The comparative cardiovascular pulmonary ocular blood flow and ocular hypotensive effects of topical travoprost bimatoprost brimonidine and betaxolol      
Yazarlar (8)
Ümit Ubeyt Inan
Afyon Kocatepe Üniversitesi Tıp Fakültesi, Türkiye
Sitki Samet Ermis
Afyon Kocatepe Üniversitesi Tıp Fakültesi, Türkiye
Ayse Orman
Afyon Kocatepe Üniversitesi Tıp Fakültesi, Türkiye
Ersel Onrat
Afyon Kocatepe Üniversitesi Tıp Fakültesi, Türkiye
Aylin Yucel
Afyon Kocatepe Üniversitesi Tıp Fakültesi, Türkiye
Faruk Ozturk
Afyon Kocatepe Üniversitesi Tıp Fakültesi, Türkiye
Ali Asagidag
Afyon Kocatepe Üniversitesi Tıp Fakültesi, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı JOURNAL OF OCULAR PHARMACOLOGY AND THERAPEUTICS
Dergi ISSN 1080-7683 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 01-2004
Cilt No 20
Sayı 4
Sayfalar 293 / 310
DOI Numarası 10.1089/1080768041725344
Özet
Objective: This study evaluated systemic and ocular acute safety and intraocular pressure (IOP)-lowering efficacy of travoprost 0.004% and bimatoprost 0.03%, compared to brimonidine 0.2% and betaxolol 0.25% in healthy subjects. Patients and Method: Nineteen (19) young men, ages between 24 and 42, were enrolled in a single-center, institutional randomized, double-masked, crossover clinical trial. Baseline IOP, heart rate, blood pressure, and respiratory rate were recorded at hour 0. At minute 30, heart rate, blood pressure, respiratory rate, and spirometry were measured. At hour 1, color Doppler imaging of retrobulbar vessels was performed. At hour 2, heart rate, blood pressure, and respiratory rate were measured; spirometry and a 15-minute treadmill test were performed. The same protocol was applied after one drop of a study medication was instilled into each eye on four subsequent visits at 5-day intervals. Results: Travoprost and bimatoprost did not cause significant reductions in systolic blood pressure during exercise and recovery. The mean respiratory rate and forced expiratory volume in 1 second were not significantly altered by any study medication. Travoprost reduced the resistive index and increased blood velocities in the ophthalmic artery and its branches. Bimatoprost caused a significant increase in end diastolic velocity of the ophthalmic artery. At hour 6, all medications reduced IOP significantly (p < 0.05). The most frequent ocular side effect of travoprost and bimatoprost was conjunctival hyperemia. Conclusion: Travoprost and bimatoprost were found to be systemically safe and caused an increase in blood-flow velocities of the retrobulbar vessels after a single-dose application. Their ocular hypotensive effect was comparable to that of brimonidine and greater than that of betaxolol in healthy subjects.
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