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Effect of different energy levels of micropulse transscleral cyclophotocoagulation for the treatment of refractory glaucoma: A prospective randomized comparative study

Phase 2
Recruiting
Conditions
Compare the efficacy of different energy levels of micropulse transscleral cyclophotocoagulation on intraocular pressure reduction in refractory glaucoma
Micropulse
Cyclophotocoagulation
Laser treatment
Intraocular pressure
Glaucoma
Registration Number
TCTR20210530004
Lead Sponsor
one
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
36
Inclusion Criteria

1. Refractory glaucoma patients (defined as glaucoma patients with uncontrolled IOP equal or more than 21 mm Hg at least 3 months despite maximally tolerated topical antiglaucoma medications, with or without oral antiglaucoma medications, and previous surgical therapy if any.)
2. BCVA from 20/20 to PL
3. Age equal or mote than 18 years old and equal or less than 80 years old
4. In case of bilateral refractory glaucoma, the eye which has higher IOP or more aggressive symptoms will be chosen

Exclusion Criteria

1.Previous intraocular surgery within 2 months
2.Any sign of ocular infection or inflammation
3.Having an extended scleral thinning for more than 1 clock hour
4.Pregnancy
5.Patients who cannot be performed local anesthesia

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Intraocular pressure Pre-pocedure and 1 week, 1month, 2 months, 3 months, and 6 months post-procedure applanation tonometer (Haag-Streit AG, Koeniz, Switzerland)
Secondary Outcome Measures
NameTimeMethod
Best corrected visual acuity Pre-pocedure and 1 week, 1month, 2 months, 3 months, and 6 months post-procedure ETDRS chart,Anterior chamber cell Pre-pocedure and 1 week, 1month, 2 months, 3 months, and 6 months post-procedure Standardization of Uveitis Nomenclature (SUN) grading scheme for anterior chamber cells ,Cornea examination Pre-pocedure and 1 week, 1month, 2 months, 3 months, and 6 months post-procedure Haag-Streit BQ 900 Table LED Slit Lamp ,Fundus examination Pre-pocedure and 1 week, 1month, 2 months, 3 months, and 6 months post-procedure Haag-Streit BQ 900 Table LED Slit Lamp ,number of topical and systemic anti-glaucoma medications Pre-pocedure and 1 week, 1month, 2 months, 3 months, and 6 months post-procedure Out pateint record
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