Effects of topical low-dose preservative-free hydrocortisone on intraocular pressure in patients affected by ocular surface disease with and without glaucoma.


Journal

Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie
ISSN: 1435-702X
Titre abrégé: Graefes Arch Clin Exp Ophthalmol
Pays: Germany
ID NLM: 8205248

Informations de publication

Date de publication:
Jan 2022
Historique:
received: 28 12 2020
accepted: 26 07 2021
revised: 05 07 2021
pubmed: 19 8 2021
medline: 20 1 2022
entrez: 18 8 2021
Statut: ppublish

Résumé

This study aims to investigate the safety and efficacy of short-term treatment for ocular surface disease (OSD) with topical low-dose (1,005 mg) preservative-free hydrocortisone in one hundred patients with and without glaucoma. This was an open label non-randomized clinical trial. Patients with OSD with and without primary open-angle glaucoma (POAG) received topical low-dose (1,005 mg) preservative-free hydrocortisone twice daily in each eye for 2 weeks. All patients underwent a complete ophthalmological examination at baseline (T0) and at 1 (T1) and 2 (T2) weeks post-treatment. At each visit, the intraocular pressure (IOP) and the ocular surface disease index (OSDI) questionnaire scores were recorded; the Schirmer test was performed only at T0 and T2. The OSDI score significantly decreased in both the POAG and no-POAG groups (both p < 0.0001) after hydrocortisone treatment, with no difference between the two groups (p = 0.72). There were no significant differences in IOP and Schirmer test results between T0 and T2 in both treatment groups (p = 0.68 and p = 0.83, respectively). Topical low-dose (1,005 mg) preservative-free hydrocortisone is safe and effective for improving OSD symptoms both in patients with and without POAG. The trial was registered at clinicaltrials.gov under NCT04536129 on 01/09/2020 ("retrospectively registered").

Identifiants

pubmed: 34406502
doi: 10.1007/s00417-021-05345-3
pii: 10.1007/s00417-021-05345-3
doi:

Substances chimiques

Antihypertensive Agents 0
Ophthalmic Solutions 0
Preservatives, Pharmaceutical 0
Hydrocortisone WI4X0X7BPJ

Banques de données

ClinicalTrials.gov
['NCT04536129']

Types de publication

Clinical Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

247-253

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

M Filippelli (M)

Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy. oftelena@gmail.com.

R dell'Omo (R)

Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy.

A Gelso (A)

"Villa Dei Fiori" Hospital, Acerra, Naples, Italy.

M Rinaldi (M)

Department of Ophthalmology, University Della Campania Luigi Vanvitelli, Naples, Italy.

S Bartollino (S)

Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy.

P Napolitano (P)

Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy.

A Russo (A)

"Villa Dei Fiori" Hospital, Acerra, Naples, Italy.

G Campagna (G)

Department of Medical-Surgical Sciences and Translational Medicine, University of Rome "La Sapienza", Rome, Italy.

C Costagliola (C)

Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy.

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