Glaucoma
Conditions
Keywords
24-hour IOP control, primary open-angle glaucoma, brimonidine/timolol, dorzolamide/timolol
Brief summary
The proposed study will compare for the first time the quality of 24-hour IOP control with Brimonidine/Timolol fixed combination (BTFC) versus Dorzolamide/Timolol fixed combination (DTFC) after a run-in period of 2 months with timolol. This crossover comparison may determine the real efficacy of the two fixed combinations and the design of the proposed study may explain for the first time why the 24-hour IOP reduction provided by BTFC is less than might be anticipated.
Interventions
24-hour IOP control with the two fixed combinations
24-hour pressure control with brimonidine/timolol
Sponsors
Study design
Eligibility
Inclusion criteria
* Consecutive, newly diagnosed or previously untreated POAG patients * Patients with typical glaucomatous disc, or visual field damage * Patient must have IOP (at 10:00 ± 1 hour)greater than 25 mm Hg
Exclusion criteria
* Uncontrolled glaucoma * Distance best corrected Snellen visual acuity worse than 1/10 * Contraindications to brimonidine or dorzolamide and β-blockers * History of lack of response (\<10% morning IOP reduction) to any medication * Patient can not understand the instructions and adhere to medications * Patient is a female of childbearing potential or lactating mother * Prior surgery, past use of steroids (within 2 months) * Severe dry eyes and use of contact lenses * History of non-adherence * Patients with closed angles
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the quality of 24-hour IOP control after 2 months of chronic therapy with the Dorzolamide/Timolol fixed combination versus the Brimonidine/Timolol fixed combination in primary open-angle glaucoma. | 3 months |
Secondary
| Measure | Time frame |
|---|---|
| Assess fluctuation of 24-hour pressure | 3 months |
Countries
Greece