Could yearly Low-Energy laser replace daily eye drops for glaucoma?
NCT ID NCT04967989
First seen Jun 27, 2026 · Last updated Aug 14, 2026 · Updated 1 time
Summary
This study looks at whether a gentle laser treatment (SLT) works as well as the standard version for people with glaucoma or high eye pressure. It also tests if getting the gentle laser once a year can delay or prevent the need for daily eye drops. About 790 adults will take part to find the best way to manage the disease long-term.
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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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 790 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2021
- Expected to finish
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Aug 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: 1. Age 18 or older and in good health 2. Each eye with one of the following qualifying diagnoses (diagnoses may differ between eyes): 1. High-risk ocular hypertension (OHT): IOP \> 21 mmHg without glaucomatous optic neuropathy (excavation, diffuse or focal thinning or notching of the neuroretinal rim, visible nerve fiber layer defects, or asymmetry of the vertical cup-to-disc ratio of \>0.2 between eyes) 2. Mild primary open-angle glaucoma: glaucomatous optic neuropathy, visual field mean deviation better than -6.0 dB with no points in the central 5° \<15 dB (see figure on next page) 3. Moderate primary open-angle glaucoma: glaucomatous optic neuropathy, visual field mean deviation equal to or worse than -6.0 dB but no worse than -12.0 dB and no central 5° points \<15 dB or mean deviation -12.0 dB or better with 1 central 5° points \<15 dB (see figure on next page). 3. Each eye with BCVA 20/200 (UK 6/60) or better Exclusion Criteria: 1. Use of topical IOP-lowering medications for more than 6 cumulative months at any time in the past 5 years (this is a modification implemented during active enrollment) 2. Any history of IOP-lowering laser (prophylactic iridotomy not included) or surgical procedure 3. Advanced POAG in either eye (worse than moderate POAG as defined above) 4. Glaucoma other than POAG (including pigmentary and pseudoexfoliation glaucoma) in either eye 5. Mean IOP \> 35 mmHg at either the screening or baseline visit in either eye 6. Narrow or closed angle (Shaffer Grade 0, 1, or 2) in either eye 7. Contraindications to SLT or any other study intervention 8. Any corneal pathology that would preclude accurate assessment of IOP by Goldmann tonometry in either eye 9. Any intraocular surgical procedure within the past 6 months in either eye 10. Inability to attend all scheduled study visits 11. Pregnant or planning to become pregnant in the next 4 years
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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
27 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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Chicago Arbor Eye Institute
RECRUITINGOrland Park, Illinois, 60467, United States
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Clear Vue Laser Eye Center
RECRUITINGLakeworth, Florida, 33467, United States
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Cleveland Clinic Cole Eye Institute
RECRUITINGCleveland, Ohio, 44195, United States
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Devers Eye Institute
RECRUITINGPortland, Oregon, 97210, United States
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Doheny Eye Center UCLA
RECRUITINGPasadena, California, 91105, United States
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Eye Care Specialists
RECRUITINGKingston, Pennsylvania, 18704, United States
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Harvard Eye Associates
RECRUITINGLaguna Hills, California, 92653, United States
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Illinois Eye Center
RECRUITINGPeoria, Illinois, 61615, United States
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Kresge Eye Institute Wayne State University
RECRUITINGDetroit, Michigan, 48201, United States
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Mark Latina, LLC
RECRUITINGReading, Massachusetts, 01867, United States
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Massachusetts Eye and Ear
RECRUITINGBoston, Massachusetts, 02114, United States
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Mile High Eye Institute
RECRUITINGSheridan, Colorado, 80110, United States
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New York Eye Surgery Associates
RECRUITINGThe Bronx, New York, 10469, United States
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Northwestern Medical Group
RECRUITINGChicago, Illinois, 60615, United States
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Ocular Health Centre
ACTIVE_NOT_RECRUITINGKitchener, Ontario, N2A0K5, Canada
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Ophthalmic Consultants of Boston
RECRUITINGBoston, Massachusetts, 02451, United States
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Ophthalmology Associates
RECRUITINGFort Worth, Texas, 76102, United States
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Scheie Eye Institute
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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Spokane Eye Clinical Research
RECRUITINGSpokane, Washington, 99204, United States
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UPMC Eye Center
ACTIVE_NOT_RECRUITINGPittsburgh, Pennsylvania, 15213, United States
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University Hospitals Eye Institute
RECRUITINGCleveland, Ohio, 44106, United States
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University of California, Davis
RECRUITINGSacramento, California, 95817, United States
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University of California, San Francisco
RECRUITINGSan Francisco, California, 94158, United States
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University of Michigan Kellogg Eye Center
RECRUITINGAnn Arbor, Michigan, 48105, United States
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University of Wisconsin-Madison
RECRUITINGMadison, Wisconsin, 53705, United States
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Vanderbilt Eye Institute
RECRUITINGNashville, Tennessee, 37232, United States
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West Virginia University
RECRUITINGMorgantown, West Virginia, 26505, United States
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Wills Eye Hospital
RECRUITINGPhiladelphia, Pennsylvania, 19107, United States
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Wilmer Eye Institute Johns Hopkins
RECRUITINGBaltimore, Maryland, 21287, United States
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Other studies related to the condition(s) this trial covers.