A comparative study of bimatoprost and travoprost: effect on intraocular pressure and ocular circulation in newly diagnosed glaucoma patients

Ophthalmologica. 2008;222(2):88-95. doi: 10.1159/000112624. Epub 2008 Feb 22.

Abstract

Background: This study compares intraocular pressure (IOP)-lowering efficacy and retrobulbar hemodynamic effects of bimatoprost and travoprost in patients with newly diagnosed open-angle glaucoma.

Methods: Patients were randomly assigned to one of two treatment groups (bimatoprost group, n = 36; travoprost group, n = 46). IOP levels were measured with Goldmann applanation tonometer. Peak systolic velocity, end-diastolic velocity and resistivity index were obtained for each vessel by color Doppler imaging.

Results: Both bimatoprost and travoprost significantly lowered IOP on days 30, 90 and 180 (p < 0.001). There was no significance between the 2 drugs on all follow-up visits. End-diastolic velocity of central retinal artery on day 180 was significantly higher than the value obtained at baseline in both groups.

Conclusions: Patients were likely to achieve and maintain low target IOP with both drugs. Both drugs also resulted in improvement in the central retinal artery blood flow.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Amides / therapeutic use*
  • Bimatoprost
  • Blood Flow Velocity / drug effects
  • Cloprostenol / analogs & derivatives*
  • Cloprostenol / therapeutic use
  • Diastole
  • Eye / blood supply*
  • Female
  • Follow-Up Studies
  • Glaucoma / diagnostic imaging
  • Glaucoma / drug therapy*
  • Glaucoma / physiopathology*
  • Hemodynamics / drug effects
  • Humans
  • Intraocular Pressure / drug effects*
  • Lipids / therapeutic use*
  • Male
  • Middle Aged
  • Regional Blood Flow / drug effects
  • Retinal Artery / physiopathology
  • Time Factors
  • Travoprost
  • Ultrasonography, Doppler, Color

Substances

  • Amides
  • Lipids
  • Cloprostenol
  • Bimatoprost
  • Travoprost