Ocular Hypertension Clinical Trial
Official title:
An Open, Non-randomized Study on the Effect of Changing From Preserved Prostaglandin Formulations to Preservative Free Tafluprost (Saflutan® Augentropfen) in Patients With Ocular Hypertension or Primary Open Angle Glaucoma on Tear Film Thickness
Studies have shown that ocular surface disease (OSD) is common among patients with glaucoma
with a prevalence of 50% or more. The percentage of affected patients appears to increase
with increasing number of topical anti-glaucoma products instilled. Both pre-clinical and
clinical work has indicated that the preservatives used in anti-glaucoma drops, particularly
benzalkonium chloride, are mainly responsible for this detrimental effect. As such more and
more anti-glaucoma drugs without preservatives entered the market.
To prove that switching from preserved to unpreserved antiglaucoma medication improves the
signs and symptom of OSD is, however, not easy. This is on the one hand related to the
physiological variability of these parameters over time and on the other hand to the poor
association between signs and symptoms. Recently, a new method for measuring tear film
thickness (TFT) using ultra-high resolution optical coherence tomography (OCT) has been
introduced. Using this method, it has been shown that there is a correlation between reduced
TFT and OSD symptoms. In the present study, it is hypothesized that changing patients who are
on preserved prostaglandin formulations to preservative free tafluprost may be associated
with an increase in TFT.
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