DSLT Performance in Treatment-naïve Patients With Newly Diagnosed Open Angle Glaucoma
How Does First Line Treatment With DSLT Perform in Treatment-naïve Patients With Newly Diagnosed Primary Open Angle Glaucoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Derek J Arnson, Master of Education
- Phone Number: 4804201005
- Email: derek.arnson@researchavp.com
Study Contact Backup
- Name: Christine Funke, Medical Doctor
- Phone Number: 4804201005
- Email: christine.funke@BDPEC.com
Study Locations
-
-
Arizona
-
Mesa, Arizona, United States, 85206
- Recruiting
- Barnet Dulaney Perkins Eye Centers
-
Contact:
- Derek J Arnson, Master of Education
- Phone Number: 4804201005
- Email: derek.arnson@researchavp.com
-
Contact:
- Christine Funke, Medical Doctor
- Phone Number: 4804201005
- Email: christine.funke@BDPEC.com
-
Contact:
- Christine Funke, Medical Doctor
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Primary open angle glaucoma
- Patients age 30 or greater with an IOP of 18-26 mmHg
- Mild to moderate POAG patients (mild or moderate according to the AAO PPP Guidelines)
- DSLT procedure
Exclusion Criteria:
- History of prior glaucoma treatment - this includes past medication use (in either eye), previous lasers or incisional surgery
- Angle closure patients
- Ocular Hypertension
- Baseline VF MD of worse than -12dB
- Uncontrolled systemic microvascular disease (eg. HTN, DM)
- Subjects with peri-limbal findings (e.g. melanosis, tumors, extensive pterygium, significant senile arcus and pterygium)
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Treatment naïve (including medication in either eye, previous laser or surgery) mild to moderate POA
(including medication in either eye, previous laser or surgery) mild to moderate POA
|
DSLT enables newly diagnosed patients to remain well controlled and off medications
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Success of IOP Reduction Through DSLT Utilization
Time Frame: 12 months
|
Proportion of patients (%) with DSLT success as defined as IOP lowering of >20% and no additional medications or procedures at 12 months.
|
12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Other Improvements to Disease State through DSLT Treatment
Time Frame: 12 months
|
• Change in mean deviation.. (dB)
|
12 months
|
|
Other Improvements to Disease State through DSLT Treatment
Time Frame: 12 months
|
• Change in RNFL /GCA (µm)
|
12 months
|
|
Other Improvements to Disease State through DSLT Treatment
Time Frame: 12 months
|
• Overall IOP reduction (mmHG)
|
12 months
|
|
Other Improvements to Disease State through DSLT Treatment
Time Frame: 12 months
|
• Medication reduction (#0-5)
|
12 months
|
|
Other Improvements to Disease State through DSLT Treatment
Time Frame: 12 months
|
• SSIs (% on trabeculectomy, glaucoma drainage implant (GDI), other)
|
12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Christine Funke, Medical Doctor, Barnet Dulaney Perkins Eye Centers
Publications and helpful links
General Publications
- Narayanaswamy A, Leung CK, Istiantoro DV, Perera SA, Ho CL, Nongpiur ME, Baskaran M, Htoon HM, Wong TT, Goh D, Su DH, Belkin M, Aung T. Efficacy of selective laser trabeculoplasty in primary angle-closure glaucoma: a randomized clinical trial. JAMA Ophthalmol. 2015 Feb;133(2):206-12. doi: 10.1001/jamaophthalmol.2014.4893.
- Latina MA, Park C. Selective targeting of trabecular meshwork cells: in vitro studies of pulsed and CW laser interactions. Exp Eye Res. 1995 Apr;60(4):359-71. doi: 10.1016/s0014-4835(05)80093-4.
- Gazzard G, Konstantakopoulou E, Garway-Heath D, Garg A, Vickerstaff V, Hunter R, Ambler G, Bunce C, Wormald R, Nathwani N, Barton K, Rubin G, Buszewicz M; LiGHT Trial Study Group. Selective laser trabeculoplasty versus eye drops for first-line treatment of ocular hypertension and glaucoma (LiGHT): a multicentre randomised controlled trial. Lancet. 2019 Apr 13;393(10180):1505-1516. doi: 10.1016/S0140-6736(18)32213-X. Epub 2019 Mar 9. Erratum In: Lancet. 2019 Jul 6;394(10192):e1. doi: 10.1016/S0140-6736(19)31503-X.
- Radcliffe N. Direct Selective Laser Trabeculoplasty. Expanding Access to and Delivery of SLT Poses a Great Challenge. Glaucoma Today. 2022.
- Takusagawa HL, Hoguet A, Sit AJ, Rosdahl JA, Chopra V, Ou Y, Richter G, Kim SJ, WuDunn D. Selective Laser Trabeculoplasty for the Treatment of Glaucoma: A Report by the American Academy of Ophthalmology. Ophthalmology. 2024 Jan;131(1):37-47. doi: 10.1016/j.ophtha.2023.07.029. Epub 2023 Sep 14.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- Alcon - IIT Proposal 95645649
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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