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The effect of travoprost on daytime intraocular pressure in normal tension glaucoma: a randomised controlled trial
  1. G S Ang1,
  2. J P Kersey1,
  3. L Shepstone2,
  4. D C Broadway1
  1. 1
    Norfolk and Norwich University Hospital, Colney Lane, Norwich, UK
  2. 2
    School of Medicine, Health Policy and Practice, University of East Anglia, Norwich, UK
  1. Mr D C Broadway, Department of Ophthalmology, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK; david.broadway{at}nnuh.nhs.uk

Abstract

Background/aims: To determine the medium-term effect of travoprost on the daytime intraocular pressure (IOP) of patients with normal tension glaucoma (NTG)

Methods: Newly diagnosed NTG patients underwent baseline, daytime, hourly IOP phasing. Patients were randomised to either treatment or no treatment (control). Treatment comprised once daily topical travoprost 0.004%. After 6 months, the participants underwent their second IOP phasing.

Results: Data from 88 participants were analysed—54 were randomised to treatment and 34 to the control group. The mean duration of treatment was 6 months. The average, maximum and minimum diurnal IOPs for treated patients were statistically significantly lower than for control patients at follow-up (p<0.001). When compared with baseline IOP, the travoprost treated group demonstrated a decrease of 16.1%, 13.5% and 16.7% in the average IOP, maximum IOP, and minimum IOP respectively. Of those treated, about one-third achieved a decrease in average IOP of at least 20%; only about one-tenth achieved a reduction of at least 30%.

Conclusion: Travoprost monotherapy had a sustained hypotensive effect in NTG and achieved a reasonable or good response (>20% reduction in average IOP) in 32.9% of treated eyes. However, in the majority of eyes with NTG, travoprost monotherapy appeared unable to produce the desirable 30% reduction in average IOP.

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Footnotes

  • Funding: The Norwich Glaucoma Research Fund, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK.

  • Competing interests: None.

  • Ethics approval: Study approval was obtained from the Huntingdon Local Research Ethics and the East Norfolk and Waveney Research Governance committees.

  • Patient consent: Obtained.

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