The goal of this clinical trial is to learn if TN-001, a new eye-drop therapy, is safe and well-tolerated in adult patients with progressive keratoconus. It will also provide data on whether this therapy is effective in treating keratoconus. The main questions it aims to answer are: What medical problems do participants have when using TN-001 eyedrops? Does TN-001 eyedrop therapy stop keratoconus from progressing further? Participants will: Take TN-001 eyedrops twice a day, every day, for 3-6 weeks. Visit the clinic once every week for checkups and tests. Keep a diary of their symptoms.
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Participant-reported ocular tolerability score (5-point scale)
Timeframe: Baseline (Day 1) to Day 180 of treatment initiation
Incidence of ocular and peri-ocular inflammation by slit-lamp examination
Timeframe: Baseline (Day 1) through Day 180
Incidence of corneal scarring and conjunctival inflammation
Timeframe: Baseline (Day 1) through Day 180
Increase from baseline in intraocular pressure (mmHg)
Timeframe: Baseline (Day 1) through Day 180
Change from baseline in endothelial cell count (cells/mm²)
Timeframe: Baseline (Day 1) through Day 180
Change from baseline in endothelial cell characteristics
Timeframe: Baseline (Day 1) through Day 180
Incidence of structural corneal and ocular surface changes
Timeframe: Baseline (Day 1) through Day 180
Change from baseline in stromal thickness (microns)
Timeframe: Baseline (Day 1) through Day 180
Change from baseline in choroidal and retinal thickness
Timeframe: Baseline (Day 1) through Day 180
Incidence of abnormal findings on dilated fundus examination
Timeframe: Baseline (Day 1) through Day 180
Change from baseline in visual acuity (LogMAR)
Timeframe: Baseline (Day 1) through Day 180