The Effect of Rebamipide on Ocular Surface Disorders Induced by Latanoprost and Timolol in Glaucoma Patients

Purpose. To examine the efficacy of ophthalmic rebamipide suspensions on ocular surface disorders induced by antiglaucoma eye drops. Patients and Methods. Forty eyes of 40 patients receiving latanoprost (0.005%) and timolol (0.5%) were included in this randomized prospective study. The patients were...

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Main Authors: Naoto Tokuda, Yasushi Kitaoka, Akiko Matsuzawa, Junsuke Miyamoto, Shinsuke Sakae, Yasunari Munemasa, Hitoshi Takagi
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2015/689076
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author Naoto Tokuda
Yasushi Kitaoka
Akiko Matsuzawa
Junsuke Miyamoto
Shinsuke Sakae
Yasunari Munemasa
Hitoshi Takagi
author_facet Naoto Tokuda
Yasushi Kitaoka
Akiko Matsuzawa
Junsuke Miyamoto
Shinsuke Sakae
Yasunari Munemasa
Hitoshi Takagi
author_sort Naoto Tokuda
collection DOAJ
description Purpose. To examine the efficacy of ophthalmic rebamipide suspensions on ocular surface disorders induced by antiglaucoma eye drops. Patients and Methods. Forty eyes of 40 patients receiving latanoprost (0.005%) and timolol (0.5%) were included in this randomized prospective study. The patients were randomly divided into two groups (n = 20): the rebamipide-treated group and control group. Changes in intraocular pressure, tear film break-up time (TBUT), and corneal epithelial barrier function were evaluated at baseline, 4 weeks, and 8 weeks after rebamipide administration. Furthermore, superficial punctate keratopathy severity was evaluated by scoring the lesion area and density. Results. There was no significant difference in intraocular pressure before and after rebamipide treatment. However, corneal epithelial barrier function improved significantly 4 and 8 weeks after rebamipide treatment. TBUT was partially, but significantly, increased (P = 0.02) 8 weeks after rebamipide treatment, whereas no significant change was observed at 4 weeks. Additionally, a significant decrease in area and density of keratopathy was observed 8 weeks after rebamipide treatment but not at 4 weeks. The control group showed no significant difference compared to baseline. Conclusions. Our data suggests that rebamipide treatment may reduce the occurrence of drug-induced ocular surface disorder.
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issn 2090-004X
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spelling doaj-art-60ccbb60f8594feeabe2e1317a2aa7762025-02-03T01:31:58ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/689076689076The Effect of Rebamipide on Ocular Surface Disorders Induced by Latanoprost and Timolol in Glaucoma PatientsNaoto Tokuda0Yasushi Kitaoka1Akiko Matsuzawa2Junsuke Miyamoto3Shinsuke Sakae4Yasunari Munemasa5Hitoshi Takagi6Department of Ophthalmology, St. Marianna University School of Medicine, Kanagawa 216-8511, JapanDepartment of Ophthalmology, St. Marianna University School of Medicine, Kanagawa 216-8511, JapanDepartment of Ophthalmology, St. Marianna University School of Medicine, Kanagawa 216-8511, JapanDepartment of Ophthalmology, St. Marianna University School of Medicine, Kanagawa 216-8511, JapanDepartment of Ophthalmology, St. Marianna University School of Medicine, Kanagawa 216-8511, JapanDepartment of Ophthalmology, St. Marianna University School of Medicine, Kanagawa 216-8511, JapanDepartment of Ophthalmology, St. Marianna University School of Medicine, Kanagawa 216-8511, JapanPurpose. To examine the efficacy of ophthalmic rebamipide suspensions on ocular surface disorders induced by antiglaucoma eye drops. Patients and Methods. Forty eyes of 40 patients receiving latanoprost (0.005%) and timolol (0.5%) were included in this randomized prospective study. The patients were randomly divided into two groups (n = 20): the rebamipide-treated group and control group. Changes in intraocular pressure, tear film break-up time (TBUT), and corneal epithelial barrier function were evaluated at baseline, 4 weeks, and 8 weeks after rebamipide administration. Furthermore, superficial punctate keratopathy severity was evaluated by scoring the lesion area and density. Results. There was no significant difference in intraocular pressure before and after rebamipide treatment. However, corneal epithelial barrier function improved significantly 4 and 8 weeks after rebamipide treatment. TBUT was partially, but significantly, increased (P = 0.02) 8 weeks after rebamipide treatment, whereas no significant change was observed at 4 weeks. Additionally, a significant decrease in area and density of keratopathy was observed 8 weeks after rebamipide treatment but not at 4 weeks. The control group showed no significant difference compared to baseline. Conclusions. Our data suggests that rebamipide treatment may reduce the occurrence of drug-induced ocular surface disorder.http://dx.doi.org/10.1155/2015/689076
spellingShingle Naoto Tokuda
Yasushi Kitaoka
Akiko Matsuzawa
Junsuke Miyamoto
Shinsuke Sakae
Yasunari Munemasa
Hitoshi Takagi
The Effect of Rebamipide on Ocular Surface Disorders Induced by Latanoprost and Timolol in Glaucoma Patients
Journal of Ophthalmology
title The Effect of Rebamipide on Ocular Surface Disorders Induced by Latanoprost and Timolol in Glaucoma Patients
title_full The Effect of Rebamipide on Ocular Surface Disorders Induced by Latanoprost and Timolol in Glaucoma Patients
title_fullStr The Effect of Rebamipide on Ocular Surface Disorders Induced by Latanoprost and Timolol in Glaucoma Patients
title_full_unstemmed The Effect of Rebamipide on Ocular Surface Disorders Induced by Latanoprost and Timolol in Glaucoma Patients
title_short The Effect of Rebamipide on Ocular Surface Disorders Induced by Latanoprost and Timolol in Glaucoma Patients
title_sort effect of rebamipide on ocular surface disorders induced by latanoprost and timolol in glaucoma patients
url http://dx.doi.org/10.1155/2015/689076
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