This clinical trial is focused on studying Fuchs Endothelial Corneal Dystrophy, a condition affecting the cornea, which is the clear front part of the eye. The study is investigating the safety and effectiveness of Ripasudil (also known by its code name K-321) eye drops. These eye drops are being tested to see if they can help improve vision after a procedure called descemetorhexis, which involves removing a small part of the cornea to treat the disease.
The purpose of the study is to see how quickly vision improves after using the Ripasudil eye drops compared to a placebo, which is a substance with no active medication. Participants will be randomly assigned to receive either the Ripasudil eye drops or the placebo. The study will last for a total of 12 weeks, with an additional two-week period where the dose is gradually reduced, followed by a 38-week follow-up phase to monitor long-term effects.
Throughout the study, participants will have their vision checked regularly to see how well they can see letters on a chart, which is a common way to measure vision improvement. The study aims to determine if the eye drops can help achieve a significant improvement in vision during the first 12 weeks after the procedure. Participants will also be monitored for any changes in the cornea and any side effects from the treatment.



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