Health Condition 1: H00-H59- Diseases of the eye and adnexa
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: i. Diagnosis of open-angle glaucoma( mild, moderate and advanced),according to Hodapp-Parrish-Anderson criteria,namely primary open angle glaucoma, pseudo-exfoliation glaucoma, pigmentary glaucoma. ii. Age greater than 40 years iii. Baseline IOP greater than 18 mmHg and less than 30 mmHg on current glaucoma medication(s) iv. Stable glaucoma medication regimen for at least 3 months prior to enrolment v. Visually significant cataract (more than 6/12 or worse) eligible for concurrent phacoemulsification.
Exclusion criteria
Exclusion criteria: i. Angle-closure glaucoma or secondary glaucomas (e.g., neovascular, uveitic) ii. Previous glaucoma surgery (excluding laser trabeculoplasty) iii. Significant ocular comorbidities (e.g., retinal detachment, macular degeneration) that may confound IOP measurements or visual outcomes. iv. Systemic conditions that may increase surgical risk or affect IOP (e.g., active uveitis, uncontrolled diabetes) v. Inability to provide informed consent or comply with study procedures.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the mean change in IOP( greater than 20 percent) from baseline to 12 months post-operatively between the KDB goniotomy group and the I-Stent implantation group.Timepoint: 0, 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the reduction in mean number of glaucoma medications(more than 1 ) used at baseline, 1, 6 and 12 months post-operatively between the two groups.Timepoint: 1,6,12 months;Cost effective analysis between the two interventionsTimepoint: Nil;To assess the safety profiles of both procedures by comparing the incidence and severity of adverse eventsTimepoint: Nil | — |
Countries
India
Contacts
Army hospital research and referral