Visual function, optic nerve structure, and ocular blood flow parameters after 1 year of glaucoma treatment with fixed combinations

作者: Ingrida Januleviciene , Rita Ehrlich , Brent Siesky , Irena Nedzelskiené , Alon Harris

DOI: 10.1177/112067210901900517

关键词:

摘要: PURPOSE To compare the effects of latanoprost/timolol (LTFC) versus dorzolamide/timolol (DTFC) fixed combinations on intraocular pressure (IOP), visual function, and retrobulbar blood flow in patients with open-angle glaucoma (OAG). METHODS This was a prospective, randomized, double masked, parallel study 30 OAG. All received 4 weeks timolol treatment prior to randomization LTFC or DTFC treatment. Measurements after were taken at 1, 6, 12 months, including arterial pressure; IOP; color Doppler imaging ophthalmic artery (OA), central retinal artery, short posterior ciliary (SPCA); scanning laser polarimetry; Humphrey field examination; adverse events. RESULTS IOP decreased by 5.0 mmHg cohort (p<0.000) 5.44 (p=0.0001) months No statistically significant differences nerve fiber layer thickness observed between groups during therapy. Mean increase over 1 year ocular perfusion diastolic pressures 10.46% 10.67% group 7.47% 5.61% group, respectively. OA resistive index (RI) SPCA RI significantly different visit two (p=0.05 p=0.000, respectively): showed decrease RI. CONCLUSIONS One resulted similar lowering as well stable function structure. The lower vascular resistance vessels compared group.

参考文章(33)
M Sanchez-Salorio, R Perez, F Gonzalez, A Martinez, C Capeans, Dorzolamide effect on ocular blood flow. Investigative Ophthalmology & Visual Science. ,vol. 40, pp. 1270- 1275 ,(1999)
Alon Harris, Oliver Arend, Hak Sung Chung, Larry Kagemann, Louis Cantor, Bruce Martin, A comparative study of betaxolol and dorzolamide effect on ocular circulation in normal-tension glaucoma patients. Ophthalmology. ,vol. 107, pp. 430- 434 ,(2000) , 10.1016/S0161-6420(99)00093-7
Felipe A. Medeiros, Gianmarco Vizzeri, Linda M. Zangwill, Luciana M. Alencar, Pamela A. Sample, Robert N. Weinreb, Comparison of Retinal Nerve Fiber Layer and Optic Disc Imaging for Diagnosing Glaucoma in Patients Suspected of Having the Disease Ophthalmology. ,vol. 115, pp. 1340- 1346 ,(2008) , 10.1016/J.OPHTHA.2007.11.008
David F Woodward, June Chen, Fixed-combination and emerging glaucoma therapies Expert Opinion on Emerging Drugs. ,vol. 12, pp. 313- 327 ,(2007) , 10.1517/14728214.12.2.313
L. E. Pillunat, Andreas G. Böhm, Andrea U. Köller, Karl G. Schmidt, Maren Klemm, Gisbert Richard, Effect of topical dorzolamide on optic nerve head blood flow Graefes Archive for Clinical and Experimental Ophthalmology. ,vol. 237, pp. 495- 500 ,(1999) , 10.1007/S004170050268
Brent Siesky, Alon Harris, Daniel Sines, Ehud Rechtman, Victor E Malinovsky, Lynne McCranor, Chi-Wah Yung, Miriam Zalish, None, A comparative analysis of the effects of the fixed combination of timolol and dorzolamide versus latanoprost plus timolol on ocular hemodynamics and visual function in patients with primary open-angle glaucoma. Journal of Ocular Pharmacology and Therapeutics. ,vol. 22, pp. 353- 361 ,(2006) , 10.1089/JOP.2006.22.353
Ingar C. Bergstrand, Anders Heijl, Alon Harris, Dorzolamide and ocular blood flow in previously untreated glaucoma patients: a controlled double-masked study. Acta Ophthalmologica Scandinavica. ,vol. 80, pp. 176- 182 ,(2002) , 10.1034/J.1600-0420.2002.800211.X
N Plange, M Kaup, A Weber, K O Arend, A Remky, Retrobulbar haemodynamics and morphometric optic disc analysis in primary open-angle glaucoma. British Journal of Ophthalmology. ,vol. 90, pp. 1501- 1504 ,(2006) , 10.1136/BJO.2006.099853
Juan E. Grunwald, Sameer Mathur, Joan DuPont, Effects of dorzolamide hydrochloride 2% on the retinal circulation Acta Ophthalmologica Scandinavica. ,vol. 75, pp. 236- 238 ,(2009) , 10.1111/J.1600-0420.1997.TB00763.X