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. 2017 Feb 23;2017(2):CD010746. doi: 10.1002/14651858.CD010746.pub2

Yalvaç 1996.

Methods Study design: parallel‐group RCT
Country: Turkey
Number randomized:
Total: 48
Per group: apraclonidine/180° ALT = 16, apraclonidine/360° ALT = 16, placebo/180° ALT = 16
Exclusions after randomization: none reported
Number analyzed:
Total: 48
Per group: apraclonidine/180° ALT = 16, apraclonidine/360° ALT = 16, placebo/180° ALT = 16
Unit of analysis (participants vs eyes): participant (1 eye per person)
Losses to follow‐up: none reported
How was missing data handled?: N/A
Reported power calculation: no
Unusual study design?: none
Participants Age (mean ± SD; years): apraclonidine/180° ALT = 63.3 ± 8.8, apraclonidine/360° ALT = 65.5 ± 7.4, placebo/180° ALT = 62.1 ± 8.3
Females: apraclonidine/180° ALT = 25%, apraclonidine/360° ALT = 38%, placebo/180° ALT = 31%
Inclusion criteria: people with POAG, defined by optic disk cupping and visual field loss and a pretreatment IOP > 21 mmHg on maximally tolerated medical therapy
Exclusion criteria: previous intraocular surgical procedures or laser treatment, secondary OAG (i.e. pigmentary, exfoliative, or uveitic), and aged < 40 years
Equivalence of baseline characteristics: yes, "There were no significant differences among the three groups in terms of average age, gender, preoperative IOP, or number of antiglaucoma medications (P>0.05)."
Interventions Intervention 1: apraclonidine 1%, 1 hour before and immediately after 180° ALT
Intervention 2: apraclonidine 1%, 1 hour before and immediately after 360° ALT
Intervention 3: placebo, 1 hour before and immediately after 180° ALT
Length of follow‐up:
Planned: 3 hours
Actual: 3 hours
Outcomes Primary outcomes: IOP change, frequency of IOP elevation
Secondary outcomes: none reported
Adverse events reported: no
Intervals at which outcomes assessed: baseline; 1, 2, 3 hours after treatment
Notes Trial registration: not reported
Funding sources: none reported
Disclosures of interest: not reported
Study period: not reported
Reported subgroup analyses: no
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomization sequence generation not described.
Allocation concealment (selection bias) Unclear risk Allocation concealment not reported.
Masking of participants and personnel (performance bias) Unclear risk No information on masking of participants and personnel reported.
Masking of outcome assessment (detection bias) Low risk "IOP was measured preoperatively and 1, 2, and 3 hours after treatment by an observer who was blinded to the random assignment of treatment with the drugs."
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Study did not address whether outcome data were complete at each time point, but study only lasted 3 hours post‐ALT.
Selective reporting (reporting bias) Unclear risk Unclear whether there was selective outcome reporting.
Other bias Unclear risk Funding sources not reported.

ALT: argon laser trabeculoplasty; BP: blood pressure; IOP: intraocular pressure; LTP: laser trabeculoplasty; min: minute; N/A: not applicable; Nd:YAG: neodymium‐doped yttrium aluminum garnet; OAG: open‐angle glaucoma; POAG: primary open‐angle glaucoma; RCT: randomized controlled trial; SD: standard deviation; SLT: selective laser trabeculoplasty.