PMID- 31913226 OWN - NLM STAT- MEDLINE DCOM- 20200911 LR - 20210208 IS - 1536-481X (Electronic) IS - 1057-0829 (Linking) VI - 29 IP - 4 DP - 2020 Apr TI - Changes in Prostaglandin-associated Periorbital Syndrome After Switch from Conventional Prostaglandin F2alpha Treatment to Omidenepag Isopropyl in 11 Consecutive Patients. PG - 326-328 LID - 10.1097/IJG.0000000000001442 [doi] AB - PURPOSE: We evaluated the recovery of patients with PAPS for whom the treatment regimen switched from conventional prostaglandin F2alpha analogues to a new selective prostaglandin-EP2 agonist: omidenepag isopropyl. PATIENTS AND METHODS: From November 2018 to July 2019, we prospectively evaluated 11 patients who had been using conventional PGF2alpha drugs. Digital photographs of the patients were taken before the start of omidenepag isopropyl therapy and ~3 and 6 months after. Three independent observers used the photographs to judged recovery according to the 5 signs of PAPS: deepening of the upper eyelid sulcus (DUES), flattening of the lower eyelid bags, upper eyelid ptosis, ciliary hypertrichosis, and periorbital skin hyperpigmentation. RESULTS: The mean age of patients was 61, and 7 patients were female. The original PGF2alpha drugs were bimatoprost, latanoprost, travoprost, and tafluprost. The mean duration of PGF2alpha treatment was 65 months. PAPS signs were evaluated in 10 patients after 3 months and in all 11 patients after 6 months: After 3 and 6 months, DUES improved in 3 and 3 patients, respectively; flattening of the lower eyelid bags improved in 1 and 2 patients, respectively; upper eyelid ptosis did not improve in any patients; ciliary hypertrichosis improved in 0 and 2 patients, respectively; and eyelid pigmentation improved in 2 and 8 patients, respectively. The 3 patients who showed improvement in DUES at 6 months had all previously used bimatoprost. CONCLUSIONS: Some PAPS signs improved after patients started taking omidenepag isopropyl. Our findings will be useful for patients taking antiglaucoma eye drops. FAU - Nakakura, Shunsuke AU - Nakakura S AD - Department of Ophthalmology, Saneikai Tsukazaki Hospital, Himeji. FAU - Terao, Etusko AU - Terao E AD - Department of Ophthalmology, Saneikai Tsukazaki Hospital, Himeji. FAU - Fujisawa, Yasuko AU - Fujisawa Y AD - Department of Ophthalmology, Saneikai Tsukazaki Hospital, Himeji. FAU - Tabuchi, Hitoshi AU - Tabuchi H AD - Department of Ophthalmology, Saneikai Tsukazaki Hospital, Himeji. AD - Department of Ophthalmology and Visual Sciences, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan. FAU - Kiuchi, Yoshiaki AU - Kiuchi Y AD - Department of Ophthalmology and Visual Sciences, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan. LA - eng PT - Journal Article PL - United States TA - J Glaucoma JT - Journal of glaucoma JID - 9300903 RN - 0 (Antihypertensive Agents) RN - 0 (Prostaglandins F) RN - 0 (Prostaglandins F, Synthetic) RN - 0 (Pyrazoles) RN - 0 (Pyridines) RN - 1O6WQ6T7G3 (tafluprost) RN - 6Z5B6HVF6O (Latanoprost) RN - G0G0H52U6K (omidenepag isopropyl) RN - QXS94885MZ (Bimatoprost) RN - TE7660XO1C (Glycine) RN - WJ68R08KX9 (Travoprost) SB - IM MH - Aged MH - Antihypertensive Agents/therapeutic use MH - Bimatoprost/therapeutic use MH - Drug Substitution MH - Eyelid Diseases/diagnosis/*drug therapy MH - Female MH - Glycine/*analogs & derivatives/therapeutic use MH - Humans MH - Intraocular Pressure MH - Latanoprost/therapeutic use MH - Male MH - Middle Aged MH - Orbital Diseases/diagnosis/*drug therapy MH - Prospective Studies MH - Prostaglandins F/therapeutic use MH - Prostaglandins F, Synthetic/*therapeutic use MH - Pyrazoles/*therapeutic use MH - Pyridines/*therapeutic use MH - Syndrome MH - Travoprost/therapeutic use EDAT- 2020/01/09 06:00 MHDA- 2020/09/12 06:00 CRDT- 2020/01/09 06:00 PHST- 2020/01/09 06:00 [pubmed] PHST- 2020/09/12 06:00 [medline] PHST- 2020/01/09 06:00 [entrez] AID - 00061198-202004000-00014 [pii] AID - 10.1097/IJG.0000000000001442 [doi] PST - ppublish SO - J Glaucoma. 2020 Apr;29(4):326-328. doi: 10.1097/IJG.0000000000001442.