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. 2007 Oct 17;2007(4):CD003167. doi: 10.1002/14651858.CD003167.pub3

Geyer 1988.

Methods RCT. 
 Double‐masked. 
 Active controlled.
Participants 51 participants with OAG or OHT (1 patient). 
 Racial constitution is not reported. 
 Inclusion criteria: IOP 23 mmHg or higher. 
 Exclusion criteria: secondary glaucoma, angle closure glaucoma, c/d ratio of more than 0.7 in either eye, aphakia, chronic ocular inflammation, systemic beta‐blockers.
Interventions Timolol 0.5% twice daily. 
 Levobunolol 0.5% twice daily. 
 Levobunolol 1% twice daily.
Outcomes IOP control. 
 Cup/disc‐ratio (direct ophthalmoscopy). 
 Incidence of glaucomatous visual field defect (Goldmann).
Notes Allocation concealment deemed likely, based on double‐masked design. 
 4 years follow up. 
 14 drop‐outs: 6 levobunolol 0.5% (3 drug‐related adverse events), 6 levobunolol 1% (1 drug‐related adverse effect), 2 timolol (not drug‐related). Between 41% and 53% of the participants terminated their participation due to inadequate IOP control, resulting in successful completion of the study by only 23%‐24% and 35% of patients in the 3 groups.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate