Direct vs Standard SLT for Glaucoma: A Noninferiority Trial

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorMedical University of South Carolina

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

Treatment groups

172 Participants
are divided into 2 treatment groups