Glaucoma, Open-Angle
Conditions
Brief summary
To evaluate the long-term effects of oral citicoline, vitamins A, B, C and E, and blackcurrant therapy in patients with primary open-angle glaucoma (POAG) using optical coherence tomography (OCT), OCT angiography (OCTA) and microperimetry parameters.
Detailed description
AIMS: To evaluate the long-term effects of oral citicoline, vitamins A, B, C and E, and blackcurrant therapy in patients with primary open-angle glaucoma (POAG) using optical coherence tomography (OCT), OCT angiography (OCTA) and microperimetry parameters. METHODS: Fifteen patients with POAG (treated group) received one soluble liquid sachet daily for 20 days a month of a complementary dietary supplement containing in fixed combination citicoline, vitamins A, B, C, and E, and blackcurrant for 1 year. Fifteen age-matched subjects affected by POAG were given a placebo and served as a control group. The patients underwent best corrected visual acuity (BCVA), Goldmann applanation tonometry, microperimetry examination, OCT, and OCTA at the beginning of the study and then at 1, 6 and 12 months.
Interventions
Citicoline, Vitamins A, B, C and E, and Blackcurrant
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosis of POAG * aged between 18 and 75 years * Patients with controlled intraocular pressure (IOP) below 20 mmHg, who had been on the same topical hypotensive therapy for at least 3 months * myopia less than 5 diopters (D) were considered eligible for inclusion.
Exclusion criteria
* IOP levels exceeding 21 mmHg, * hyper-sensitivity to citicoline, * a history of optic neuritis, * previous glaucoma or retinal surgery, * prior cataract or refractive surgery, * macular degeneration or other retinal disorders, * any systemic diseases that could potentially lead to neurodegeneration (e.g., multiple sclerosis, diabetes)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of Ganglionar cells complex (GCC) | From enrollment to the end of treatment at 1 year | evaluate the long-term effects of oral citicoline, vitamins A, B, C and E, and blackcurrant therapy in patients with primary open-angle glaucoma (POAG) on GCC using optical coherence tomography (OCT) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of Retinal nerve fiber layer (RNFL) | From enrollment to the end of treatment at 1 year | evaluate the long-term effects of oral citicoline, vitamins A, B, C and E, and blackcurrant therapy in patients with primary open-angle glaucoma (POAG) on RNFL using optical coherence tomography (OCT) |
Countries
Italy