Study title

A randomized prospective study to determine the optimum power setting of SLT 

Type

Randomized prospective

Number of patients

60

Primery investigator

Madhu Nagar & David O’Brart

Secondary investigators

 Dr A Kulkarni

Contact informaion

madhunagar@hotmail.com

Place

Clayton eye center &  St Thomas

Town

Wakefield & London

Country

England

Start date

2005

Expected completion date

2006

Expected publication date

 

Purpose

 At the present time, although SLT is accepted as a viable treatment for OHT (Ocular Hypertension) / OAG (Open Angle Glaucoma), there has not been a thorough assessment of the optimum Laser power settings which enable safe and effective treatment. This study aims to scientifically compare high power settings with low power settings, investigating the efficacy of treatment in lowering intraocular pressure during the follow-up period after treatment, and the incidence of adverse events related to Laser treatment.

 

method

 Research participants are to be recruited from the NHS glaucoma clinic at Clayton Hospital starting Jan 2006.  Eligible participants will be patients with OHT or OAG, which is uncontrolled despite maximal tolerated medical therapy.  We aim to recruit 40 patients.  Each patient will be randomized to treatment to one eye with the Laserex Tango Laser in one of two treatment groups: Group I will receive high-energy SLT (1.2mJ shots) in the eye to be treated; Group II will receive low-energy SLT (0.6mJ shots) in the eye to be treated. Thus, 20 patients will be allocated to each group, with 40 patients in total.

 

Preliminary Results

Mean IOP, Significantly lower:

  • With 1.2mJ compared to 0.6mJ 1 and 3 mths (p<0.05)

Success rates at 3 months:

  • 1.2mj group n=13
    • 20% IOP reduction 69%
    • 30% IOP reduction 61%
  • 0.6mJ group n=11
    • 20% IOP reduction 18%
    • 30% IOP reduction 0%

 

Conclusion

  • Early data suggests better success rates for 1.2mJ
  • ?0.6mJ little tissue effect
  • More data and follow-up required
  • ? Safety of high power SLT
  • More power more damage
  • Optimum power setting unknown – variable, multi-factorial

 

 

 

A randomized prospective study to determine the optimum power setting