Evidence map›Paper›PMID 42418463›Full record

Trial reportPloS one2026

Pascal selective laser trabeculoplasty (PSLT) in the treatment of ocular hypertension and open-angle glaucoma compared to travoprost eye drops: A non-inferiority clinical trial.

Rafaela C M C de Almeida, Rodrigo L Lindenmeyer, Fabio Lavinsky, Daniel Lavinsky, Egidio Picetti, Mônica O da Silva, Diane R Marinho, Thainá S Moreira, Victória A Silveira, Leonardo Leivas and 2 more

Registry-linked trialAbstract readRandomized Controlled TrialEquivalence TrialComparative Study
In one paragraph

Trial report in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05241938 (Computer-guided Selective Laser Trabeculoplasty), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05241938 naunknown statusnot on this map

Computer-guided Selective Laser Trabeculoplasty (PSLT) in the Treatment of Ocular Hypertension and Open-angle Glaucoma Compared to Prostaglandin Analogue Eye Drops: a Non-inferiority Randomized Clinical Trial

TypeinterventionalSponsorFederal University of Rio Grande do SulRan2021 to 2022Enrolled75ConditionsOpen Angle Glaucoma, Ocular HypertensionArmsPSLT, Prostaglandin analogue eye drops
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Rafaela C M C de AlmeidaOphthalmology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID https://orcid.org/0009-0004-1770-9566
Rodrigo L LindenmeyerHospital de Clínicas de Porto Alegre, RS, Brazil.
Fabio LavinskyWills Eye Hospital, Philadelphia, Pennsylvania, United States of America.
Daniel LavinskyOphthalmology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Egidio PicettiOphthalmology, Grupo Hospitalar Conceição, Porto Alegre, RS, Brazil.
Mônica O da SilvaHospital de Clínicas de Porto Alegre, RS, Brazil.ORCID https://orcid.org/0000-0002-5268-2520
Diane R MarinhoOphthalmology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Thainá S MoreiraOphthalmology, Grupo Hospitalar Conceição, Porto Alegre, RS, Brazil.
Victória A SilveiraOphthalmology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Leonardo LeivasOphthalmology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Leonardo da C MeirelesOphthalmology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Helena M PakterOphthalmology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo compare the effectiveness of PSLT and the use of topical prostaglandin eye drops in the treatment of ocular hypertensive (OHT) or open-angle glaucoma patients (POAG) in reducing intraocular pressure (IOP) and peak IOP.

methodsThis is a non-inferiority randomized clinical trial, after washout, both patients eyes were randomized, one eye treated with PSLT (intervention group) and the contralateral eye treated with travoprost eye drops (controls). IOP, peak IOP by water drinking test (WDT), visual field (VF) and OCT were performed at baseline and at 7 days, 2, 6, 9 and 12 months after treatment. The primary outcome measure was to assess if the impact of PSLT on IOP and peak IOP is not inferior to that of the standard treatment (travoprost eye drops) by a margin not greater than the predefined threshold of 1.5 mmHg.

resultsA total of 30 patients participated in this trial. The mean baseline IOP was similar in both groups, 18.8 ± 4.0 mmHg and 18.8 ± 4.2 mmHg, intervention and control respectively. At 2, 6 and 9 months of treatment no significant difference in IOP was found between the two groups. At 12 months of follow-up the PSLT group showed lower average IOP (13.5 ± 2.3 mmHg versus 14.9 ± 2.7 and p < 0.001). Similar results were found for peak IOP in the WDT. On average there was no progression over time and no significant difference between groups regarding VF and OCT parameters.

conclusionPSLT was as effective as prostaglandin eye drops in reducing IOP and IOP peak in POAG and OHT patients. These findings are especially important as interest grows in minimally invasive glaucoma treatments and reducing reliance on topical medications.

trial registrationClinicaltrials.gov NCT05241938.

Indexed as

Antihypertensive AgentsGlaucoma, Open-AngleLaser TherapyOcular HypertensionTrabeculectomyTravoprostAgedFemaleHumansIntraocular PressureMaleMiddle AgedOphthalmic SolutionsTreatment OutcomeAntihypertensive AgentsOphthalmic SolutionsTravoprost

Identifiers

PMID42418463
PMCPMC13345268

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.