Tied Tube Trial in Glaucoma Surgery

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorWashington University School of Medicine

About this trial

The aim of this study is to assess whether delaying early flow through the Ahmed tube shunt may improve the post-operative surgical outcomes and provide a more predictable outcome. To assess this the investigator will conduct a, randomized prospective, multi-centered study with collaborators at WashU in St. Louis, Duke University, Indiana University and the University of Pittsburgh. Participants will be randomized to have an AGV placement with tube ligation (no-early flow) and without ligation (allowing for early flow). IOP will be measured at day one, week one, and months, one, three six, and twelve. Additionally, clinical data regarding number of glaucoma medications, and complications post-operative complications will also be collected.

Eligibility criteria

Qualifiers

Subjects with age at screening ≥ 18 years

Inadequately controlled glaucoma or ocular hypertension

Ahmed valve implant as the planned surgical procedure

Patients with primary glaucomas (Primary Open Angle Glaucoma or Primary Angle Closure Glaucoma) or pseudoexfoliation, pigmentary and traumatic glaucoma with or without a previous failed trabeculectomy or other intraocular surgery.

Disqualifiers

Subjects with NLP vision

Subjects unable/unwilling to provide informed consent

Unavailable for regular follow up

Previous cyclodestructive procedure

Trial design

Treatments tested in this trial

  • Standard Implantation
  • Tied off Tube

Treatment groups

152 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Washington University School of Medicine

Lead sponsor

American Glaucoma Society

Collaborator

University of Pittsburgh

Collaborator