MRI scanner for 60 minutes
  • Weight over 285 lbs (129 kg), or magnetic implants or metal-containing tattoos on the chest or above
  • Serious medical history, such as current psychiatric disorders, chronic pain, serious head injury, seizures, brain tumor, stroke, HIV-AIDs or neurological disease other than migraine
  • Pregnancy, or taking prescription medicine known to cause dry eyes
  • Past allergic reaction to a numbing eye drop

The registry criteria, word for word

Show all 18 criteriaShow less

Who can take part

  • CXL Group
  • Age 8-35 years
  • Clinical diagnosis of keratoconus and seeking CXL treatment
  • English speaking ability sufficient to comprehend consent with parental assistance
  • MRI compatible
  • Ability to lie still for an MRI session (60 minutes); Control Group
  • Age 8-35 years
  • No diagnosis of keratoconus
  • English speaking ability sufficient to comprehend consent with parental assistance
  • MRI compatible
  • Ability to lie still for an MRI session (60 minutes)

Who cannot take part

  • Magnetic implants or metal-containing tattoos on their chest or above
  • Significant medical history, including:; Current DSM-IV-TR axis I psychiatric disorders. Chronic pain Significant head injury Seizures Brain tumor Cerebrovascular accident Neurological disease aside from migraine HIV-AIDs Prescription medication strongly implicated in causing dry eyes
  • History of contact lens wear
  • Any allergic response to a numbing eyedrop in the past
  • Claustrophobic
  • Weight > 285 lbs (weight limit of the MRI table)
  • Pregnancy

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 8 and 35 years old?

Where in United States

  • Boston Children's HospitalBoston, United StatesContact: Nicholas J Pondelis, BATaking people

About the trial

What the trial wants to find out

Evaluation of neuroplasticity of pain pathways and corneal afferent nerve regeneration following corneal crosslinking (CXL) in keratoconus patients using fMRI and corneal In Vivo Confocal Microscopy (IVCM).

The 2 groups in the trial

  • CXL group

    Patients who are about to undergo a corneal cross-linking (CXL) surgery to treat keratoconus.

  • Control group

    Healthy volunteers age and sex matched to the CXL group.

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Neuroplasticity of Pain Pathways and Corneal Afferent Regeneration Following Corneal Crosslinking (CXL) in Keratoconus
Plain-language title
Pain pathways and corneal nerve healing after corneal crosslinking for keratoconusGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 15 November 2026.
Fit questions
Built from NCT04439552, who can take part
Record updated
19 December 2025