PMID- 34942112 OWN - NLM STAT- MEDLINE DCOM- 20220425 LR - 20220510 IS - 1879-1891 (Electronic) IS - 0002-9394 (Linking) VI - 237 DP - 2022 May TI - Periocular Adverse Reactions to Omidenepag Isopropyl. PG - 114-121 LID - S0002-9394(21)00648-6 [pii] LID - 10.1016/j.ajo.2021.12.011 [doi] AB - PURPOSE: To investigate the periocular adverse reactions to omidenepag isopropyl (OMDI). DESIGN: Nonrandomized comparative clinical study. METHODS: We enrolled 100 patients (100 eyes) with primary open-angle glaucoma or ocular hypertension who received initial treatment with OMDI or tafluprost in only 1 eye for >/=6 months. Photographs of the eyelids were taken on the day of the participants' visit after >/=6 months of prescription. Subsequently, 3 ophthalmologists individually determined the occurrence of eyelid pigmentation, eyelash growth, and deepening of the upper eyelid sulcus (DUES). Additionally, a questionnaire on the subjective symptoms was administered. Multivariate analysis of baseline data was performed to investigate the factors involved in adverse reactions. RESULTS: The mean duration of drug administration was 10.2 +/- 3.8 and 10.8 +/- 4.1 months in the OMDI and tafluprost groups, respectively. The frequencies of eyelid pigmentation, eyelash growth, and DUES were 0.0%, 0.0%, and 2.0%, respectively, in the OMDI group, whereas the corresponding values in the tafluprost group were 4.0%, 32.0%, and 12.0%. The only significant difference was that the OMDI group showed fewer patients with eyelash growth than in the tafluprost group (P < .0001). In the questionnaire, the subjective symptoms of eyelid pigmentation, eyelash growth, and DUES were 8.0%, 2.0%, and 4.0%, respectively, in the OMDI group, whereas the corresponding values in the tafluprost group were 12.0%, 40.0%, and 4.0%, respectively. Multivariate analysis revealed a correlation between the type of drug administered and these adverse reactions (R = 0.38, P = .005). CONCLUSIONS: The frequencies of periocular adverse reactions to OMDI, ranging from 0% to 2.0%, were lower than those to tafluprost. CI - Copyright (c) 2021 Elsevier Inc. All rights reserved. FAU - Inoue, Kenji AU - Inoue K AD - From the Inouye Eye Hospital (K.In., M.S., S.K., M.T., G.T.), Tokyo, Japan. Electronic address: 2inoue-k@inouye-eye.or.jp. FAU - Shiokawa, Minako AU - Shiokawa M AD - From the Inouye Eye Hospital (K.In., M.S., S.K., M.T., G.T.), Tokyo, Japan. FAU - Katakura, Seiki AU - Katakura S AD - From the Inouye Eye Hospital (K.In., M.S., S.K., M.T., G.T.), Tokyo, Japan. FAU - Tsuruoka, Mieko AU - Tsuruoka M AD - From the Inouye Eye Hospital (K.In., M.S., S.K., M.T., G.T.), Tokyo, Japan. FAU - Kunimatsu-Sanuki, Shiho AU - Kunimatsu-Sanuki S AD - Nishikasai Inouye Eye Hospital (S.K.-S.), Tokyo, Japan. FAU - Shimizu, Kosuke AU - Shimizu K AD - Sapporo Inouye Eye Clinic (K.S.), Sapporo, Japan. FAU - Ishida, Kyoko AU - Ishida K AD - Department of Ophthalmology, Toho University Ohashi Medical Center (K.Is., G.T.), Tokyo, Japan. FAU - Tomita, Goji AU - Tomita G AD - From the Inouye Eye Hospital (K.In., M.S., S.K., M.T., G.T.), Tokyo, Japan; Department of Ophthalmology, Toho University Ohashi Medical Center (K.Is., G.T.), Tokyo, Japan. LA - eng PT - Clinical Trial PT - Journal Article DEP - 20211220 PL - United States TA - Am J Ophthalmol JT - American journal of ophthalmology JID - 0370500 RN - 0 (Antihypertensive Agents) RN - 0 (Pyrazoles) RN - 0 (Pyridines) RN - G0G0H52U6K (omidenepag isopropyl) RN - TE7660XO1C (Glycine) SB - IM MH - Antihypertensive Agents/adverse effects MH - *Glaucoma, Open-Angle MH - Glycine/analogs & derivatives MH - Humans MH - Intraocular Pressure MH - *Ocular Hypertension MH - Pyrazoles/therapeutic use MH - Pyridines EDAT- 2021/12/24 06:00 MHDA- 2022/04/26 06:00 CRDT- 2021/12/23 20:11 PHST- 2021/08/11 00:00 [received] PHST- 2021/12/07 00:00 [revised] PHST- 2021/12/08 00:00 [accepted] PHST- 2021/12/24 06:00 [pubmed] PHST- 2022/04/26 06:00 [medline] PHST- 2021/12/23 20:11 [entrez] AID - S0002-9394(21)00648-6 [pii] AID - 10.1016/j.ajo.2021.12.011 [doi] PST - ppublish SO - Am J Ophthalmol. 2022 May;237:114-121. doi: 10.1016/j.ajo.2021.12.011. Epub 2021 Dec 20.