Description
Inclusion Criteria:
- * Any self-declared ethnicity-race
- * Open-angle with one of the following:
- 1. Untreated OHT ≥ 21mmHg
- 2. Treated OHT with history of IOP ≥ 21 mmHg on 2 prior clinic visits or IOP ≥ 21 mmHg at screening
- 3. Mild-to-moderate stage open-angle glaucoma based on history of untreated IOP ≥ 21 mmHg
- * Reliable Humphrey visual field test result within previous 1 year
- * Open on gonioscopy within previous 1 year
- * At least one eye must be phakic
- * Able to cooperate for aqueous humor dynamic procedures
- * Able to participate on site over the multi-visit study period
- * Contact lenses must be removed before topical fluorescein instillation and remain out until study testing the following day is completed.
- * Contact lenses must be removed for the entire duration of the study visits.
- * All study medication must be used without contact lenses in the eyes.
Exclusion Criteria:
- * Women who are pregnant or breastfeeding
- * IOP ≥ 38 in study eye(s) or at discretion of the clinician
- * Refusal to remove contact lenses
- * Advanced visual field loss (MD ≤ -16 dB) or threat to fixation in study eye(s) or at discretion of the clinician
- * Study eye(s) with any sign of Fuchs cornea dystrophy as noted clinically with guttae and corneal edema
- * Narrow angle of ≤ Shaffer grade 2 for 180 degrees, peripheral synechiae, or peripheral iridotomy in either eye
- * History of acute angle closure crisis in either eye
- * History of glaucoma incisional surgery (e.g., trabeculectomy, glaucoma drainage implant, Xen gel stent) in study eye(s)
- * History of minimally invasive glaucoma surgery (MIGS, e.g., angle surgery, Cypass) in study eye(s)
- * History of any cycloablation surgery (e.g., micropulse or diode transcleral or endoscopic cyclophotocoagulation) in study eye(s)
- * Study eye cannot have history of any past SLT or ALT glaucoma laser treatments.
- * Study eye(s) cannot have any history of refractive surgery
- * Study eye(s) cannot have any history of herpetic infection of the cornea
- * Study eye(s) cannot have chronic or recurrent inflammatory eye disease
- * Study eye(s) cannot have ocular trauma within the past 6 months, other than uncomplicated cornea abrasion
- * Study eye(s) cannot have ocular infection in the past 3 months
- * Study eye(s) cannot have clinically significant retinal disease that includes proliferative diabetic retinopathy, vein occlusion, cystoid macular edema, wet age-related macular degeneration
- * History of intraocular or peri-ocular injections in study eye(s) within 3 months
- * History of oral steroid use within 30 days of screening Visit 1
- * Any abnormality preventing reliable fluorophotometry (e.g., corneal scarring or severe dry eye with fluorescein staining)
- * Serious hypersensitivity to any components of study medications or risk from treatment (e.g., sulfa drug allergy, bradycardia, severe asthma, or emphysema)
- * Participants must be on minimum 30-day stable regimen prior to Visit 1 for a systemic medication that may affect IOP (i.e., sympathomimetics, beta-blockers, alpha-adrenergic agonists and blockers, calcium channel blockers, angiotensin converting enzyme inhibitors, etc.). Any change of such medication during the study will result in exclusion.
- * Prohibited meds during study: cannabis products, brimonidine 0.025% (Lumify), bimatoprost 0.03% for eyelash growth (Latisse), topical ocular and peri-ocular steroids, oral steroids
Ages Eligible for Study:
30 Years to N/A (ADULT, OLDER_ADULT)
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
No