Cholinergic drugs
|
Pilocarpene
|
Increase TM outflow by causing the ciliary muscles to contract
|
Effective but causes side effects like dim vision
|
α-adrenergic receptor agonists
|
Brimonidine
|
Decrease AH production, and increase outflow via uveal sclera route
|
Allergic reaction is prominent
|
β-Adrenergic receptor antagonists (β-blockers)
|
Levobunolol, Timonol
|
Reduce AH inflow, by inhibiting its production in the ciliary body
|
Rare systemic effects such as bradycardia and fatigue
|
Prostaglandin analogs
|
Latanoprost, Tafluprost, Bimatoprost
|
Causes ECM morphogenesis via action of MMP’s, increases outflow facility via uveal sclera pathway
|
First choice of clinicians, least side effects
|
Carbonic anhydrase inhibitors |
Brinzolamide, Dorzolamide |
Decrease AH production |
Oral administration is more efficient butcauses side effects such as paresthesia of the hands and feet |