Ocular hypertension (OHT) and primary open-angle glaucoma (POAG) Eye Diseases Glaucoma
Conditions
Interventions
Participants will be randomised to one of two different levels of total energy:
1. Treated with a lower total energy to the drainage angle
2. Treated with a higher energy level (of approximately doubl
Sponsors
Guy?s and St Thomas? NHS Foundation Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Participants aged 21 - 85 years, male and female 2. Newly diagnosed ocular hypertension and primary open-angle glaucoma that require treatment
Exclusion criteria
Exclusion criteria: 1. Previous intraocular surgery 2. Advanced glaucoma 3. Very high presenting intra-ocular pressure (greater than 35 mmHg)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Intra-ocular pressure: measured with a Goldmann's applanation tonometer, using a topical anaesthetic, and fluorescein as the disclosing agent. The right eye will be measured first, followed by measurement of the left. This sequence will be repeated three times. The three measurements for each eye will be averaged and reported as intra-ocular pressure. 2. Outflow facility: measured from the rate of decay of intra-ocular pressure in the supine position during application of a recording Schiötz or pneumotonometer over a period of 4 minutes. The "R" values of the curve at every 30-second time point will be manually entered into the McLaren tonography computer program. The program fits a second-degree polynomial by least squares to the nine data points and determines the best-fit values for time 0 and time 4 minutes by extrapolation. These initial and final values of the tonometer scale reading will be used to look up the value for the facility of outflow using the 1955 scale approved by the Committee on Standardisation of Tonometers. Outcomes will be measured at baseline, one month and three months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Complications, measured at baseline, one month and three months. | — |
Countries
United Kingdom
Outcome results
None listed