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1.
Medicine (Baltimore) ; 99(23): e20356, 2020 Jun 05.
Article in English | MEDLINE | ID: mdl-32501980

ABSTRACT

BACKGROUND: Bimatoprost has been reported to treat primary open-angle glaucoma (POAG) effectively. However, up-to-date, no systematic review has specifically addressed the efficacy and safety of bimatoprost for the treatment of POAG. Therefore, this study will propose to appraise the efficacy and safety of bimatoprost for the treatment of POAG. METHODS: We will perform a systematic search in MEDLINE, EMBASE, CINAHI, Cumulative Index to Nursing and Allied Health Literature, Allied and Complementary Medicine Database, Web of Science, Cochrane Library, Chinese Biomedical Literature Database, and China National Knowledge Infrastructure from inception up to the March 1, 2020. We will include randomized controlled trials (RCTs) for evaluating the efficacy and safety of bimatoprost for the treatment of POAG. Primary outcome is the mean intraocular pressure (IOP) reduction from baseline to the endpoint, and change in best corrected visual acuity. Secondary outcomes are contrast sensitivity, rate of progression of glaucoma, quality of life, and incidence of adverse events. Study quality will be examined by Cochrane Collaboration tool, and strength of evidence will be evaluated by Grading of Recommendations Assessment Development and Evaluation tool. RESULTS: This proposed study will outline the current RCTs to assess the efficacy and safety of bimatoprost for the treatment of POAG. CONCLUSION: The findings of this study will confirm whether bimatoprost is beneficial to patients with POAG. SYSTEMATIC REVIEW REGISTRATION: INPLASY202040118.


Subject(s)
Antihypertensive Agents/therapeutic use , Bimatoprost/therapeutic use , Glaucoma, Open-Angle/drug therapy , Antihypertensive Agents/administration & dosage , Antihypertensive Agents/adverse effects , Bimatoprost/administration & dosage , Bimatoprost/adverse effects , Humans , Intraocular Pressure/drug effects , Quality of Life , Randomized Controlled Trials as Topic , Research Design , Meta-Analysis as Topic
2.
Medicine (Baltimore) ; 98(29): e15404, 2019 Jul.
Article in English | MEDLINE | ID: mdl-31335666

ABSTRACT

This study retrospectively evaluated the effect of lutein supplement (LS) on patients with non-proliferative diabetic retinopathy (NPDR).A total of 72 patients with NPDR were included in this study. All patients received Zeaxanthin during the study period. In addition, 36 patients also received LS and were assigned to the treatment group, while the other 36 patients did not receive LS and were assigned to the control group. All patients were treated for a total of 4 months. The endpoints included visual acuity (VA), contrast sensitivity (CS), and glare sensitivity (GS). In addition, any adverse events were also assessed. All endpoints were measured before and after 4-month treatment.Before treatment, there were no significant differences in VA (P = .75), CS (P = .71), and GS (P = .73) between two groups. After 4-month treatment, there were still no significant differences in all endpoints of VA (P = .66), CS (P = .58), and GS (P = .61) between two groups. No adverse events were recorded in either group.The results of this retrospective study showed that LS may not benefit for patients with NPDR after 4-month treatment. More high quality randomized controlled trials should still be needed to warrant the results of this study.


Subject(s)
Diabetes Mellitus, Type 2/complications , Diabetic Retinopathy/drug therapy , Diabetic Retinopathy/metabolism , Lutein , Antioxidants/administration & dosage , Antioxidants/adverse effects , Contrast Sensitivity , Diabetic Retinopathy/diagnosis , Diabetic Retinopathy/physiopathology , Dietary Supplements , Drug Monitoring/methods , Female , Humans , Lutein/administration & dosage , Lutein/adverse effects , Male , Middle Aged , Oxidative Stress/drug effects , Retrospective Studies , Treatment Outcome , Visual Acuity/drug effects
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