Selective Laser Trabeculoplasty and its effect on fluid flow out of the eyes

ISRCTN ISRCTN65144700
DOI https://doi.org/10.1186/ISRCTN65144700
Secondary identifying numbers PROTOCOL 1
Submission date
23/03/2008
Registration date
25/04/2008
Last edited
05/04/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Eye Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr Kin Sheng Lim
Scientific

Department of Ophthalmology
St Thomas' Hospital
Westminster Bridge Road
London
SE1 7EH
United Kingdom

Study information

Study designRandomised prospective non-controlled two armed trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA randomised study of different levels of total energy delivered in Selective Laser Trabeculoplasty
Study acronymSLTLIM
Study objectivesDifferent levels of total energy delivered in selective laser trabeculoplasty (SLT) will have different effects on outflow facility and intra-ocular pressure.
Ethics approval(s)Ethics approval received from the St Thomas' Hospital Local Ethics Committee in September 2005 (ref: 05/Q0702/42).
Health condition(s) or problem(s) studiedOcular hypertension (OHT) and primary open-angle glaucoma (POAG)
InterventionParticipants will be randomised to one of two different levels of total energy:
1. Treated with a lower total energy to the drainage angle
2. Treated with a higher energy level (of approximately double of the total energy as the first group)

There will only be one treatment given to each patient. Follow-up will be for three months.
Intervention typeOther
Primary outcome measure1. Intra-ocular pressure: measured with a Goldmann's applanation tonometer, using a topical anaesthetic, and fluorescein as the disclosing agent. The right eye will be measured first, followed by measurement of the left. This sequence will be repeated three times. The three measurements for each eye will be averaged and reported as intra-ocular pressure.
2. Outflow facility: measured from the rate of decay of intra-ocular pressure in the supine position during application of a recording Schiötz or pneumotonometer over a period of 4 minutes. The "R" values of the curve at every 30-second time point will be manually entered into the McLaren tonography computer program. The program fits a second-degree polynomial by least squares to the nine data points and determines the best-fit values for time 0 and time 4 minutes by extrapolation. These initial and final values of the tonometer scale reading will be used to look up the value for the facility of outflow using the 1955 scale approved by the Committee on Standardisation of Tonometers.

Outcomes will be measured at baseline, one month and three months.
Secondary outcome measuresComplications, measured at baseline, one month and three months.
Overall study start date01/11/2006
Completion date01/06/2008

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants46
Key inclusion criteria1. Participants aged 21 - 85 years, male and female
2. Newly diagnosed ocular hypertension and primary open-angle glaucoma that require treatment
Key exclusion criteria1. Previous intraocular surgery
2. Advanced glaucoma
3. Very high presenting intra-ocular pressure (greater than 35 mmHg)
Date of first enrolment01/11/2006
Date of final enrolment01/06/2008

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Department of Ophthalmology
London
SE1 7EH
United Kingdom

Sponsor information

Guy’s and St Thomas’ NHS Foundation Trust (UK)
Hospital/treatment centre

c/o Jackie Pullen
Clinical Quality Manager
The Joint Clinical Trials Office
3rd Floor Conybeare House
Guy's Hospital
Great Maze Pond
London
SE1 9RT
England
United Kingdom

Website http://www.guysandstthomas.nhs.uk/
ROR logo "ROR" https://ror.org/00j161312

Funders

Funder type

Charity

Eye Hope (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/11/2010 Yes No