Status:

RECRUITING

Phacoemulsification vs SLT as Initial Treatment for Pseudoexfoliation Glaucoma

Lead Sponsor:

Nova Scotia Health Authority

Collaborating Sponsors:

Glaucoma Research Society of Canada

Canadian Glaucoma Society

Conditions:

Pseudoexfoliation Glaucoma

Eligibility:

All Genders

50+ years

Phase:

NA

Brief Summary

The Canadian Pseudoexfoliation Glaucoma Study 1 is a randomized clinical trial that aims to compare two initial treatment options - Selective Laser Trabeculoplasty (SLT) and Phacoemulsification (PHACO...

Eligibility Criteria

Inclusion

  • Pseudoexfoliation syndrome, detected at slit-lamp examination by exfoliative material on anterior capsule, pupil, or anterior chamber angle
  • Clinical decision to lower the IOP, as assessed by the investigator who is treating the subject, based on the presence of PXG or with IOP elevated enough to warrant treatment, even without clear evidence of optic nerve damage or visual field defect
  • Presence of asymptomatic early cataract

Exclusion

  • Age less than 50 years old
  • Anterior chamber angle closure at gonioscopy, defined as pigmented trabeculum visible in less than 180º
  • Previous IOP lowering procedure such as trabeculoplasty, trabeculectomy, or minimally invasive glaucoma surgery
  • Previous use of IOP lowering medication for more than 6 months
  • Presence of ocular or systemic pathology or medication that could significantly influence the IOP, such as: uveitis, neovascular or traumatic glaucoma, corneal pathology influencing tonometry, use of oral steroids
  • IOP at baseline visit higher than 36 mmHg
  • Visual field damage at baseline visit with mean deviation worse than -15 dB
  • Not able or willing to provide voluntary, informed consent to participate in the study

Key Trial Info

Start Date :

October 10 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

August 1 2033

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT04416724

Start Date

October 10 2022

End Date

August 1 2033

Last Update

August 21 2024

Active Locations (1)

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1

Nova Scotia Health

Halifax, Nova Scotia, Canada, B3H 2Y9