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

Novack 1989.

Methods RCT. 
 Double‐masked. 
 Multicenter (10).
Participants 391 participants with OAG or OHT (65%). 
 20% African American. 
 Inclusion criteria: bilateral IOP of 23 mmHg or higher. 
 Exclusion criteria: use of adrenergic augmenting psychotropic drugs, topical or systemic corticosteroids, severe diabetes mellitus requiring changes in insulin dosage, aphakia, chronic ocular inflammation, severe OAG uncontrolled by concomitant administration of 2 or more drugs.
Interventions Levobunolol 0.5% twice daily. 
 Levobunolol 1% twice daily. 
 Timolol 0.5% twice daily.
Outcomes IOP. 
 Horizontal c/d ratio. 
 Incidence or progression of glaucomatous visual field defect.
Notes Allocation concealment deemed likely, based on double‐masked design. 
 4 years follow up. 
 107 drop‐outs (70 due to reasons unrelated to study medication) and 95 IOP failures: levobunolol 0.5% (4 systemic and 6 local side effects), levobunolol 1% (7 systemic and 13 local side effects), timolol (7 systemic and 3 local side effects).
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate