Abstract
The effects of PGF2 alpha-isopropylester eye drops on intraocular pressure (IOP) and aqueous humour dynamics were investigated in healthy male volunteers. The other eye was treated with vehicle and used as a control. Special attention was also paid to adverse effects. Single and repeated doses were tested. There was a dose related effect on IOP. Significant reductions were observed 4, 8, and 12 hours after application of 1.0, 2.5, or 10 micrograms PGF2 alpha equivalents of the drug. With 10 micrograms the effect lasted 24 hours. An initial tendency towards an increase in IOP was observed for these doses. Repeated doses of 1.0 microgram daily or 0.5 microgram twice daily produced a significant and lasting IOP reduction of about 2 mmHg for 1-2 weeks. Aqueous humour production was not altered, and outflow facility was not significantly changed. There was a dose dependent hyperaemia with a maximum within 2 hours after application. A foreign body sensation, some pain, and photophobia were noted with increasing doses. A slight miosis of 1 mm was seen in three of six eyes treated with 10 micrograms. No signs of intraocular inflammation were recorded, but a slight increase in penetration of fluorescein into the anterior chamber was observed after 16 days of treatment.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Beitch B. R., Eakins K. E. The effects of prostaglandins on the intraocular pressure of the rabbit. Br J Pharmacol. 1969 Sep;37(1):158–167. doi: 10.1111/j.1476-5381.1969.tb09533.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bill A., Phillips C. I. Uveoscleral drainage of aqueous humour in human eyes. Exp Eye Res. 1971 Nov;12(3):275–281. doi: 10.1016/0014-4835(71)90149-7. [DOI] [PubMed] [Google Scholar]
- Bito L. Z. Comparison of the ocular hypotensive efficacy of eicosanoids and related compounds. Exp Eye Res. 1984 Feb;38(2):181–194. doi: 10.1016/0014-4835(84)90102-7. [DOI] [PubMed] [Google Scholar]
- Camras C. B., Bhuyan K. C., Podos S. M., Bhuyan D. K., Master R. W. Multiple dosing of prostaglandin F2 alpha or epinephrine on cynomolgus monkey eyes. II. Slit-lamp biomicroscopy, aqueous humor analysis, and fluorescein angiography. Invest Ophthalmol Vis Sci. 1987 Jun;28(6):921–926. [PubMed] [Google Scholar]
- Camras C. B., Bito L. Z., Eakins K. E. Reduction of intraocular pressure by prostaglandins applied topically to the eyes of conscious rabbits. Invest Ophthalmol Vis Sci. 1977 Dec;16(12):1125–1134. [PubMed] [Google Scholar]
- Camras C. B., Bito L. Z. Reduction of intraocular pressure in normal and glaucomatous primate (Aotus trivirgatus) eyes by topically applied prostaglandin F2 alpha. Curr Eye Res. 1981;1(4):205–209. doi: 10.3109/02713688109001850. [DOI] [PubMed] [Google Scholar]
- Camras C. B., Podos S. M., Rosenthal J. S., Lee P. Y., Severin C. H. Multiple dosing of prostaglandin F2 alpha or epinephrine on cynomolgus monkey eyes. I. Aqueous humor dynamics. Invest Ophthalmol Vis Sci. 1987 Mar;28(3):463–469. [PubMed] [Google Scholar]
- Crawford K., Kaufman P. L., Gabelt B. T. Effects of topical PGF2 alpha on aqueous humor dynamics in cynomolgus monkeys. Curr Eye Res. 1987 Aug;6(8):1035–1044. doi: 10.3109/02713688709034874. [DOI] [PubMed] [Google Scholar]
- Crawford K., Kaufman P. L. Pilocarpine antagonizes prostaglandin F2 alpha-induced ocular hypotension in monkeys. Evidence for enhancement of Uveoscleral outflow by prostaglandin F2 alpha. Arch Ophthalmol. 1987 Aug;105(8):1112–1116. doi: 10.1001/archopht.1987.01060080114039. [DOI] [PubMed] [Google Scholar]
- Ferreira S. H., Vane J. R. Prostaglandins: their disappearance from and release into the circulation. Nature. 1967 Dec 2;216(5118):868–873. doi: 10.1038/216868a0. [DOI] [PubMed] [Google Scholar]
- Giuffrè G. The effects of prostaglandin F2 alpha in the human eye. Graefes Arch Clin Exp Ophthalmol. 1985;222(3):139–141. doi: 10.1007/BF02173538. [DOI] [PubMed] [Google Scholar]
- Kaufman P. L. Effects of intracamerally infused prostaglandins on outflow facility in cynomolgus monkey eyes with intact or retrodisplaced ciliary muscle. Exp Eye Res. 1986 Nov;43(5):819–827. doi: 10.1016/s0014-4835(86)80012-4. [DOI] [PubMed] [Google Scholar]
- Keates R. H., McGowan K. A. The effect of topical indomethacin ophthalmic solution in maintaining mydriasis during cataract surgery. Ann Ophthalmol. 1984 Dec;16(12):1116–1121. [PubMed] [Google Scholar]
- Kerstetter J. R., Brubaker R. F., Wilson S. E., Kullerstrand L. J. Prostaglandin F2 alpha-1-isopropylester lowers intraocular pressure without decreasing aqueous humor flow. Am J Ophthalmol. 1988 Jan 15;105(1):30–34. doi: 10.1016/0002-9394(88)90117-1. [DOI] [PubMed] [Google Scholar]
- Lee P. Y., Podos S. M., Severin C. Effect of prostaglandin F2 alpha on aqueous humor dynamics of rabbit, cat, and monkey. Invest Ophthalmol Vis Sci. 1984 Sep;25(9):1087–1093. [PubMed] [Google Scholar]
- Starr M. S. Effects of prostaglandin on blood flow in the rabbit eye. Exp Eye Res. 1971 Mar;11(2):161–169. doi: 10.1016/s0014-4835(71)80019-2. [DOI] [PubMed] [Google Scholar]
- Stern F. A., Bito L. Z. Comparison of the hypotensive and other ocular effects of prostaglandins E2 and F2 alpha on cat and rhesus monkey eyes. Invest Ophthalmol Vis Sci. 1982 May;22(5):588–598. [PubMed] [Google Scholar]
- Williams T. J., Peck M. J. Role of prostaglandin-mediated vasodilatation in inflammation. Nature. 1977 Dec 8;270(5637):530–532. doi: 10.1038/270530a0. [DOI] [PubMed] [Google Scholar]