[Dry eye syndrome in patients with primary open-angle glaucoma].

Vestn Oftalmol

Military Medical Academy named after S.M. Kirov, Ministry of Defense of the Russian Federation, 6 Akademika Lebedeva St., Saint-Petersburg, Russian Federation, 194044.

Published: September 2015

Aim: to determine the frequency and severity of dry eye syndrome (DES) in primary open-angle glaucoma (POAG) patients that are newly diagnosed or already receiving beta blocker instillation therapy.

Material And Methods: A total of 127 patients (190 eyes) with POAG were divided into two groups. Group 1 included 55 newly diagnosed patients (88 eyes), group 2-72 POAG patients (102 eyes) instilling timolol 0.5% twice daily into the affected eye. The control group included 20 patients (40 eyes) aged 60-88 years (73.6 ± 9.2 years on average) with early age-related cataract.

Results: DES was found in 69 POAG patients (79%) who was just starting their topical hypotensive therapy and 85 of those (84%) under treatment (p = 0.39).

Conclusions: One should take into account when prescribing ocular hypotensive therapy that newly diagnosed POAG patients usually already suffer from a dry eye. The use of topical beta blockers that contain preservatives exacerbates dry eye signs and symptoms in these patients.

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http://dx.doi.org/10.17116/oftalma2015131322-26DOI Listing

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