PMID- 34283308 OWN - NLM STAT- MEDLINE DCOM- 20210825 LR - 20210825 IS - 1613-2246 (Electronic) IS - 0021-5155 (Linking) VI - 65 IP - 5 DP - 2021 Sep TI - Recovery of deepening of the upper eyelid sulcus after switching from prostaglandin FP receptor agonists to EP2 receptor agonist: a 3-month prospective analysis. PG - 591-597 LID - 10.1007/s10384-021-00855-3 [doi] AB - PURPOSE: To examine the effect of switching from a prostanoid FP receptor agonists to EP2 receptor agonist (omidenepag isopropyl) on the deepening of the upper eyelid sulcus (DUES) and intraocular pressure (IOP) in Japanese glaucoma patients over 3 months post treatment. STUDY DESIGN: Prospective observational study. METHODS: Patients with glaucoma who received FP receptor agonists treatment and had complained of DUES-related reduction in quality of life were included. Their FP receptor agonists was switched to omidenepag isopropyl without a drug holiday. At baseline and 1 and 3 months post-switch, photographs were taken and the changes in DUES were assessed by three independent observers. IOP and adverse events were also assessed. RESULTS: The study included 23 eyes of 23 patients (6 men, 17 women; average age, 60.6 years). After switching, DUES improved in 12 eyes at 1 month and in 16 eyes at 3 months; eyes in the remaining patients showed no worsening of the condition. The mean IOP before switching was 15.3 +/- 3.3 mmHg (95% confidence interval 13.9-16.7 mmHg). Following the switch, the mean IOP values were 15.6 +/- 3.3 mmHg (14.1-17.0 mmHg) at 1 month and 15.5 +/- 3.3 mmHg (14.1-16.9 mmHg) at 3 months (P = 1.0 at 1 month, P = 1.0 at 3 months; both adjusted by Bonferroni correction). No adverse effects were observed. CONCLUSION: Omidenepag isopropyl improved DUES while maintaining IOP in over 70% of Japanese patients with glaucoma who exhibited DUES caused by FP receptor agonists; the improvement was observed within 3 months after switching from FP receptor agonists. CI - (c) 2021. Japanese Ophthalmological Society. FAU - Sakata, Rei AU - Sakata R AD - Department of Ophthalmology, Graduate of Medicine and Faculty of Medicine, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. reisakata-tky@umin.ac.jp. AD - Yotsuya Shirato Eye Clinic, Tokyo, Japan. reisakata-tky@umin.ac.jp. FAU - Fujishiro, Takashi AU - Fujishiro T AD - Department of Ophthalmology, Graduate of Medicine and Faculty of Medicine, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. AD - Yotsuya Shirato Eye Clinic, Tokyo, Japan. FAU - Saito, Hitomi AU - Saito H AD - Department of Ophthalmology, Graduate of Medicine and Faculty of Medicine, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. AD - Yotsuya Shirato Eye Clinic, Tokyo, Japan. FAU - Nakamura, Natsuko AU - Nakamura N AD - Department of Ophthalmology, Graduate of Medicine and Faculty of Medicine, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. FAU - Honjo, Megumi AU - Honjo M AD - Department of Ophthalmology, Graduate of Medicine and Faculty of Medicine, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. AD - Yotsuya Shirato Eye Clinic, Tokyo, Japan. FAU - Shirato, Shiroaki AU - Shirato S AD - Yotsuya Shirato Eye Clinic, Tokyo, Japan. FAU - Miyamoto, Etsuyo AU - Miyamoto E AD - Santen Pharmaceutical Co., Ltd., Osaka, Japan. FAU - Yamada, Yoshiaki AU - Yamada Y AD - Santen Pharmaceutical Co., Ltd., Osaka, Japan. FAU - Aihara, Makoto AU - Aihara M AD - Department of Ophthalmology, Graduate of Medicine and Faculty of Medicine, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. AD - Yotsuya Shirato Eye Clinic, Tokyo, Japan. LA - eng PT - Journal Article PT - Observational Study DEP - 20210720 PL - Japan TA - Jpn J Ophthalmol JT - Japanese journal of ophthalmology JID - 0044652 RN - 0 (Antihypertensive Agents) RN - 0 (Ophthalmic Solutions) RN - 0 (Prostaglandins) RN - 0 (Receptors, Prostaglandin) RN - 0 (prostaglandin F2alpha receptor) SB - IM MH - Antihypertensive Agents/therapeutic use MH - Eyelids MH - Female MH - *Glaucoma, Open-Angle/diagnosis/drug therapy MH - Humans MH - Intraocular Pressure MH - Male MH - Middle Aged MH - Ophthalmic Solutions MH - Prostaglandins MH - *Quality of Life MH - Receptors, Prostaglandin OTO - NOTNLM OT - EP2 receptor agonist OT - Glaucoma OT - Omidenepag isoproryl OT - Prostaglandin FP receptor agonists OT - Upper eyelid sulcus EDAT- 2021/07/21 06:00 MHDA- 2021/08/26 06:00 CRDT- 2021/07/20 12:28 PHST- 2020/12/24 00:00 [received] PHST- 2021/05/28 00:00 [accepted] PHST- 2021/07/21 06:00 [pubmed] PHST- 2021/08/26 06:00 [medline] PHST- 2021/07/20 12:28 [entrez] AID - 10.1007/s10384-021-00855-3 [pii] AID - 10.1007/s10384-021-00855-3 [doi] PST - ppublish SO - Jpn J Ophthalmol. 2021 Sep;65(5):591-597. doi: 10.1007/s10384-021-00855-3. Epub 2021 Jul 20.