Intraocular Pressure Changes, Peripheral Anterior Synechiae Increasing
Conditions
Keywords
intraocular pressure, Peripheral anterior synechiae
Brief summary
This is a randomized controlled clinical trial to compare laser peripheral iridotomy(LPI) and surgical peripheral iridectomy. Subjects of primary angle closure suspect, primary angle closure will be randomized to undergo LPI or SPI. Subjects are proposed to be followed up for 3 years.
Detailed description
The following will be studied: 1. To evaluate the safety of these two techniques for the treatment of angle closure. 2. To compare the anterior chamber reaction and IOP changes post surgery. 3. TO establish the UBM/ASOCT chamber angle parameters changes pre and post surgery. 4. To assess the development of PAS.
Interventions
Surgical Iridectomy is now widely used in our clinical.
alternative choice to surgical iridectomy
Sponsors
Study design
Eligibility
Inclusion criteria
1. more than 50 years old 2. Diagnosis of either: Primary angle closure suspects, Primary angle closure in need of laser iridotomy or surgical iridectomy 3. Able to give Informed concent
Exclusion criteria
1. Ophthalmic diseases other than glaucoma and cataract 2. pseudophakic or aphakic patients 3. inability to attend regular follow-up assessment or to give informed written consent 4. Secondary causes of angle closure e.g. subluxed lens, uveitis, trauma and neovascular glaucoma 5. Participating in another study 6. monocular patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| intraocular pressure | 3 years |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Angle assessment parameters | 3 years | Angle assessment parameters,such as anterior chamber openning distance,are acquired by anterior segment optical coherence tomography. |
Countries
China