Glaucoma
Conditions
Brief summary
The aim of the study is to evaluate and compare the hypotensive efficacy at 24 months between non-perforating deep sclerectomy surgery with non-resorbable uveoscleral implant associated with absorbable collagen matrix versus non-perforating deep sclerectomy surgery with isolated absorbable collagen matrix implant.
Detailed description
The aim of this study is to evaluate and compare the hypotensive efficacy at 24 months between two implants in glaucoma surgery. Non-perforating deep sclerectomy surgery with non-resorbable uveoscleral implant associated with absorbable collagen matrix versus non-perforating deep sclerectomy surgery with isolated absorbable collagen matrix implant.
Interventions
Non-penetrating deep sclerectomy is a non-perforating filtration procedure used for the surgical treatment of medically uncontrolled open angle glaucoma.This surgery is performed to facilitate the outflow of aqueous humour from the anterior chamber to the subconjunctival space through a natural membrane (trabeculo-Descemet's window). This enables a more physiological reduction of intraocular pressure to be achieved.
Sponsors
Study design
Masking description
Evaluations will be done an outcome assessor that do not know the intervention group
Eligibility
Inclusion criteria
* Patients older than 18 years of age * Primary or secondary open-angle glaucoma * High intraocular pressure (greater than or equal to 18mmHg) despite using maximum medical treatment * Intolerance to medication.
Exclusion criteria
* Patients with previous glaucoma surgery * Previous ocular surgery in the last 6 months * Previous history of Laser trabeculoplasty in the last 12 months * Moderate or severe diabetic retinopathy * Active or recurrent eye disease (uveitis) * Plateau iris * Ocular neovascularization * Aphakia * Neovascular angle-closure glaucoma * Previous history of intraocular or extraocular malignant neoplasm * Pregnancy or lactation period, axial length\> 26mm and \<20mm * Unwillingness for participating
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Intraocular pressure | 24 hours after surgery, 3 months, 12 months, 24 months | Comparison of intraocular pressure measurements |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of adverse events | 24 hours after surgery, 3 months, 12 months, 24 months | Adverse events spontaneous by subject (Safety and tolerability) |
Countries
Spain