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CompletedNCT07729189Updated Jul 27, 2026

Prophylactic Use of Timolol Maleate to Prevent Intraocular Pressure Elevation After Nd:YAG Laser Posterior Capsulotomy

An interventional study of Timolol Maleate and No intervention in Capsule Opacification and Ocular Hypertension, sponsored by CMH Multan Institute of Medical Sciences. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-07-27.

Sponsored by CMH Multan Institute of Medical Sciences · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 1 year 4 months after the study started (first participant enrolled Mar 2025, registered Jul 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
210
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

This randomized controlled trial evaluated whether a single drop of 0.5% timolol maleate, administered before neodymium-doped yttrium aluminium garnet (Nd:YAG) laser posterior capsulotomy, reduced the rise in intraocular pressure compared with standard care alone. The study included adults aged 18-65 years who had developed posterior capsular opacification at least 3 months after cataract surgery and were scheduled to undergo Nd:YAG laser posterior capsulotomy. Participants were randomly assigned to receive either prophylactic topical timolol maleate or standard care without prophylactic timolol. Intraocular pressure was measured before the laser procedure and again 1 hour after the procedure by an ophthalmologist who was unaware of the assigned treatment. The study was based on the hypothesis that mean intraocular pressure 1 hour after posterior capsulotomy would be lower among participants who received prophylactic timolol maleate than among those who received standard care alone.

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Conditions studied

  • Capsule Opacification
  • Ocular Hypertension

Keywords

  • Posterior Capsule Opacification
  • Timolol Maleate
  • Intraocular Pressure
  • Posterior Capsulotomy
  • Neodymium-Doped Yttrium Aluminum Garnet Laser
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In context

Capsule Opacification

28 studies on the registry are indexed under Capsule Opacification; 2 are open to participants now.

This study's enrollment of 210 is above the median of 63 across 16 interventional studies indexed under Capsule Opacification.

Browse Capsule Opacification studies →

Lead sponsor

CMH Multan Institute of Medical Sciences is the lead sponsor of 7 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults aged 18-65 years
  • Male or female participants
  • Diagnosed with posterior capsule opacification after cataract surgery
  • Posterior capsule opacification present for at least 3 months
  • Scheduled to undergo Nd:YAG laser posterior capsulotomy

Exclusion criteria

Exclusion Criteria:

  • History or documented diagnosis of glaucoma
  • Baseline intraocular pressure greater than 21 mmHg before the procedure
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
210 participants (actual)

Study arms

  • Experimental
    Group A - Prophylactic Timolol Maleate

    Participants received one drop of 0.5% timolol maleate ophthalmic solution immediately before Nd:YAG laser posterior capsulotomy. Intraocular pressure was measured before the procedure and 1 hour after capsulotomy. Participants also received the routine postoperative treatment prescribed for both study groups.

    Drug: Timolol Maleate

  • Placebo comparator
    Group B - Standard Care Alone

    Participants underwent Nd:YAG laser posterior capsulotomy without receiving prophylactic timolol maleate. Intraocular pressure was measured before the procedure and 1 hour after capsulotomy. Participants received the same routine postoperative treatment as the experimental group.

    Drug: No intervention

Interventions

  • One drop of 0.5% timolol maleate ophthalmic solution was administered topically immediately before Nd:YAG laser posterior capsulotomy.

  • DrugNo intervention

    No prophylactic intraocular pressure-lowering medication was administered before Nd:YAG laser posterior capsulotomy.

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What researchers measure

Primary outcomes

  1. Mean Intraocular Pressure 1 Hour After Nd:YAG Laser Posterior Capsulotomy

    Intraocular pressure was measured in millimetres of mercury using a Canon non-contact tonometer. The mean intraocular pressure measured 1 hour after Nd:YAG laser posterior capsulotomy was compared between participants who received one drop of 0.5% topical timolol maleate before the procedure and participants who received standard care without prophylactic timolol.

    Time frame: 1 hour after Nd:YAG laser posterior capsulotomy

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Study locations

1 site
  • CMH Institute of Medical Sciences
    Multan, Punjab Province 66000, Pakistan
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07729189
Lead sponsor
CMH Multan Institute of Medical Sciences
Responsible party
Sana Javed (Principal Investigator, CMH Multan Institute of Medical Sciences) — Principal investigator
First posted
Jul 27, 2026
Start date
Mar 10, 2025
Primary completion
Sep 10, 2025
Completion
Sep 10, 2025
Last update
Jul 27, 2026

Study contacts

Ifrah Idress Lodhi
principal investigator · CMH Institute of Medical Sciences

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Timolol

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