Eye surgery showdown: which drainage device placement saves more vision cells?
NCT ID NCT05924477
First seen Jul 14, 2026 · Last updated Jul 15, 2026 · Updated 1 time
Summary
This clinical trial compares two ways to place a glaucoma drainage device during surgery: one in the front chamber of the eye and one in a small space behind it. The goal is to see which method causes less loss of important cells on the inner surface of the cornea. The study involves 226 adults with glaucoma that is not well controlled by medication.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- glaucoma drainage device implantation surgery with tube placement in either the ciliary sulcus or the anterior chamber
- What this could lead to
- If successful, this could identify a surgical technique that better preserves the eye's inner lining cells, potentially improving long-term vision outcomes for glaucoma patients.
- What could go wrong
- This is a surgical technique comparison, not a new drug or cure. Results may show no significant difference between placements, and individual outcomes can vary based on patient anatomy and surgeon skill.
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 226 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2023
- Expected to finish
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Dec 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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18 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: * Medically uncontrolled glaucoma requiring GDD or GDD combined with phacoemulsification as the planned surgical procedure * Candidate for GDD implantation for ciliary sulcus and AC tube * Age greater than or equal to 18 years old Exclusion Criteria: * Preexisting corneal condition that would affect the corneal endothelium or previous corneal transplant * Presence or history of Cypass Micro-Stent * Previous GDD, Xen Gel Stent or Preserflo MicroShunt removed less than 6 months before surgery * Presence of GDD implantation, Xen Gel Stent, of Preserflo MicroShunt * Previous trabeculectomy and/or minimally invasive glaucoma surgery within the past 6 months * AC intraocular lens * Presence of nanophthalmos, uncontrolled uveitis, silicone oil, Sturge-Weber syndrome or other conditions associated with elevated episcleral venous pressure * Unwilling or unable to give consent, unwilling to accept randomization, or unable to return for scheduled protocol visits * No light perception vision in the study eye or fellow eye visual acuity \< 20/200 * Need for glaucoma surgery combined with other ocular procedures (i.e. corneal transplant, or retinal surgery) or anticipated need for additional ocular surgery
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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 places running it
8 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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.
Contacts and locations
Locations
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Bascom Palmer Eye Institute
RECRUITINGMiami, Florida, 33136, United States
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Diablo Eye Associates
RECRUITINGWalnut Creek, California, 94598, United States
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Massachusetts Eye and Ear
RECRUITINGBoston, Massachusetts, 02114, United States
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Prism Eye Institute, University of Toronto
RECRUITINGToronto, Canada
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University of Buffalo/State University of New York
RECRUITINGBuffalo, New York, 14203, United States
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University of California San Francisco
RECRUITINGSan Francisco, California, 94143, United States
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University of North Carolina at Chapel Hill
RECRUITINGChapel Hill, North Carolina, 27517, United States
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Wilmer Eye Institute, Johns Hopkins University
RECRUITINGBaltimore, Maryland, 21287, United States
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- Can a puff of air replace the eye pressure probe?
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- Can a simple office procedure ease glaucoma pressure?
- Home Eye-Pressure checks could slow glaucoma vision loss
- Glaucoma may be a brain disease, not just an eye disease. a 10-year MRI study puts that idea to the test.