Glaucoma showdown: which surgery works best?
NCT ID NCT07325552
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two surgical options—iStent inject and goniotomy with Kahook Dual Blade—performed during cataract surgery in 100 people with open-angle glaucoma. The goal is to see which method better lowers eye pressure and reduces the number of daily eye drops needed. Both procedures aim to improve fluid drainage in the eye.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- iStent inject (tiny implant) and Kahook Dual Blade (surgical device)
- What this could lead to
- If successful, this could show which surgical approach better controls eye pressure and reduces the need for daily eye drops in glaucoma patients.
- What could go wrong
- This is a small, early-stage study (100 participants) comparing two existing procedures, so results may not apply to all patients. Both surgeries carry risks like infection or temporary vision changes.
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 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2026
- Expected to finish
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Jan 2028
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 weeks 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: * Only one eye per participant * Clinically significant cataract * Glaucoma or intraocular hypertension treated with one to four medications and no need for filtering glaucoma surgery at the time of study enrollment. * Open chamber angle with Schaffer grading three to four in at least two quadrants Exclusion Criteria: * Previous glaucoma surgery, including cyclodestructive procedures. * Selective Laser Trabeculoplasty (SLT) within 90 days prior to planned surgery. * Exudative age-related macular degeneration, proliferative diabetic retinopathy, clinically significant corneal dystrophy, other eye disease that affect intraocular eye pressure or visual field. * Unable to participate and make written consent due to another medical condition.
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Get notified about this study
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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
2 sites. 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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Medical University of Bialystok
RECRUITINGBialystok, Polska, 15-866, Poland
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Ophthalmology Clinic Medical University of Bialystok
RECRUITINGBialystok, 15-089, Poland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Glaucoma implant tested for Office-Based eye care
- Can a modified glaucoma surgery match the standard one?
- Can a Light-Based scan reveal the health of your eyes?
- Glaucoma surgery checked 5 years later: does it hold up?
- New stitch technique may improve glaucoma surgery outcomes
- Which tool works best for glaucoma surgery? new study aims to find out