Primary Open Angle Glaucoma Clinical Trial
Official title:
The Antioxidant Effect of Routine Vascular Therapy for Normal Tension Glaucoma Patients
To quantify oxidative stress in circulating leukocytes of normal tension glaucoma patients, prior to and one month after routine vascular therapy.
There are two accepted medical modalities for glaucoma treatment. The first, is a local
application of an intraocular pressure (IOP) lowering drug. The second, is the application
of systemic drugs to improve vascular regulation. In the present study we would like to
investigate whether this systemic form of treatment, in addition to improving blood flow,
also reduces systemic oxidative stress.
Vascular dysregulation is one of the major risk factors for glaucoma, in particular for
normal tension glaucoma (NTG). In glaucoma patients blood flow is, on average, reduced not
only in the eye but also in various other organs of the body, for example in the fingers.
Such a systemic dysregulation leads to disturbed autoregulation and thereby to an unstable
oxygen supply in the eye.This, in turn, leads to the formation of reactive oxygen species
(ROS). These ROS are capable of damaging cells such as white blood cells; this damage,
however, is reversible as nature has provided us with mechanisms to repair this damage. This
reversible damage brought about by ROS, which is constantly being repaired in our body, is
an indication for oxidative stress. Oxidative stress plays an important role in the
pathogenesis of glaucoma.
The indications for oxidative stress can be quantified in our laboratory by the method of
comet assay also known as single cell gel electrophoresis.
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Observational Model: Case-Only, Time Perspective: Prospective
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