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The Effectiveness of YAG Iridotomy in Preventing Peripheral Anterior Synechia After CLASS in Primary Open Angle Glaucoma

Effectiveness of YAG Laser Iridotomy in Preventing Peripheral Anterior Synechia After CO2 Laser-Assisted Sclerectomy Surgery in Primary Open Angle Glaucoma

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04912362
Enrollment
80
Registered
2021-06-03
Start date
2020-09-01
Completion date
2023-08-31
Last updated
2021-06-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Glaucoma, Open-angle

Brief summary

To investigate the effectiveness of YAG laser iridotomy in preventing peripheral anterior synechia after CO2 Laser-Assisted Sclerectomy Surgery and the long-term effect of reducing intraocular pressure

Detailed description

Group A: YAG laser iridotomy was performed one week before operation, followed by CO2 Laser-Assisted Sclerectomy Surgery; Group B: only CO2 Laser-Assisted Sclerectomy Surgery; The patients were followed up for 1 year to observe and compare the difference of the incidence of peripheral anterior synechia and the effect of long-term intraocular pressure control between the two groups.

Interventions

DEVICEYAG iridotomy

YAG iridotomy was performed one week before operation, and then CO2 Laser-Assisted Sclerectomy Surgery was performed

Sponsors

Second Affiliated Hospital, School of Medicine, Zhejiang University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
Yes

Inclusion criteria

* Primary open angle glaucoma patients in Ophthalmic Center; * Topical use of hypotensive drugs in the treatment of poor or intolerable intraocular pressure control; * The patients were 18 to 50 years old, regardless of gender; * Class operation was performed; * Patients are able and willing to comply with the research guidance and may complete all visits required by the research; * Informed consent has been signed.

Exclusion criteria

* Allergic to any perioperative medication in this study; * History of ocular trauma; * Any previous intraocular surgery; * Gonioscopy showed a narrow angle (Schaffer III or below); * Secondary glaucoma was diagnosed; * Optic atrophy caused by other reasons; * Severe complications such as rupture of posterior capsule and choroidal hemorrhage occurred during operation; * Patients with severe ocular complications after operation * The patient's history indicated that he had severe dysfunction of heart, lung, liver and kidney; * Women in pregnancy, lactation or planned pregnancy; * The researchers believe that the patient's condition may put the patient at significant risk, may confuse the results of the study, or may significantly interfere with the patient's participation in the study.

Design outcomes

Primary

MeasureTime frameDescription
Intraocular pressure1 yearIntraocular pressure
Peripheral anterior synechia1 yearIncidence of peripheral anterior synechia

Countries

China

Contacts

Primary ContactKaijun Wang, MD
wkj992@126.com+86 0571 87783759

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026