Subjects with normal tension glaucoma that is stable with current medication needing cataract surgery are recruited in the study. All patients meeting the inclusion criteria and giving informed consent will be randomized to whether having endoscopic cyclophotocoagulation performed in the same session with cataract surgery, or cataract surgery alone.
Age
55–100
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
Signed Informed Consent
Normal Tension Glaucoma with typical nerve fiber layer defects in red-free photographs and/or optical coherence tomography (OCT) and possible equivalent visual field defects, IOP never more than 21 mmHg, and open anterior chamber angle
Glaucoma stable with current medication assessed by a glaucoma specialist
Clinically significant cataract
You may not be if
Secondary Glaucoma e.g. due to previous injury or uveitis
Exfoliation syndrome
Pigment dispersion syndrome
Previous transscleral or endoscopic cyclophotocoagulation
Previous other glaucoma surgery
Cataract due to eye injury or congenital cataract
Zonular weakness due to Marfan syndrome or other
Previous retinal detachment
Previous intraocular surgery like vitrectomy and other retinal surgery
Wet age-related macular degeneration
Diabetic retonopathy
Previous corneal transplant or previous refractive surgery
Fuchs' dystrophy and other abnormalities compromising corneal clarity like scars
The patient does not want to participate in the study
The glaucoma progresses on current IOP
The patient does not speak Finnish, Swedish or English
Dementia
Only eye with vision worse than 20/200 or loss of central visual field
Clareo Health | Endoscopic Cyclophotocoagulation in Normal Tension Glaucoma
