180 Degree vs. 360 Degree Selective Laser Trabeculoplasty as Initial Therapy for Glaucoma
Status: | Enrolling by invitation |
---|---|
Conditions: | High Blood Pressure (Hypertension), Ocular |
Therapuetic Areas: | Cardiology / Vascular Diseases, Ophthalmology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 1/27/2017 |
Start Date: | September 2014 |
End Date: | December 2017 |
A Randomized Trial of 180 Degree vs. 360 Degree Selective Laser Trabeculoplasty as Initial Therapy for Glaucoma
Selective laser trabeculoplasty (SLT) is a well-recognized way to lower eye pressure in
treatment of glaucoma. This treatment is performed for 180 degrees or 360 degrees, and
studies at academic centers have shown mixed results when comparing the success rates of 180
degrees or 360 degrees. Both protocols are now typically done by comprehensive
ophthalmologists. However, there is no data that compares success rates of 180 degrees and
360 degrees in the community setting.
treatment of glaucoma. This treatment is performed for 180 degrees or 360 degrees, and
studies at academic centers have shown mixed results when comparing the success rates of 180
degrees or 360 degrees. Both protocols are now typically done by comprehensive
ophthalmologists. However, there is no data that compares success rates of 180 degrees and
360 degrees in the community setting.
This study is designed as a prospective evaluation of the two treatment algorithms for SLT
by measuring intraocular pressure (IOP) after treatment. The hypothesis is that 360 degrees
of SLT will produce a greater reduction in IOP than 180 degrees of SLT at 3 months follow
up.
by measuring intraocular pressure (IOP) after treatment. The hypothesis is that 360 degrees
of SLT will produce a greater reduction in IOP than 180 degrees of SLT at 3 months follow
up.
Inclusion Criteria:
- patients who have been diagnosed with open-angle glaucoma including ocular
hypertension, pseudoexfoliation and pigment dispersion syndrome
- greater than 18 years of age
- initial intraocular pressure (IOP) of ≥ 21 mmHg
Exclusion Criteria:
- prior medical or laser therapy to lower IOP
- previous incisional glaucoma surgery before the study period
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