Original Article

Effects of Latanoprost 0.005%/Timolol Maleate 0.5% and Dorzolamide 2%/Timolol Maleate 0.5% Fixed Combinations on 24-hour Intraocular Pressure in Patients with Primary Open-Angle Glaucoma

10.4274/tjo.42.30074

  • Berna Yüce
  • Suzan Güven Yilmaz
  • Kutay Andaç
  • Halil Ates

Received Date: 27.03.2011 Accepted Date: 22.08.2011 Turk J Ophthalmol 2012;42(1):5-10

Pur­po­se:

To evaluate the effects of latanoprost/timolol maleate and dorzolamid/timolol maleate fixed combinations on-24 hours intraocular pressure in patients with open-angle glaucoma.

Ma­te­ri­als and Met­hod:

Forty-eight eyes of 24 patients with open-angle glaucoma were enrolled in the study. They were randomized to receive fixed combinations of either latanoprost/timolol maleate (Group 1 - 24 eyes of 12 patients) or dorzolamid/timolol maleate (Group 2 - 24 eyes of 12 patients). Patients who achieved intraocular pressure of ≤ 21 mmHg 3 weeks after combined therapy were hospitalized and intraocular pressure was monitored at hour 06:00, 10:00, 14:00, 18:00, 22:00 and 02:00 for 24 hours. Diurnal and nocturnal fluctuations were determined by measurements done between 06:00 and 18:00 hours and between 22:00 and 02:00, respectively. Mean intraocular pressure and fluctuations of intraocular pressure between the two groups were compared.

Re­sults:

There was no difference between the groups in terms of age, sex, visual acuity and cup/disc ratio (p>0.05). Three weeks after combined therapy, all patients achieved target intraocular pressure of ≤ 21 mmHg. There was no statistically significant difference between the two groups with regard to mean intraocular pressure over 24 hours (17.1±2.3 mmHg and 17.27±2.3 mmHg for Group 1 and Group 2, respectively; p>0.05). Diurnal fluctuations were 3.6 mmHg for Group 1 and 4.7 mmHg for Group 2; nocturnal fluctuations were 4.3 mmHg for Group 1 and 2.3 mmHg for Group 2. Diurnal fluctuations in Group 1 were lower than in Group 2, while nocturnal fluctuations were lower in Group 2 than in Group 1 (p<0.05).

Dis­cus­si­on:

Both latanoprost/timolol maleate and dorzolamid/timolol maleate fixed combinations are effective for 24-hour intraocular pressure control. Latanoprost/timolol maleate fixed combination is superior to dorzolamid/timolol maleate in controlling diurnal fluctuations, while dorzolamid/timolol maleate is better in controlling nocturnal fluctuations. (Turk J Ophthalmol 2012; 42: 5-10)

Keywords: Latanoprost 0.005%/Timolol Maleate 0.5%, Dorzolamid 2%/Timolol Maleate 0.5%, intraocular pressure

Full Text (Turkish)