About this trial
This study compares two FDA-approved laser treatments for glaucoma: Direct Selective Laser Trabeculoplasty (DSLT) and Selective Laser Trabeculoplasty (SLT). Both procedures aim to lower eye pressure and prevent vision loss. DSLT is a newer, non-contact technique that may improve comfort and efficiency. Participants will be randomly assigned to receive either DSLT or SLT and followed for 12 months to assess eye pressure, safety, and treatment outcomes.
Eligibility criteria
Qualifiers
Age ≥18 years
Diagnosis of OAG (including exfoliative or pigmentary) or OHT
Gonioscopically open angle (visible scleral spur 360°)
Ability to consent and comply with follow-up
Disqualifiers
Angle-closure or secondary glaucomas
IOP >35 mmHg despite therapy
Corneal pathology interfering with laser or IOP measurement
Recent ocular surgery (<6 months)
Trial design
Treatments tested in this trial
- Direct Selective laser Trabeculoplasty