Laser Treatments for Glaucoma
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial compares two laser treatments for glaucoma, a condition where increased eye pressure can lead to vision loss. Both treatments aim to lower eye pressure, but Direct Selective Laser Trabeculoplasty (DSLT) is a newer method that might offer more comfort. Participants will be randomly assigned to receive either the new DSLT or the traditional method and will be monitored for a year. This study is suitable for adults with open-angle glaucoma or ocular hypertension who can attend follow-up appointments. As a Phase 4 trial, the treatment is already FDA-approved and proven effective, helping researchers understand how it benefits more patients.
Do I need to stop my current medications for the glaucoma laser treatment trial?
The trial information does not specify if you need to stop your current medications. It's best to discuss this with the trial coordinators or your doctor.
What is the safety track record for these laser treatments?
Research shows that both Direct Selective Laser Trabeculoplasty (DSLT) and Selective Laser Trabeculoplasty (SLT) safely lower eye pressure in people with glaucoma. Although DSLT is a newer method, it is just as safe as SLT. One study found that DSLT effectively reduces eye pressure in people with primary open-angle glaucoma.
Both DSLT and SLT have FDA approval, indicating they have undergone safety testing in earlier studies. Reports from patients who have used these treatments indicate they are well-tolerated, with no new or unexpected side effects. While DSLT is relatively new, it has shown promise as a safe option alongside the more established SLT.12345Why are researchers enthusiastic about this study treatment?
Researchers are excited about Direct Selective Laser Trabeculoplasty (SLT) for glaucoma because it offers a more targeted approach compared to traditional treatments. Unlike standard options that rely on broader laser application, Direct SLT precisely targets specific areas of the eye, potentially leading to more efficient fluid drainage and lower eye pressure. This precision could enhance treatment effectiveness while reducing side effects, making it a promising advancement in glaucoma care.
What is the effectiveness track record for these laser treatments for glaucoma?
This trial will compare Direct Selective Laser Trabeculoplasty (DSLT) with Traditional Selective Laser Trabeculoplasty (SLT) for treating glaucoma. Research has shown that both DSLT and SLT effectively lower eye pressure, which is crucial for treating glaucoma. One study found that after 12 months, both treatments reduced eye pressure by about 3.2 mm Hg. Early results suggest that DSLT, which participants in one arm of this trial will receive, is not only effective but also safe for patients with primary open-angle glaucoma. Meanwhile, SLT, which participants in another arm will receive, has proven over the years to effectively lower eye pressure and is a standard treatment for glaucoma. DSLT, as a newer method, seems to offer similar benefits and may be more comfortable for patients.24678
Who Is on the Research Team?
Jella An, MD
Principal Investigator
Medical University of South Carolina
Are You a Good Fit for This Trial?
This trial is for adults over 18 with Open-Angle Glaucoma (OAG) or Ocular Hypertension (OHT), who have a clear view of the eye's drainage angle. Participants must be able to consent and attend follow-up appointments.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive either Direct Selective Laser Trabeculoplasty (DSLT) or Selective Laser Trabeculoplasty (SLT) to lower eye pressure
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Direct Selective laser Trabeculoplasty
Trial Overview
The study compares two FDA-approved laser treatments for glaucoma: Direct Selective Laser Trabeculoplasty (DSLT) and standard Selective Laser Trabeculoplasty (SLT). It aims to see if DSLT is as good as SLT in lowering eye pressure over a year.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
This arm is going to receive the Direct SLT treatment
This arm is going to receive the Traditional SLT treatment which will act as a control for the experimental arm. Note that both lasers are Standard of Care (SOC) and FDA approved
Find a Clinic Near You
Who Is Running the Clinical Trial?
Medical University of South Carolina
Lead Sponsor
Citations
Real world outcomes of selective laser trabeculoplasty ... - PMC
SLT is an effective primary treatment for reducing IOP in Nigerian patients with open-angle glaucoma, particularly those with higher baseline ...
Direct SLT May Be an Alternative Treatment Option to ...
At 6 months, the DSLT group had a mean 5.5 mm Hg (20.6%) IOP reduction, while the SLT group had a mean 6.2 mm Hg (23.6%) reduction. While the ...
3.
ophthalmologyadvisor.com
ophthalmologyadvisor.com/news/direct-selective-laser-trabeculoplasty-at-6-months-falls-short-of-non-inferiority/Direct Selective Laser Trabeculoplasty At 6 Months Falls ...
At 12 months, of 161 eyes, 77 with SLT displayed a 3.2 (±0.4) mm Hg reduction. Similarly, 84 having DSLT also lessened by 3.2 (±0.4) mm Hg (P <.
Five-year outcomes of selective laser trabeculoplasty
Studies have shown the efficacy of selective laser trabeculoplasty (SLT) to lower intraocular pressure (IOP) as adjuvant therapy during short-term follow-up.
First results of direct selective laser trabeculoplasty for the ...
Data from this study suggest DSLT to be a safe and effective IOP-lowering procedure both in primary open-angle glaucoma (POAG) and in primary ...
Real World Comparison of Direct Selective Laser ... - PMC
Results: The survival rates in the DSLT vs. SLT group were 81% vs. 78%, 44% vs. 62%, and 37% vs. 43% at 3, 6, and ...
Direct vs Standard SLT for Glaucoma: A Noninferiority Trial
This study compares two FDA-approved laser treatments for glaucoma: Direct Selective Laser Trabeculoplasty (DSLT) and Selective Laser ...
Randomized Noninferiority Trial of Direct Selective Laser ...
Main Outcome Measures: Difference between DSLT and SLT in mean IOP change from baseline to 6 months. (noninferiority margin, e1.95 mmHg).
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