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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 90 Years |
| Sex | All |
| Enrollment | 138 (estimated) |
| Sponsor | Lagos State Health Service Commission Academic / other |
| Locations | 1 site (Ikeja, Lagos) |
| Status | Recruiting |
| Started | October 15, 2025 |
| Main results expected | September 2026 |
| Study ends | November 2026 |
| Registry record updated | December 30, 2025 |
| Trial ID | NCT07310719 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. \-
Where it's running
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Lagos State University teaching Hospital Eye Institute
Ikeja, Lagos, Nigeria Recruiting
Study contacts
- Study coordinator: Anne I. Abang-Obi, MBBS
- Email: iyeundiandeye@gmail.com
- Phone: +234 7061339223
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.