Clinical trial Recruiting at 1 site Interventional Ages 18 to 90

SLT versus daily latanoprost to lower eye pressure in early to moderate open‑angle glaucoma and ocular hypertension

Official title: Selective Laser Trabeculoplasty Versus Latanoprost as First Line Treatments for Primary Open-angle Glaucoma and Ocular Hypertension: A Comparative Analysis

Run by Lagos State Health Service Commission · NCT07310719 · Data updated 2026-11-12

This trial will test whether a one‑time selective laser trabeculoplasty (SLT) or daily 0.005% latanoprost eye drops better lower eye pressure in treatment‑naïve adults with early to moderate primary open‑angle glaucoma or ocular hypertension.

More Primary Open Angle Glaucoma trials

Quick facts

Study typeInterventional
Ages18 Years to 90 Years
SexAll
Enrollment138 (estimated)
SponsorLagos State Health Service Commission
Academic / other
Locations1 site (Ikeja, Lagos)
StatusRecruiting
StartedOctober 15, 2025
Main results expectedSeptember 2026
Study endsNovember 2026
Registry record updatedDecember 30, 2025
Trial IDNCT07310719 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18 or older who are newly diagnosed, treatment‑naïve with early to moderate primary open‑angle glaucoma or ocular hypertension and average IOP >21 mmHg who can give informed consent.

Probably not a fit

Patients with prior glaucoma treatment, advanced glaucoma, secondary or congenital glaucoma, or corneal opacity that prevents proper evaluation are unlikely to benefit from this trial.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observer‑masked, randomized controlled trial at Lagos State University Teaching Hospital will assign treatment‑naïve adults with early to moderate primary open‑angle glaucoma or ocular hypertension to either SLT or 0.005% latanoprost drops. A total of 138 eyes (69 per group) will be followed over 12 months to compare short‑term intraocular pressure (IOP) lowering, safety, and patient‑reported quality of life. Clinical assessments include serial IOP measurements, optic nerve imaging, visual field testing, and monitoring for adverse events, with observers masked to treatment assignment. The primary analysis will compare mean IOP reduction between groups and report differences in side effects and quality‑of‑life outcomes.

Why it matters

Potential benefit: If successful, this could offer a one‑time laser option that lowers eye pressure as effectively as daily drops and reduce the burden of lifelong eyedrop use.

How similar studies have gone: Large trials in other populations (for example the UK LiGHT trial) have shown SLT can be as effective as prostaglandin drops, though data specifically from Nigerian patients are limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Patients aged 18years and above.
2. Patients newly diagnosed as Primary Open Angle Glaucoma (POAG) or Ocular Hypertension (OHT).
3. Patients with elevated IOP greater than 21mmHg (average of 3 measurements taken on 3 different clinic visits).
4. Patients categorized as early or moderate glaucoma POAG (cup -disc ratio 0.5 to 0.7, visual field analysis MD - 6dB to -12dB and disc damage likelihood score (DDLS) 5 to 7) on funduscopy, Optical coherence tomography, and fundus photograph
5. Patients who agree to participate in the study after informed consent.

Exclusion Criteria:

1. A prior medical, surgical, or laser treatment for glaucoma
2. Patients diagnosed with primary congenital glaucoma or secondary glaucoma
3. Advanced glaucoma (CDR greater than 0.8, visual field analysis MD more than -12dB and DDLS stage 8 and above)
4. Patients with cloudy cornea or corneal opacity that would impair the view of the anterior chamber angles, fundus, or give false IOP readings
5. Patients with media opacity, such as cataracts, vitreous haze, or vitreous hemorrhage that prevents examination of the posterior segment.
6. Patients who have undergone previous ocular surgeries (cataract surgery, trabeculectomy).
7. Patients with a history of ocular trauma or uveitis
8. Pregnant and lactating women.

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Where it's running

  • Lagos State University teaching Hospital Eye Institute
    Ikeja, Lagos, Nigeria
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.