Efficacy and Safety of Switching Prostaglandin Analog Monotherapy to Tafluprost/Timolol Fixed-Combination Therapy.

PURPOSE: To assess the efficacy and safety of switching from prostaglandin analog (PGA) monotherapy to tafluprost/timolol fixed-combination (Taf/Tim) therapy. SUBJECTS AND METHODS: Patients with primary open-angle glaucoma, normal-tension glaucoma, or ocular hypertension who had received PGA monotherapy for at least 3 months were enrolled. Patients were examined at 1, 2, and 3 months after changing therapies. Subsequently, the patients were returned to PGA monotherapy. The examined parameters included intraocular pressure (IOP) and adverse events. A questionnaire survey was conducted after the switch to Taf/Tim therapy. RESULTS: Forty patients with a mean age of 66.5 ± 10.3 years were enrolled; 39 of these patients completed the study protocol. Switching to Taf/Tim significantly reduced the IOP from 18.2 ± 2.6 mmHg at baseline to 14.8 ± 2.5 mmHg at 1 month, 15.2 ± 2.8 mmHg at 2 months, and 14.9 ± 2.5 mmHg at 3 months (P < 0.001). Switching back to the original PGA monotherapy returned the IOP values to baseline levels. Taf/Tim reduced the pulse rate insignificantly. No significant differences were observed in blood pressure, conjunctival hyperemia, or corneal adverse events. A questionnaire showed that the introduction of Taf/Tim did not significantly influence symptoms. CONCLUSIONS: Compared with PGA monotherapy, Taf/Tim fixed-combination therapy significantly reduced IOP without severe adverse events.

Modulation of human visual evoked potentials in 3-dimensional perception after stimuli produced with an integral imaging method.

We investigated the neurophysiological correlates of stereoscopic 3-dimensional (3-D) depth perception by studying human visual evoked potentials (VEPs) with an integral imaging method characterized by horizontal but not vertical disparity. The VEPs were recorded in 10 healthy men under 4 conditions. In condition I, stimuli A (flat, 2-dimensional [2-D] image) and B (concave 3-D image) were presented at random. In condition II, stimuli A and C (convex 3-D image) were presented at random. In condition III, stimuli B and C were presented at random. In condition IV, stimuli A, B, and C were presented at random. The data for flat VEPs to stimulus A were combined in conditions I and II. The data for concave VEPs to stimulus B were combined in conditions I and III. The data for convex VEPs to stimulus C were combined in conditions II and III. When 2-way analysis of variance (ANOVA) for 2 factors, stimulus conditions (flat VEPs, concave VEPs, and convex VEPs) and electrode positions, was applied for VEP data, the N1 and N2 peak amplitudes differed significantly among the 3 stimulus conditions. In condition IV, the N1 peak amplitudes differed significantly among the 3 stimuli. Multiple comparisons followed by Bonferroni adjustment did not detect differences in the N1 peak amplitude between stimuli A and B, between stimuli A and C, or between stimuli B and C. We concluded that VEPs to concave or convex 3-D stimuli were significantly different from VEPs to flat 2-D stimuli. This is the first report showing modulation of human VEPs in 3-D perception with an integral imaging method.

P1 and P2 components of human visual evoked potentials are modulated by depth perception of 3-dimensional images.

OBJECTIVE: To determine the cerebral activity correlated with depth perception of 3-dimensional (3D) images, by recording of human visual evoked potentials (VEPs). METHODS: Two figures consisting of smaller and larger squares were presented alternately. VEPs were recorded in two conditions. In condition I, we used two figures which yielded flat 2-dimensional images. In condition II, we used two figures which yielded 3D images, which were concave and convex, respectively. RESULTS: P1, P2, and N1/P2 amplitude were significantly greater in condition II than in condition I. The P1/N1 amplitude tended to be greater in condition II than in condition I. P1 and N1 were predominantly distributed over the right temporo-parieto-occipital regions. P2 and N2 were distributed over bilateral parieto-occipital regions. CONCLUSIONS: The difference in P1 amplitude between two conditions can be explained by the difference between conditions, one of which yielded depth perception while the other did not, since previous studies showed that P1 and N1 are modulated by perception of images in depth. The role of P2 and the mechanism responsible for the increase in P2 amplitude during condition II remain unknown. SIGNIFICANCE: We recorded VEPs and identified electrophysiological correlates of depth perception with 3D images produced by concave/convex figures.

The effect of attended color on the P1/N1 component of visual event-related potentials.

Ten subjects were asked to pay attention to green or to red, when each visual stimulus was presented as two small squares, one green and the other red. They were instructed to push a button with the right hand, when the attended color was on the right side, and to push a button with the left hand, when the attended color was on the left side. The P1/N1 peak-to-peak amplitudes of visual event-related potentials were significantly higher when subjects focused attention on green rather than on red. We assume that the attended color had the effect of modulating the P1/N1 components.

Visual event-related potentials under different interstimulus intervals in Parkinson's disease: relation to motor disability, WAIS-R, and regional cerebral blood flow.

We have introduced S1-S2 paradigm (task S) as well as oddball paradigm (task O) visual event-related potentials (ERPs) under different interstimulus intervals (ISIs) in Parkinson's disease (PD). ERP measurements were correlated with motor disability, WAIS-R, and regional cerebral blood flow (rCBF). The 'group' influence was characterized by longer latency for P300, N200, and reaction time and decreased P300 amplitude in PD. Both P300 latency and reaction time during task O showed significantly longer latency in longer ISI condition. Our results revealed 'ISI' influence on ERPs during task S and significant correlation between ERPs and rCBF in task S.

Visual evoked potential changes related to illusory perception in normal human subjects.

To study the human brain activity correlated with illusory perception, we chose a physically flat plane figure which looks like a convex figure. We studied visual evoked potential (VEP) changes, which reflect perceptual properties of illusory perception. We defined two paradigms, an illusory paradigm (IP) and a control paradigm (CP). Two stimuli, A and B, were randomly presented in the IP, while stimuli C and D were randomly presented in the CP. Stimulus A was the only figure which looked like a convex figure. A three-way analysis of variance was applied to the VEP components in each paradigm, with three factors: figures, electrodes, and sessions. Different configuration patterns between the two paradigms explained different grand mean VEP waveforms between the two paradigms; a greater N1 for the CP, a greater P1 for the IP, and marked attenuation of the N3 and P3 components for the IP. Significant main effects of figures only for the IP were found on P1 and P1N2 amplitude and P2 latency, which are assumed to reflect perceptual properties of stereoscopical illusory perception.

Early sensory information processes are enhanced on visual oddball and S1-S2 tasks in Parkinson's disease: a visual event-related potentials study.

To observe sensory and cognitive information processing in Parkinson's disease (PD), 34 PD patients and 26 controls were investigated. A visual oddball paradigm and an S1-S2 paradigm were employed to record the early (P1, N1, P2) and late (N2, P3) event-related potentials (ERPs) at Cz, Pz and Oz. Results showed: (1) enlarged P1 amplitude at all electrode locations on both tasks, (2) shortened N1 latency and enlarged P2 amplitude at Oz on both tasks, (3) enlarged N1 amplitude at Cz during an oddball paradigm, (4) delayed N2 latency and decreased N2, P3 amplitude on both tasks, and (5) delayed P3 latency and reaction time during the S1-S2 paradigm. Abnormal ERP changes were correlated with worsened scores on Wechsler Adult Intelligence Scale-Revised and motor dysfunction scales in PD. We surmise overactive aspects or failed inhibitory modulation of sensory information processing in the early ERP stage and deficient cognitive information processing during the late ERP stage in PD.

The effect of stimulus-onset asynchrony on human visual event-related potentials during simple and choice reaction paradigms under constant or random conditions.

Visual event-related potentials (ERPs) were recorded during an oddball paradigm (OBP) and a simple reaction paradigm (SRP) to investigate the effect of stimulus-onset asynchrony (SOA) on ERPs under constant and random conditions in nine healthy individuals. NA was obtained by subtracting ERPs for SRP from those to the frequent nontarget of OBP. N2 was obtained by subtracting ERPs to the frequent nontarget from those to the rare target of OBP. N1, P2, and P3 latencies during OBP were shorter, and N1 amplitude of OBP, P1, and P2 amplitude of SRP, and NA amplitude were larger under constant conditions than under random conditions. We suggest that visual information processing is faster and more effective under constant conditions than under random conditions. NA potential related to the pattern recognition processing was significantly interfered with under random conditions, whereas N2 potential related to the stimulus classification was less influenced by the rhythm. The visual selective processing activity was influenced by the SOA with the positive shift of the waveform "20% rare target of OBP-100% target of SRP" under random conditions.