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CUHK_CCT00439
2014-11-24
Prospective
KC/KE-14-0198/FR-2
Department of Ophthalmology and Visual Sciences, the Chinese University of Hong Kong
Department of Ophthalmology and Visual Sciences, the Chinese University of Hong Kong
Nil
Not Applicable
Ms. Jennifer Tsoi
Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, 3/F, Hong Kong Eye Hospital, 147K Argyle Street, Kowloon
39435818
jennifertsoi@cuhk.edu.hk
The Chinese University of Hong Kong
Hong Kong
Prof. Leung Christopher Kai Shun
Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, 3/F, Hong Kong Eye Hospital, 147K Argyle Street, Kowloon
39435846
cksleung@cuhk.edu.hk
The Chinese University of Hong Kong
Hong Kong
Progressive lamina cribrosa deformation – A biomarker for fast progressors in glaucoma?
Progressive lamina cribrosa deformation – A biomarker for fast progressors in glaucoma?
進展性篩板變形–診斷青光眼快速進展者的新指標?
Nil
Hong Kong
Yes
2014-11-20
Kowloon Central Cluster REC / Kowloon East Cluster REC
KC/KE-14-0198/FR-2
Glaucoma
Other
Drug and Procedure
The intervention is to use additional eye drops and/or laser procedure to achieve 20% intraocular pressure (IOP) lowering from baseline.
Drug: prostaglandin analogue, brimonidine and carbonic anhydrase inhibitor
Procedure: Selective Laser Trabeculoplasty
Eyedrop or laser procedure
every two months
Drug: prostaglandin analogue (PGA, once daily), brimonidine (three times daily), carbonic anhydrase
every two months
The comparative treatment is to continue the current treatment (observation or one topical IOP lowering medication) started before recruitment (see Inclusion Criteria).
NA (depends on the current treatment)
NA (depends on the current treatment)
every three months
NA (depends on the current treatment)
1. Age ≥18 years
2. Best corrected visual acuity (VA) ≥20/40
3. POAG diagnosed at least 36 months
4. Participants are the ongoing participants under “Diagnostic Imaging Assessment in the Evaluation of Glaucomatous Optic Neuropathy and diagnosed with glaucoma “ study at Hong Kong Eye Hospital and have been followed up for at least 36 months.
1. IOP >30mmHg measured at any time points during the baseline visit
2. High myopia (spherical error<-6.0D)
3. Advanced VF loss (VF MD <-12dB in the worse eye) or defects close to fixation (any one of the paracentral points with sensitivity <10dB)
4. Inability to perform reliable VF; suboptimal quality of SDOCT images
5. Previous intraocular surgery other than uncomplicated cataract extraction
6. Diabetic retinopathy/maculopathy
18
999
Both Male and Female
Interventional
Randomized
Randomized to receive additional IOP lowering treatment or continue the current treatment
Active
Open label
Parallel
Other
N/A
2014-12-01
168
Complete
Proportion of eyes with VF progression
Proportion of eyes with RNFL progression
Rate of change visual field index
Rate of change of LC deformation before and after IOP reduction
Risk factors of LC deformation
2020-07-13
ChiCTR-IOR-14005592
2014-12-03
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