About this trial
This study is a single-site, single-arm, prospective, observational study of IOP reduction after DSLT. Subjects will be assessed up to 12 months post-operatively. Clinical evaluations will include IOP and number of glaucoma medications.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patients with pigmentary dispersion syndrome with elevated IOP or mild to moderate (based on AAO Preferred Practice Program criteria) pigmentary glaucoma with glaucomatous optic neuropathy and corresponding visual field/RNFL loss.
Treatment naive, or washed out IOP ranging from ≥18-34 mmHg
Central corneal thickness (CCT) 480-600 µm
Able to complete medication washout and follow-up
Disqualifiers
Prior incisional glaucoma surgery or glaucoma-related procedures in the study eye
Prior laser trabeculoplasty <3 years
Prior intraocular surgery and refractive surgery, except for cataract surgery unless greater than 2 years
Patients anticipating cataract surgery within the follow-up period
Trial population
Eligible test subjects will be adult patients with pigmentary dispersion syndrome with elevated IOP or mild to moderate (based on AAO Preferred Practice Program criteria) pigmentary glaucoma with glaucomatous optic neuropathy and corresponding visual field/RNFL loss.
Trial design
Cohort
Prospective
Treatments tested in this trial
Voyager DSLT
DeviceDSLT is an innovative adaptation of traditional SLT. Rather than using a gonioscopic lens, DSLT applies laser energy directly through the limbus to the trabecular meshwork in a few seconds.
Treatment groups
Trial outcomes
Primary outcomes
Mean washed-out IOP change post-DSLT compared to washed-out baseline IOP
Secondary outcomes
Complete success: proportion of eyes with ≥ 20% washed out IOP reduction post-DSLT without secondary interventions (additional medications or procedures) compared with washed out baseline IOP
Complete success: proportion of eyes with ≥ 20% washed out IOP reduction post-DSLT without secondary interventions (additional medications or procedures) compared with washed out baseline IOP
Qualified success: proportion of eyes with IOP reduction (15-20%) without increase in baseline glaucoma medications
Qualified success: proportion of eyes with IOP reduction (15-20%) without increase in baseline glaucoma medications
Sponsors and contacts
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Mann Eye Institute
Lead sponsor
Sengi
Collaborator