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Short‐term effect of latanoprost on ocular circulation in ocular hypertension
Author(s) -
Akarsu Cengiz,
Bilgili Yasemin Karadeniz,
Taner Pelin,
Ünal Birsen,
Ergin Ahmet
Publication year - 2004
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1111/j.1442-9071.2004.00840.x
Subject(s) - latanoprost , medicine , intraocular pressure , ophthalmology , placebo , dosing , blood pressure , ciliary arteries , glaucoma , blood flow , retinal , ocular hypertension , vascular resistance , ophthalmic artery , alternative medicine , pathology
Purpose: To determine the short‐term effects of latanoprost on retrobulbar circulation in ocular hypertension. Methods: Forty‐six eyes of 23 consecutive bilateral ocular hypertensive patients with an intraocular pressure (IOP) of greater than 22 mmHg were evaluated in a prospective controlled study. All subjects received a single drop of latanoprost 0.005% in one eye and placebo in the fellow control eye. Systemic circulatory parameters, intraocular pressure, blood flow velocities, and resistance indices of the ophthalmic, short posterior ciliary and central retinal arteries were measured using colour Doppler imaging at baseline and 2 h and 8 h after dosing. Results: Latanoprost lowered IOP significantly after 2 h and 8 h ( P < 0.01). The mean IOP reduction was 6.7 mmHg 8 h after dosing. At baseline, there were no statistically significant differences in any retrobulbar vessels of eyes that received a single drop of latanoprost when compared with the eyes that received placebo ( P > 0.05). Comparisons with baseline and latanoprost conditions revealed that latanoprost did not alter the blood flow velocities and resistance indices in the ophthalmic ( P > 0.05), posterior ciliary ( P > 0.05) and central retinal ( P > 0.05) arteries 2 h and 8 h after dosing. The systolic and diastolic blood pressures ( P = 0.74 , P = 0.29, respectively) and pulse rate ( P = 0.68) remained unchanged over the 8‐h period. Conclusions: This study found that a single drop of latanoprost significantly reduces intraocular pressure 8 h after dosing. However, it does not have any short‐term effects on the retrobulbar haemodynamics in ocular hypertensive eyes.