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Clinical Characteristics of Pigmentary Glaucoma and Efficacy Analysis of Ab-interno 120° Trabeculotomy

17. juli 2026 opdateret af: Zhongnan Hospital

Clinical Characteristics of Pigmentary Glaucoma and Efficacy Analysis of Ab-interno 120° Trabeculotomy: A Case Series Study

This study aims to investigate the clinical characteristics of pigmentary glaucoma and evaluate the efficacy and safety of ab-interno 120° trabeculotomy during the 6-month postoperative follow-up period.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This is a single-center, retrospective case series study. Patients with pigmentary glaucoma treated at Zhongnan Hospital of Wuhan University will be enrolled. By systematically collecting their baseline demographic characteristics, ocular examination results, and prior treatment history, the study aims to summarize the distribution pattern of clinical features of pigmentary glaucoma. With the 6-month postoperative follow-up as the primary endpoint, the study will evaluate the intraocular pressure-lowering effect of ab-interno 120° trabeculotomy, changes in medication dependence, and the stability of visual field and retinal nerve fiber layer, while observing the occurrence of related intraoperative and postoperative complications, so as to provide clinical evidence for individualized surgical treatment of pigmentary glaucoma.

Undersøgelsestype

Observationel

Tilmelding (Anslået)

11

Kontakter og lokationer

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Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

  • Kina
    • Hubei
      • Wuhan, Hubei, Kina, 430071
        • Rekruttering
        • Zhongnan Hospital of Wuhan University
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn
  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

This study included patients with pigmentary glaucoma who underwent primary isolated ab-interno 120° trabeculotomy at Zhongnan Hospital of Wuhan University. All patients had complete baseline data (including intraocular pressure, visual field, and OCT retinal nerve fiber layer measurements) and at least 6 months of follow-up data. Patients with other types of glaucoma, prior ocular trauma or surgery history, combined intraoperative procedures, severe systemic diseases, or incomplete key data were excluded.

Beskrivelse

Inclusion Criteria:

  • Meet the clinical diagnostic criteria for pigmentary glaucoma, with typical signs of pigment dispersion syndrome, extensive trabecular meshwork pigmentation, pathological intraocular pressure elevation, glaucomatous optic nerve damage, and characteristic visual field defects;
  • Underwent primary isolated ab-interno 120° trabeculotomy as the initial surgical treatment;
  • Have complete preoperative and postoperative examination data, including slit-lamp biomicroscopy, gonioscopy, intraocular pressure, visual field, and OCT RNFL measurements;
  • Able to complete regular follow-up for at least 6 months postoperatively.

Exclusion Criteria:

  • Patients with exfoliation syndrome, exfoliative glaucoma, or other types of primary or secondary glaucoma;
  • Patients with a history of ocular trauma, intraocular surgery, uveitis, severe retinopathy, or other ocular diseases affecting intraocular pressure and visual function assessment;
  • Patients who underwent combined procedures such as concurrent cataract surgery or other anti-glaucoma surgeries during the operation;
  • Patients with severe systemic diseases, cognitive or psychiatric disorders that prevent cooperation with examinations and follow-up;
  • Patients with missing key clinical or follow-up data that preclude efficacy and prognosis evaluation.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in Intraocular Pressure (IOP) at 6 Months Postoperatively
Tidsramme: 6 months postoperatively
Change in intraocular pressure from baseline to 6 months after ab-interno 120° trabeculotomy, including the mean IOP level, absolute reduction, and percentage reduction relative to baseline.
6 months postoperatively
Change in the Number of Intraocular Pressure-Lowering Medications at 6 Months
Tidsramme: 6 months postoperatively
Change in the number of glaucoma medications used by patients, comparing baseline to 6 months after surgery.
6 months postoperatively

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Changes in Visual Field Parameters at 6 Months Postoperatively
Tidsramme: 6 months postoperatively
Changes in visual field mean deviation (MD) from baseline to 6 months postoperatively.
6 months postoperatively
Changes in Visual Field Parameters at 6 Months Postoperatively
Tidsramme: 6 months postoperatively
Changes in pattern standard deviation (PSD) from baseline to 6 months postoperatively.
6 months postoperatively
Changes in Visual Acuity at 6 Months Postoperatively
Tidsramme: 6 months postoperatively
Changes in best-corrected visual acuity (BCVA) from baseline to 6 months postoperatively.
6 months postoperatively
Status of Trabeculotomy Site on Gonioscopy
Tidsramme: 6 months postoperatively
Patency and morphological status of the trabecular meshwork incision site as assessed by gonioscopy at 6 months postoperatively.
6 months postoperatively
Improvement in Pupillary Block and Iris Configuration
Tidsramme: 6 months postoperatively
Improvement in pupillary block and iris configuration as assessed by anterior segment optical coherence tomography (OCT) at 6 months postoperatively.
6 months postoperatively
Rate of Secondary Glaucoma Surgery
Tidsramme: From the day of surgery to 6 months postoperatively
Proportion of patients who require additional glaucoma surgery during the 6-month follow-up period.
From the day of surgery to 6 months postoperatively

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Zhongnan Hospital

Efterforskere

  • Ledende efterforsker: Wen Zeng, doctor, Zhongnan Hospital
  • Ledende efterforsker: Nan Zhang, doctor, Zhongnan Hospital
  • Ledende efterforsker: Xuetian Yu, The Second Clinical College of Wuhan University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. april 2026

Primær færdiggørelse (Anslået)

30. september 2026

Studieafslutning (Anslået)

30. september 2026

Datoer for studieregistrering

Først indsendt

13. juli 2026

Først indsendt, der opfyldte QC-kriterier

17. juli 2026

Først opslået (Faktiske)

20. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

20. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

17. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 20260523

Plan for individuelle deltagerdata (IPD)

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