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Comparison of the Alpha-2 Agonists for Prevention of Intraocular Pressure Elevation After Selective Laser Trabeculoplasty

Information source: Walter Reed Army Medical Center
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Glaucoma; Ocular Hypertension

Intervention: brimonidine 0.1% (Drug); Apraclonidine 0.5% (Drug)

Phase: N/A

Status: Recruiting

Sponsored by: Walter Reed Army Medical Center

Official(s) and/or principal investigator(s):
Vladimir S Yakopson, MD, Principal Investigator, Affiliation: Walter Reed AMC

Overall contact:
Vladimir S Yakopson, MD, Phone: 202-782-6965, Email: vladimir.yakopson@na.amedd.army.mil

Summary

The purpose of the study is to compare the safety and efficacy of two drops used to lower eye pressure when given prior to a glaucoma laser procedure.

Clinical Details

Official title: Comparison of the Alpha-2 Agonists for Prevention of Intraocular Pressure Elevation After Selective Laser Trabeculoplasty

Study design: Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver), Primary Purpose: Treatment

Primary outcome: Postoperative IOP

Secondary outcome: Overall IOP reduction post SLT

Detailed description: This is a prospective randomized double blind trial of patients undergoing selective laser trabeculoplasty for primary open angle glaucoma and ocular hypertension. Enrolled patients are randomized to receive one drop of brimonidine 0. 1% in one eye and one drop of apraclonidine 0. 5% in the fellow eye. The trabecular meshwork in both eyes of each enrolled patient is treated 360 degrees at the same sitting. Intraocular pressure is measured in each eye one hour before applying the study medications and at one hour and one week after laser surgery.

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- male or female, at least 18 years of age

- Open Angle Glaucoma with inadequate intraocular pressure (IOP) control or evidence of

progression (based on optic nerve head appearance and/or visual field changes) despite current medical therapy

- Ocular Hypertension requiring lowering of IOP

- ability to understand and provide informed consent to participate in this study and

willingness to follow study instructions and likely to complete all required visits Exclusion Criteria:

- inability to understand and provide informed consent to participate in this study

- inability/unwillingness to follow study instructions and complete all required visits

- Documented allergy to either brimonidine or iopidine

- Angle Closure Glaucoma

- Congenital/Juvenile Glaucoma

- Neovascular Glaucoma

- Active uveitis

Locations and Contacts

Vladimir S Yakopson, MD, Phone: 202-782-6965, Email: vladimir.yakopson@na.amedd.army.mil

Walter Reed Army Medical Center, Washington, District of Columbia 20307, United States; Recruiting
Vladimir S Yakopson, MD, Phone: 202-782-6965, Email: vladimir.yakopson@na.amedd.army.mil
William Wilson, MD, Sub-Investigator
Additional Information

Starting date: August 2006
Last updated: December 4, 2007

Page last updated: August 23, 2015

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