PMID- 28727804 OWN - NLM STAT- MEDLINE DCOM- 20170926 LR - 20181202 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 12 IP - 7 DP - 2017 TI - Effects of pre-surgical administration of prostaglandin analogs on the outcome of trabeculectomy. PG - e0181550 LID - 10.1371/journal.pone.0181550 [doi] LID - e0181550 AB - For primary open angle glaucoma (POAG), laser treatment or surgery is used when the target intraocular pressure (IOP) cannot be achieved by pharmacological agents, such as prostaglandin (PG) analogs; these drugs also have varied effects. We retrospectively reviewed the medical records of 74 POAG patients (74 eyes) whose IOP was inadequately controlled by PG analogs (bimatoprost [13 eyes], latanoprost [34 eyes], tafluprost [11 eyes], and travoprost [16 eyes]) and underwent primary trabeculectomy. The proportion of patients with no recurrent IOP elevation within 24 months post-trabeculectomy was significantly (P < 0.001) lower in the bimatoprost group (31.3%) than in the latanoprost (83.2%), tafluprost (45.5%), or travoprost groups (65.6%). Deepening of the upper eyelid sulcus (DUES) was observed before trabeculectomy in 18 of 74 eyes (24.3%) treated with bimatoprost (9 eyes; 50.0%), latanoprost (3 eyes; 16.7%), tafluprost (1 eye; 5.5%) and travoprost (5 eyes; 27.8%). The proportion of patients with no recurrent IOP elevation up to 24 months post-trabeculectomy was significantly (P < 0.0001) lower in the DUES(+) group (34.7%) than in the DUES(-) group (74.3%). Multivariate stepwise logistic regression analysis, with no recurrent IOP elevation used as dependent variable, and bimatoprost, latanoprost, travoprost, tafluprost, beta-blocker, carbonic anhydrase inhibitor, brimonidine, gender, age, preoperative IOP, mean deviation, duration of PG analog use before surgery, and the number of ophthalmic solutions used as independent variables, identified only bimatoprost as a significant independent factor (P = 0.0368). Thus, the outcome of trabeculectomy varied depending on the PG analog used preoperatively, and bimatoprost use was associated with a high risk of recurrent IOP elevation up to 2 years post-trabeculectomy. This may indicate that the incidence of DUES differed with the PG analog used. Patients with glaucoma who are treated with bimatoprost should be monitored for DUES, and when these patients undergo trabeculectomy, the postoperative course of IOP should be followed carefully. FAU - Miki, Takako AU - Miki T AUID- ORCID: 0000-0002-8456-7121 AD - Department of Ophthalmology, Okayama University Graduate School of Medicine, Okayama, Japan. FAU - Naito, Tomoko AU - Naito T AD - Department of Ophthalmology, Okayama University Graduate School of Medicine, Okayama, Japan. FAU - Fujiwara, Miyuki AU - Fujiwara M AD - Department of Ophthalmology, Okayama University Graduate School of Medicine, Okayama, Japan. FAU - Araki, Ryoichi AU - Araki R AD - Department of Ophthalmology, Okayama University Graduate School of Medicine, Okayama, Japan. FAU - Kiyoi, Rieko AU - Kiyoi R AD - Japanese Red Cross Okayama Hospital, Okayama, Japan. FAU - Shiode, Yusuke AU - Shiode Y AD - Department of Ophthalmology, Okayama University Graduate School of Medicine, Okayama, Japan. FAU - Fujiwara, Atsushi AU - Fujiwara A AD - Department of Ophthalmology, Okayama University Graduate School of Medicine, Okayama, Japan. FAU - Morizane, Yuki AU - Morizane Y AD - Department of Ophthalmology, Okayama University Graduate School of Medicine, Okayama, Japan. FAU - Shiraga, Fumio AU - Shiraga F AD - Department of Ophthalmology, Okayama University Graduate School of Medicine, Okayama, Japan. LA - eng PT - Journal Article DEP - 20170720 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Prostaglandins F) RN - 0 (Prostaglandins F, Synthetic) RN - 0 (Prostaglandins, Synthetic) RN - 1O6WQ6T7G3 (tafluprost) RN - 6Z5B6HVF6O (Latanoprost) RN - QXS94885MZ (Bimatoprost) RN - WJ68R08KX9 (Travoprost) SB - IM MH - Aged MH - Analysis of Variance MH - Bimatoprost/administration & dosage MH - Female MH - Glaucoma/*drug therapy/physiopathology/*surgery MH - Humans MH - Intraocular Pressure/drug effects MH - Latanoprost MH - Logistic Models MH - Male MH - Middle Aged MH - Multivariate Analysis MH - *Preoperative Care MH - Prostaglandins F/administration & dosage MH - Prostaglandins F, Synthetic/administration & dosage MH - Prostaglandins, Synthetic/*administration & dosage MH - Recurrence MH - Retrospective Studies MH - *Trabeculectomy MH - Travoprost/administration & dosage MH - Treatment Outcome PMC - PMC5519176 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2017/07/21 06:00 MHDA- 2017/09/28 06:00 PMCR- 2017/07/20 CRDT- 2017/07/21 06:00 PHST- 2016/11/29 00:00 [received] PHST- 2017/07/03 00:00 [accepted] PHST- 2017/07/21 06:00 [entrez] PHST- 2017/07/21 06:00 [pubmed] PHST- 2017/09/28 06:00 [medline] PHST- 2017/07/20 00:00 [pmc-release] AID - PONE-D-16-47229 [pii] AID - 10.1371/journal.pone.0181550 [doi] PST - epublish SO - PLoS One. 2017 Jul 20;12(7):e0181550. doi: 10.1371/journal.pone.0181550. eCollection 2017.