Dorzolamide Hydrochloride %2 and Timolol Maleate %0.5 Fixed Combination in Lowering Intraocular Pressure after Phacoemulsification cataract Surgery
DOI:
https://doi.org/10.56056/amj.2017.16Keywords:
Dorzolamide, Timolol, Cataract surgeryAbstract
Background and objectives: To evaluate the role of dorzolamide –timolol fixed combination in lowering intraocular pressure (IOP) after cataract surgery.
Methods: The study included 94 eyes of 89 patients who underwent cataract surgery and intraocular lens implantation. Patients planed for phacoemulsification were assigned to 1 of 2 groups. The treatment group received 1 drop of dorzolamide-timolol fixed combination immediately after surgery, and the control group received no treatment. The IOP was measured preoperatively and at 6 hours and 24 hours post- operatively.
Results: The mean IOP change was lower in the treatment group than in the control group at 6 hours postoperatively. The difference between the mean IOP a value of the two groups at 6 hours postoperatively was found to be statistically significant. Twenty-four hours after the surgery, the mean IOP change was still higher in the control group when compared to the treatment group.
Conclusions: The fixed combination dorzolamide-timolol can effectively lower IOP after phacoemulsification cataract surgery.
Downloads
References
Kooner KS, Cooksey JC, Perry P, Zimmerman TJ. Intraocular pres- sure following ECCE, phacoemulsification, and PC-IOL implantation. Ophthalmic Surg. 1988;19(9):643-646
Shingleton B, Wadhwani R, O›Donoghue MV, Baylus S, Hoey H. Eval- uation of intraocular pressure in the immediate period after phacoemulsification. J Cataract Refractive Surg. 2001; 27(4):524-27
Kemal O, Nesrin Buyuktortop, Nurgul Ornek, Rehan Ogurel, Elif Er- bahceci, Zafer Onaran. Effect of 1% brinzolamide and 0.5% timolol fixed combination on intraocular pressure after cataract surgery with phacoemulsification. Int J Ophthalmol. 2013; 6(6)
Rossi GC, Tinelli C, Pasinetti GM, Fusetti M, Pallavicini C, Stringa M et al. Signs and symptoms of ocular surface status in glaucoma pa- tients switched from timolol 0.5% to brinzolamide 1% /timolol 0.5% fixed combination: a 6-month efficacy and tolerability, multicenter, open-label prospective study. Expert Opin Pharmacother. 2011;12(5):685-90
Georgakopoulos CD, Makri OE, Plotas P, Pharmakakis N. Brinzola- mide-timolol fixed combination for the prevention of intraocular pres- sure elevation after phacoemulsification. Clinical Expert Ophthalmol. 2013;41(7):662-67
Byrd S, Singh K. Medical control of intraocular pressure after cata ract surgery. J Cataract Refractive Surg. 1998;24(11):1493-97
Rainer G, Menapace R, Findl O, Sacu S, Schmid K, Petternel V, Kiss B, Georgopoulos M. Effect of a fixed dorzolamide timolol combination on intraocular pressure after small incision cataract surgery with Viscoat. J Cataract Refractive Surg. 2003;29(9):1748-52
Arici MK, Erdogan H, Toker I, Vural A, Topalkara A. The effect of latanoprost, bimatoprost, and travoprost on intraocular pressure after cataract surgery. J Ocul Pharmacol Ther. 2006;22(1):34-40
Rainer G, Menapace R, Findl O, Petternel V, Kiss B, Georgopoulos M. Effect of topical brimonidine on intraocular pressure after small incision cataract surgery. J Cataract Refractive Surg. 2001;27(8):1227-31
Kanellopoulos AJ, Perry HD, Donnenfeld ED. Timolol gel versus acetazolamide in the prophylaxis of ocular hypertension after phacoemulsification. J Cataract Refractive Surg. 1997;23(7):1070-74
Tranos P, Bhar G, Little B. Postoperative intraocular pressure spikes: the need to treat. Eye Lond. 2004;18(7):673-79
Hildebrand GD, Wickremasinghe SS, Tranos PG, Harris ML, Little BC. Efficacy of anterior chamber decompression in controlling early intraocular pressure spikes after uneventful phacoemulsification. J Cataract Refractive Surg. 2003;29(6):1087-92
Kasetti SR, Desai SP, Sivakumar S, Sunderraj P. Preventing intraocular pressure increase after phacoemulsification and the role of perioperative apraclonidine. J Cataract Refractive Surg.2002;28(12):2177-80
Dayanir V, Ozcura F, Kir E, Topaloglu A, Ozkan SB, Aktunc T. Medi- cal control of intraocular pressure after phacoemulsification. J Cataract Refractive Surg 2005;31(3):484-488
Rainer G, Menapace R, Schmetterer K, Findl O, Gorgopoulos M, Vass C. Effect of dorzolamide and latanoprost on intraocular pressure after small incision cataract surgery. J Cataract Refractive Surg. 1999;25(12):1624-29
Ermis SS, Ozturk F, Inan UU. Comparing the effects of travoprost and brinzolamide on intraocular pressure after phacoemulsification. Eye Lond. 2005;19(3):303-307
Lai JS, Chua JK, Leung AT, Lam DSl. Latanoprost versus timolol gel to prevent ocular hypertension after phacoemulsification and in- traocular lens implantation. J Cataract Refractive Surg. 2000;26(3):386-91
Rainer G, Menapace R, Findl O, Petternel V, Kiss B, Georgopou- los M. Intraindividual comparison of the effects of a fixed dorzola- mide-timolol combination and latanoprost on intraocular pressure after small incision cataract surgery. J Cataract Refractive Surg. 2001;27(5):706-10
Orzalesi N, Rossetti L, Bottoli A, Fumagalli E, Fogagnolo P. The effect of latanoprost, brimonidine, and a fixed combination of timolol and dorzolamide on circadian intraocular pressure in patients with glaucoma or ocular hypertension. Arch Ophthalmol. 003;121(4):453-57
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 amj_admin amj_admin
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The copyright on any article published in AMJ (The Scientific Journal of Kurdistan Higher Council of Medical Specialties )is retained by the author(s) in agreement with the Creative Commons Attribution Non-Commercial ShareAlike License (CC BY-NC-SA 4.0)