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

Kass 1989.

Methods RCT. 
 Double‐masked. 
 Placebo controlled.
Participants 62 participants with OHT (6% with PEX). 
 Fellow eye served as control. 
 40% of the participants were African American. 
 Inclusion criteria: IOP between 24 and 35 mmHg, difference in baseline IOP between right and left eyes less than or equal to 3 mmHg, age 40 years or greater, open angles. 
 Exclusion criteria: visual acuity below 20/50, previous intraocular surgery or laser, systemic medication that alters IOP
Interventions Timolol 0.25% or 0.5% twice daily. 
 Untreated control (contralateral eye).
Outcomes Incidence of reproducible glaucomatous visual field defect (Goldmann kinetic and static perimetry with Humphrey 30‐2 and Octopus 32). 
 Incidence of progressive optic disc cupping (stereophoto).
Notes Mean follow up 56.1 months. 
 19 drop‐outs: 5 systemic adverse events caused by timolol.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate