comparative evaluation of the efficacy of the bimatoprost 0.03%, brimonidine 0.2%, brinzolamide 1%, dorzolamide 2%, and travoprost 0.004%timolol 0.5%-fixed combinations in patients affected by open-angle glaucoma英文论文.pdfVIP
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comparative evaluation of the efficacy of the bimatoprost 0.03%, brimonidine 0.2%, brinzolamide 1%, dorzolamide 2%, and travoprost 0.004%timolol 0.5%-fixed combinations in patients affected by open-angle glaucoma英文论文
Open Journal of Ophthalmology, 2012, 2, 122-126
/10.4236/ojoph.2012.24027 Published Online November 2012 (http://www.SciRP.org/journal/ojoph)
Comparative Evaluation of the Efficacy of the Bimatoprost
0.03%, Brimonidine 0.2%, Brinzolamide 1%, Dorzolamide
2%, and Travoprost 0.004%/Timolol 0.5%-Fixed
Combinations in Patients Affected by Open-Angle
*
Glaucoma
Italo Giuffre
Department of Ophthalmology, Medical School, Catholic University of Rome, Rome, Italy.
Email: italogiuffre@libero.it
Received July 20th, 2012; revised September 22nd, 2012; accepted October 30th, 2012
ABSTRACT
Purpose: This is a retrospective, comparative, head-to-head, not commissioned study about the efficacy of bimatoprost
0.03%, brimonidine 0.2%, brinzolamide 1%, dorzolamide 2%, and travoprost 0.004%/timolol 0.5%-fixed combinations
in patients affected by naΐve open-angle glaucoma and IOP 25 mmHg. Patients and Methods: Files from 70 patients
(35 M, 35 F, mean age 69.52 y, S.D. 11.56, range: 37 - 87 y) in our Glaucoma Service were retrospectively analyzed as
long as 12 months. Every subgroup, including 14 age- and sex-matched patients, was allocated to 1 of the 5 groups of
the fixed combinations monotherapy. Data recorded after 3 months follow-up were statistically analyzed by descriptive
and ANOVA statistics as percentage of IOP reduction from baseline. Results: All the fixed combinations were effective
in lowering IOP. The mean percentage reduction was: brimonidine/timolol 43.57%, dorzolamide/timolol 37.67%, bi-
matoprost/timolol 35.60%, travoprost/timolol 33.25% and brinzolamide/timolol 23.0%. The brimonidine/timolol fixed
combination showed to be statistically significant more effective only than brinzolamide/timolol fixed combination (p =
0.001). Setting the α error to 5%, the power of the study is 26%, phi: 0.842. Discussion: In all this cohort of patients the
target IOP was successfully achieved. All the fixed combinations used in this study h
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