TİMOLOL/BRİNZOLOMİD KOMBİNASYONU İLE TİMOLOL/DORZOLOMİD KOMBİNASYONUN GÖZ TANSİYONU AÇISINDAN KARŞILAŞTIRILMASI

Amaç: Bu çalışmanın amacı timolol/dorzolamid vetimolol/brinzolamid sabit kombinasyon ilaçlarınıngöz içi basıncı üzerine etkisini karşılaştırmaktır.Gereç ve Yöntem: Bu retrospektif bir çalışmadır.Monoterapiye rağmen intraoküler basıncı yüksekolan ve kombinasyon tedavisine geçilen primer açıkaçılı glokom hastaları çalışmaya dahil edildi. .Toplam 50 hastanın 50 gözü çalışmaya alınmıştır(timolol /dorzolamid grubunda 26, timolol/brinzolamid grubunda 24 hasta). İridokorneal açıdasineşi olmayan, hikayesinde başka herhangi bir gözhastalığı olan veya herhangi bir göz ameliyatıgeçiren hastalar çalışmaya dahil edilmemiştir.Kaydedilmiş olan 4.hafta ve 4.ay göz içi basınçdeğerleri karşılaştırıldı.Bulgular: Bazal intraoküler basınç değeritimolol/dorzolamid grubunda 23,2±3,3 (17-28mmHg), timolol/brinzolamid grubunda ise 23,1±2,8(17-28 mmHg) olarak bulundu. 4.hafta sonundaelde edilen intraoküler basınç değerleri timolol/dorzolomid grubunda 15,3 ±2,3 (11-20mmHg),timolol/brinzolomid grubunda ise 15,8±2,7(11-19mmHg) idi. Bu değerler arasında istatistikselolarak anlamlı fark bulunamadı. 4.ay sonunda eldeedilen İOB değerleri timolol/dorzolamid grubunda15,8±3,1 (11-21mmHg), timolol/brinzolomidgrubunda ise 16,1±2,8 (12-22mmHg) olarakbulundu. Bu değerler arasında istatistiksel olarakanlamlı fark bulunamadı.Sonuç: Her iki ilaçta intraoküler basıncı başarılı birşekilde düşürmüştür fakat 4.hafta ve 4.ay değerleriarasında istatistiksel olarak anlamlı bir fark yoktur.

Comparison the effect of timolol/brinzolomid and timolol/ dorzolamid fixedcombination drugs on intraocular pressure

Objective: The aim of this study is to compare the effect timolol/brinzolomid fixed-combination drugs on intraocular pressure. Materials and Methods: This is a retrospective study. The primary open angle glaucoma patients that were switched to fixed-combination drugs due to high intraocular pressure despite monotherapy were included to the study. The intraocular pressure records of 4.week and 4.month were compared. Results: The baseline intraocular pressure levels were timolol/dorzolamid group and 23,1±2,8 (17-28 mmHg) in timolol/brinzolamid group. After 4.weeks of combination treatment intraocular pressure levels were 15,3 ±2,3 mmHg (1120mmHg) in timolol/ dorzolomid and 15,8±2,7(1119mmHg) in timolol/brinzolomid. After 4.nmonths of combination treatment intraocular pressure levels were 15,8±3,1 (11-21mmHg) in timolol/dorzolamid group timolol/brinzolomid group. There statistically significant difference between the groups. Conclusion: Both fixed combination drugs decreased the intraocular pressure successfully but there was no statistically significant difference between intraocular pressure levels at 4.week and 4.month. Key dorzolamid

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  • Sanseau A, Sampaolesi J, Suzuki ER Jr, Lopes JF, Borel H. Preference for a fixed combination of
  • brinzolamide/timolol versus dorzolamide/timolol among patients with open-angle glaucoma or ocular
  • hypertension. Clin Ophthalmol. 2013;7:357-62.
  • Kass MA, Heuer DK, Higginbotham EJ. The Ocular Hypertension Treatment Study: a randomized
  • trial determines that topical ocular hypotensive medication delays or prevents the onset of primary
  • open-angle glaucoma. Arch Ophthalmol. 2002;120:701–713.
  • European Glaucoma Society. Terminology and Guidelines for Glaucoma. 3rd ed. 87-88.
  • Boyle JE, Ghosh K, Gieser DK, Adamsons IA. Ophthalmology A randomized trial comparing the
  • dorzolamide-timolol combination given twice daily to monotherapy with timolol and dorzolamide.
  • Ophthalmology. 1999;106:10-6.
  • Strohmaier K, Snyder E, DuBiner H, Adamsons I. The efficacy and safety of the dorzolamidetimolol
  • combination versus the concomitant administration of its components. Dorzolamide-Timolol
  • Study Group.Ophthalmology. 1998;105(10):1936-44.
  • Kaback M, Scoper SV, Arzeno G, et al. Brinzolamide 1%/Timolol 0.5% Study Group. Intraocular
  • pressure-lowering efficacy of brinzolamide 1%/timolol 0.5% fixed combination compared with
  • brinzolamide 1% and timolol 0.5%. Ophthalmology. 2008;115:1728–1734, 1734.
  • Vold SD, Evans RM, Stewart RH, Walters T, Mallick S. A one-week comfort study of BID-dosed
  • brinzolamide 1%/timolol 0.5% ophthalmic suspension fixed combination compared to BID-dosed
  • dorzolamide 2%/timolol 0.5% ophthalmic solution in patients with open-angle glaucoma or ocular
  • hypertension. J Ocul Pharmacol Ther. 2008 ;24:601-5.
  • Manni G, Denis P, Chew P, Sharpe ED, Orengo-Nania S, Coote MA, Laganovska G, Volksone L,
  • Zeyen T, Filatori I, James J, Aung T. The safety and efficacy of brinzolamide 1%/timolol 0.5% fixed
  • combination versus dorzolamide 2%/timolol 0.5% in patients with open-angle glaucoma or ocular
  • hypertension. J Glaucoma. 2009 ;18:293-300.
  • Barnebey H1, Kwok SY. Patients' acceptance of a switch from dorzolamide to brinzolamide for the
  • treatment of glaucoma in a clinical practice setting. Clin Ther. 2000 ;22:1204-12.
  • Mulaney J, Sonty S, Ahmad A, Stewart JA, Stewart WC. Comparison of daytime efficacy and
  • safety of dorzolamide/timolol maleate fixed combination versus latanoprost. Eur J Ophthalmol.
  • ;18:556–62.
  • Parmaksiz S, Yuksel N, Karabas VL, Ozkan B, Demirci G, Caglar Y. A comparison of travoprost,
  • latanoprost, and the fixed combination of dorzolamide and timolol in patients with pseudoexfolitation
  • glaucoma. Eur J Ophthalmol. 2006;16:73–80