First experience with BAK-free travoprost 0.004% in topical glaucoma medication.

作者: Gado , Tamer Macky

DOI: 10.2147/OPTH.S24983

关键词: MedicineOphthalmologyGlaucoma medicationGlaucomaConjunctival hyperemiaAdverse effectItchingIntraocular pressureTravoprostTolerability

摘要: OBJECTIVES Benzalkonium chloride (BAK)-free travoprost 0.004% (Travatan Z(®), Alcon Laboratories, Inc, Fort Worth, TX) is a new formulation that was developed with the aim of creating would maintain intraocular pressure (IOP)-lowering efficacy and have an improved overall safety profile, particularly ocular surface tolerability. METHODS Thirty newly diagnosed primary open-angle glaucoma (POAG) patients were treated BAK-free 0.004%. IOP readings recorded at baseline before initiating treatment, 4-6 weeks, after 12 weeks starting treatment. In addition, patient demographics, subjective symptoms (ie, burning, foreign-body sensation, itching, stinging), objective clinical signs such as conjunctival hyperemia collected. Subjective evaluated using four-point scale ranging from "no symptoms," "mild "moderate symptoms" to "severe symptoms." As for signs, severity evaluated. All other adverse events RESULTS provided decrease in all patients, mean 28.3 ± 2.1 mmHg 18.7 1.6 18.4 1.4 weeks. Both very few CONCLUSION The results demonstrate effective, well tolerated, safe medication POAG patients.

参考文章(11)
Robert Noecker, Effects of common ophthalmic preservatives on ocular health Advances in Therapy. ,vol. 18, pp. 205- 215 ,(2001) , 10.1007/BF02853166
Malik Y. Kahook, Robert Noecker, Quantitative analysis of conjunctival goblet cells after chronic application of topical drops. Advances in Therapy. ,vol. 25, pp. 743- 751 ,(2008) , 10.1007/S12325-008-0078-Y
, Stefano Gandolfi, Tania Paredes, Ivan Goldberg, Michael Coote, Anthony Wells, Lasma Volksone, Manju R. Pillai, Ingeborg Stalmans, Philippe Denis, Comparison of a travoprost BAK-free formulation preserved with polyquaternium-1 with BAK-preserved travoprost in ocular hypertension or open-angle glaucoma. European Journal of Ophthalmology. ,vol. 22, pp. 34- 44 ,(2012) , 10.5301/EJO.5000001
Hannu Uusitalo, Enping Chen, Norbert Pfeiffer, Françoise Brignole-Baudouin, Kai Kaarniranta, Markku Leino, Päivi Puska, Elina Palmgren, Thomas Hamacher, Günter Hofmann, Gernot Petzold, Ulrich Richter, Tobias Riedel, Martin Winter, Auli Ropo, Switching from a preserved to a preservative‐free prostaglandin preparation in topical glaucoma medication Acta Ophthalmologica. ,vol. 88, pp. 329- 336 ,(2009) , 10.1111/J.1755-3768.2010.01907.X
Christophe Baudouin, Luisa Riancho, Jean-Michel Warnet, Franc¸oise Brignole, In vitro studies of antiglaucomatous prostaglandin analogues: travoprost with and without benzalkonium chloride and preserved latanoprost. Investigative Ophthalmology & Visual Science. ,vol. 48, pp. 4123- 4128 ,(2007) , 10.1167/IOVS.07-0266
Malik Kahook, Effects of prostaglandin analog therapy on the ocular surface of glaucoma patients Clinical Ophthalmology. ,vol. 3, pp. 291- 295 ,(2009) , 10.2147/OPTH.S5328