To determine whether one glaucoma eye drop is less likely to cause changes to the surface of the eye (conjunctiva) than another. The two different prostaglandins are Xalatan and Travatan Z.
Two groups will be entered into this study: group 1 will be naive to treatment and group 2 will be using Xalatan for at least one month before enrollment. Both groups will be using one drop at bedtime of Xalatan in the right eye and one drop at bedtime of Travatan Z in the left eye. Both of these drops are presently on the market and approved by the FDA for treatment of lowering eye pressure. Because this study will be masked, the examining clinician will not know what study drop each patient has been using.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
58
one drop of Xalatan Ophthalmic Solution instilled in right eye at bedtime
one drop of Travatan Z Ophthalmic Solution instilled in left eye at bedtime
Wills Eye Glaucoma Service
Philadelphia, Pennsylvania, United States
Change in Tear Break up Time (TBUT)
Difference of tear break up time (in seconds, average of 3 measurements) at one and two months after enrollment.
Time frame: Baseline, 1 month, 2 months
Tear Production
Tear production, measured by Schirmer test in millimeters
Time frame: Baseline, 1 month, 2 months
Conjunctival Hyperemia Score
Conjunctival hyperemia is the amount of redness on the white part of the eye. A total score was obtained by the sum of assessments in 6 areas of each eye are which are scored from 0 to 3 (0 = no redness; 3 = severe redness), then summed per eye for a total score range of 0-18 (0 = no redness; 18 = severe redness).
Time frame: Baseline, 1 month, 2 months
Intraocular Pressure
Intraocular pressure (the fluid pressure inside the eye) was measured two times in each eye using the Goldman applanation tonometer and averaged.
Time frame: Baseline, 1 month, 2 months
Ocular Surface Disease Index Score
Ocular Surface Disease Index Scores (OSDI) were obtained from a 12-item validated OSDI questionnaire completed by each participant. This is an assessment related to eye comfort. Each question's score ranges from 0 = no disability to 4 = greatest disability. The total score is multiplied by 25 then divided by the number of questions answered then matched to a grid ranging from 0 to 100 with 0 having symptoms reported none of the time versus 100 having disability symptoms reported all of the time.
Time frame: Baseline, 1 month, 2 months
Corneal Staining Score
Corneal staining is an indication of the amount of dryness of the cornea (front clear part of the eye). A total score was obtained by the sum of assessments in five areas of each eye which are scored from 0 to 3 (0 = no dryness; 3 = severe dryness), then summed per eye for a total score range of 0-15 (0 = no dryness; 15 = severe dryness).
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Time frame: Baseline, 1 month, 2 months