Comparison of Goniotomy Device Outcomes in Combined Phacoemulsification-goniotomy Surgeries
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: David A Crandall, MD
- Phone Number: 248-661-5100
- Email: dcranda1@hfhs.org
Study Contact Backup
- Name: Calvin Robbins, MD
- Phone Number: 313-916-3245
- Email: crobbin5@hfhs.org
Study Locations
-
-
Michigan
-
Detroit, Michigan, United States, 48202
- Henry Ford Health
-
Contact:
- David A Crandall, MD
- Phone Number: 248-661-5100
- Email: dcranda1@hfhs.org
-
Contact:
- Calvin Robbins, MD
- Phone Number: 313-916-3260
- Email: crobbin5@hfhs.org
-
Sub-Investigator:
- Nauman Imami, MD
-
Sub-Investigator:
- Paul Baciu, MD
-
Sub-Investigator:
- Brian Florek, MD
-
Sub-Investigator:
- Uma Jasty, MD
-
Sub-Investigator:
- Melisa Nika, MD
-
Sub-Investigator:
- Salma Noorulla, MD
-
Sub-Investigator:
- Candice Yousif, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria: Adults ≥ 18 years old
- Diagnosed with primary or secondary open-angle glaucoma (e.g., POAG, pigmentary, pseudoexfoliative)
- Scheduled for phacoemulsification with planned goniotomy
- Able to provide informed consent
Exclusion Criteria:
Angle-closure glaucoma
- Prior glaucoma surgery in the study eye
- Planned stand-alone goniotomy
- Inability to comply with follow-up schedule
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: SION
Goniotomy performed with SION
|
Goniotomy opens the trabecular meshwork to lower intraocular pressure.
|
|
Active Comparator: BANG
Goniotomy performed with bent needle
|
Goniotomy opens the trabecular meshwork to lower intraocular pressure.
|
|
Active Comparator: Tanito
Goniotomy performed with Tanito hook
|
Goniotomy opens the trabecular meshwork to lower intraocular pressure.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Intraocular pressure
Time Frame: up to 6 months
|
Eye pressure as measured by Goldmann applanation tonometry in mmHg
|
up to 6 months
|
|
Medications
Time Frame: up to 6 months
|
number of medications to control intraocular pressure
|
up to 6 months
|
|
Visual Acuity
Time Frame: up to 6 months
|
Measure of visual at each visit on Snellen acuity chart
|
up to 6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: David A Crandall, MD, Henry Ford Health
Publications and helpful links
General Publications
- Rahul Hariharan Jayaram, Akash Maheshwari, Soshian Sarrafpour, Ji Liu, Christopher Teng; Trends for Glaucoma Surgeries in the United States from 2011 and 2021 - A National Study. Invest. Ophthalmol. Vis. Sci. 2024;65(7):4641.
- Aktas Z, Dorairaj S, Sayed M, Sheybani A, Ucgul AY, Wagner I, Khodeiry M. Ab Interno Goniotomy/Goniectomy Techniques. Turk J Ophthalmol. 2025 Jun 25;55(3):159-170. doi: 10.4274/tjo.galenos.2025.29345. Epub 2025 May 29.
- Chihara E, Chihara T. Mid-Term Surgical Outcomes of T-Hook, 360 degrees Suture Trabeculotomy, Kahook Dual Blade, and Tanito Microhook Procedures: A Comparative Study. J Clin Med. 2025 Jun 29;14(13):4610. doi: 10.3390/jcm14134610.
- Shute T, Green W, Liu J, Sheybani A. An Alternate Technique for Goniotomy: Description of Procedure and Preliminary Results. J Ophthalmic Vis Res. 2022 Apr 29;17(2):170-175. doi: 10.18502/jovr.v17i2.10787. eCollection 2022 Apr-Jun.
- Bukke AN, Midha N, Mahalingam K, Beri N, Angmo D, Sharma N, Pandey S, Dada T. Outcomes of bent ab interno needle goniectomy with phacoemulsification in moderate to severe primary open angle glaucoma. Indian J Ophthalmol. 2024 Sep 1;72(9):1280-1284. doi: 10.4103/IJO.IJO_1072_24. Epub 2024 Jul 11.
Study record dates
Study Major Dates
Study Start (Estimated)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 19132
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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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