Normal Tension Glaucoma
Conditions
Keywords
Normal tension glaucoma, Antiglaucoma ophthalmic solution, Brimonidine, Timolol, Combination drugs
Brief summary
Purpose To evaluate efficacy and safety of combigan(Brimonidine/Timolol) and 0.5% Timoptic (Timolol) ophthalmic solutions in normal tension glaucoma patients.
Detailed description
* Normal tension glaucoma (NTG) is the major type of glaucoma in Korea. (over 90% of glaucoma type) * Brimonidine (selective alpha 2 adrenergic agonist): neuroprotection effect by suppression of aqueous humor production and increasement of uveoscleral outflow * Timolol (non selective beta blocker): suppression effect of aqueous humor production * Combigan (fixed combination of brimonidine & timolol): more lowering effect of intraocular pressure and enhancing the compliance of glaucoma patients
Interventions
Twice per day, 1 drop at each time
Twice per day, 1 drop at each time
Sponsors
Study design
Eligibility
Inclusion criteria
* over 18 years old * baseline IOP under 22 mmHg,both anterior chamber angle \> Grade 3\ 4 by Shaffer grading system
Exclusion criteria
* IOP over 22 mmHg by Goldmann applanation tonometer * other types of glaucoma except open angle * other IOP lowering treatment * chronic or recurrent Hx. of ocular inflammation * using contact lens * any other ocular disease that could affect visual field examination (diabetic retinopathy, macular disease, uveitis, scleritis, optic neuritis, anterior ischemic optic neuropathy) * intraocular or glaucoma surgery within 6 months * Hx. of allergic reaction to timolol or brimonidine * bronchial asthma * moderate to severe chronic obstructive pulmonary disease * heart failure * 2\ 3 degree A-V block, * MAO inhibitor use * anti depressant use * untreated pheochromocytoma * pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in intraocular pressure at 12 weeks | 12 weeks after the initial treatment | Intraocular pressure (IOP) check by Goldmann applanation tonometry with topical anesthetic eyedrop |
Countries
South Korea