One operation for cataract and glaucoma? eye surgeons test a Two-in-One approach
NCT ID NCT07821827
First seen Sep 16, 2026 · Last updated Sep 17, 2026 · Updated 1 time
Summary
Researchers at Assiut University are studying whether combining cataract surgery with a procedure called goniotomy safely lowers eye pressure and reduces the need for glaucoma medications. The trial enrolls 70 adults with cataract plus either primary open-angle or primary angle-closure glaucoma. Everyone receives the same combined operation, and doctors track eye pressure, medication use, vision, and complications for at least six months. The goal is to compare how well the approach works in the two different types of glaucoma.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- combined cataract surgery (phacoemulsification) and goniotomy, a procedure that opens the eye's drainage angle
- What this could lead to
- If it works, this combined approach could offer a single operation that lowers eye pressure and cuts the number of daily glaucoma drops for people who have both cataract and glaucoma.
- What could go wrong
- The trial is small and does not compare the combined surgery against standard glaucoma operations, so any benefit may not hold up in larger studies. Goniotomy can cause bleeding in the eye, and some people may still need extra pressure-lowering treatment.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 70 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Nov 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 40 years and older (no upper limit). * Diagnosis of uncontrolled or progressive primary open-angle glaucoma (POAG) or primary angle-closure glaucoma (PACG). * Presence of visually significant cataract requiring phacoemulsification. * Willingness and ability to complete the postoperative follow-up schedule of at least 6 months. Exclusion Criteria: * Secondary glaucoma. * Prior incisional glaucoma surgery or selective laser trabeculoplasty (SLT) in the study eye. * Corneal opacity preventing adequate gonioscopic visualization of the angle. * Associated retinal disease or non-glaucomatous optic nerve disease. * Inability or unwillingness to adhere to the follow-up schedule.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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Other studies related to the condition(s) this trial covers.
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