Open AccessReal-World Clinical Impact of Netarsudil 0.02% at an Urban Safety-Net Hospital
Author(s) -
Gabrielle Fridman,
Natalie Sadlak,
Babak Eliassi-Rad,
Manishi Desai
Publication year - 2021
Publication title -
journal of ocular pharmacology and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.727
H-Index - 61
eISSN - 1557-7732
pISSN - 1080-7683
DOI - 10.1089/jop.2020.0112
Subject(s) - medicine , retrospective cohort study , adverse effect , cohort , emergency medicine , surgery
Purpose: To analyze the efficacy, safety, and accessibility of netarsudil 0.02% in patients with glaucoma (suspect, open or closed) at a safety-net academic medical center, Boston Medical Center (BMC). Methods: Retrospective chart review of patients prescribed netarsudil 0.02% for uncontrolled glaucoma at BMC between December 2017 and September 2019. Outcome measures included change in intraocular pressure (IOP) from baseline and evaluation of adverse events (AEs). Results: One hundred thirty patients (60% severe stage) were analyzed. The IOP reduction from baseline was about 3 mmHg. Fifty-four patients (42%) experienced an AE (eg, conjunctival hyperemia). Thirty-eight patients (29%) started netarsudil 0.02% in lieu of laser or surgery. Ninety-nine patients (71%) required prior authorization for insurance coverage of netarsudil 0.02%. Ten patients (7%) were unable to obtain netarsudil 0.02% due to issues with insurance coverage. Conclusion: Netarsudil 0.02% yielded significant IOP reduction in our cohort, however, to a smaller degree compared with prior studies that bore equivocal IOP reduction regardless of baseline IOP. Conjunctival hyperemia was the most common AE. In a limited number of patients, netarsudil 0.02% was not covered by insurance.