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A randomized prospective study investigating the optimum power settings for selective laser trabeculoplasty (SLT) in ocular hypertension (OHT) and primary open angle glaucoma (POAG)
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN66330584
Date ISRCTN assigned28/09/2007
Local reference number(s)N0013184505
Public titleA randomized prospective study investigating the optimum power settings for selective laser trabeculoplasty (SLT) in ocular hypertension (OHT) and primary open angle glaucoma (POAG)
Scientific title
AcronymN/A
Disease/condition/study domainEye Diseases: Ocular hypertension (OHT)
Study hypothesisAt the present time, although SLT is accepted as a viable treatment for OHT / POAG, there has not been a thorough assessment of the optimum Laser power settings which enable safe and effective treatment. This study aims to scientifically compare high power settings with low power settings, investigating the efficacy of treatment in lowering intraocular pressure during the follow-up period after treatment, and the incidence of adverse events related to Laser treatment. Secondary Research Objectives: None
Design/methodologyRandomised controlled trial
Research ethics reviewNot provided at time of registration
Countries of trialUnited Kingdom
Participants - inclusion criteriaPatients with OHT or POAG, which is uncontrolled despite maximal topical medical therapy.
Participants - exclusion criteriaPatients who do not meet inclusion criteria.
Patient information material
Anticipated start date01/08/2005
Anticipated end date01/08/2006
Status of trialCompleted
Target number of participants40
InterventionsResearch participants are to be recruited from the NHS glaucoma clinic at St. Thomas' Hospital over a 6 months period, starting 1st May 2004. Eligible participants will be patients with OHT or POAG, which is uncontrolled in one or both eyes despite maximal topical medical therapy. We aim to recruit 60 patients.

Each patient will be randomized to treatment with the Laserex Solo SLT Glaucoma Laser in one of three treatment groups:
Group 1 will receive high-energy SLT (1.2mJ shots) in one or both eyes
Group 2 will receive medium energy SLT (0.8mJ shots) in one or both eyes
Group 3 will receive low-energy SLT (0.4mJ shots) in one or both eyes.

The decision to treat either one or both eyes will depend on whether the intraocular pressure is too high in one or both eyes. Therefore only eyes with uncontrolled pressure will be treated. Some patients may have both eyes treated. In these cases data for the study will only be collected for one eye. Thus, in total, 20 patients will be allocated to each of the 3 groups with 20 eyes per group (one per patient).
Primary outcome measure(s)1. Visual field defect progression
2. Disc cup appearances
Secondary outcome measure(s)Not provided at time of registration
Sources of fundingGuy's and St. Thomas' NHS Foundation Trust
Own account
NHS R&D Support Funding
Sponsor nameRecord Provided by the NHSTCT Register - 2007 Update - Department of Health
Sponsor detailsThe Department of Health, Richmond House, 79 Whitehall
London
United Kingdom
SW1A 2NL
Sponsor telephone+44 (0)20 7307 2622
Sponsor fax+44
Sponsor emaildhmail@doh.gsi.org.uk
Sponsor websitehttp://www.dh.gov.uk/Home/fs/en
Contact nameMr Avinash A. Kulkarni
Contact detailsLambeth Road



London
United Kingdom
SE1 7EH
Contact telephone+44 02071887188
Contact fax+44
Contact emailavi@orange.net
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN66330584
Date last extracted from ISRCTN register17/04/2008
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