Latanoprost ophthalmic solution in the treatment of open angle glaucoma or raised intraocular pressure: a review

Andrea Russo, Ivano Riva, Teodoro Pizzolante, Federico Noto, Luciano QuarantaCattedra di Malattie dell’Apparato Visivo, Università degli studi di Brescia, USVD “Centro per lo studio del Glaucoma” Spedali Civili di BresciaAbstract: Latanoprost...

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Autores principales: Andrea Russo, Ivano Riva, Teodoro Pizzolante, Federico Noto, Luciano Quaranta
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Publicado: Dove Medical Press 2009
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spelling oai:doaj.org-article:4ff5fad9208f4d4dac68f95d5b98d64c2021-12-02T05:07:19ZLatanoprost ophthalmic solution in the treatment of open angle glaucoma or raised intraocular pressure: a review1177-54671177-5483https://doaj.org/article/4ff5fad9208f4d4dac68f95d5b98d64c2009-01-01T00:00:00Zhttp://www.dovepress.com/latanoprost-ophthalmic-solution-in-the-treatment-of-open-angle-glaucom-a2801https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Andrea Russo, Ivano Riva, Teodoro Pizzolante, Federico Noto, Luciano QuarantaCattedra di Malattie dell’Apparato Visivo, Università degli studi di Brescia, USVD “Centro per lo studio del Glaucoma” Spedali Civili di BresciaAbstract: Latanoprost is a prostaglandin F2-alpha isopropyl ester prodrug which is rapidly hydrolyzed by esterases in the cornea to the biologically active latanoprost acid. When latanoprost is topically administered into the eye, the cornea seems to act like as a slow-release depot to the anterior segment. One hour after administration maximum concentration is found in the iris, followed by the anterior chamber and the ciliary body. Despite extensive research, controversy remains about the real mechanism of action of this drug. Immunohistochemical data have shown that the intraocular pressure (IOP) reduction with topical prostaglandin F2-alpha is associated with a reduction of collagens within the uveoscleral outflow pathway. Evidence from several experimental and clinical studies suggests that latanoprost is a valuable addition first-line treatment alternatives for glaucoma, ocular hypertension and even angle-closure glaucoma. Strong points are its efficacy, which is demonstrated to be higher than that of brimonidine, dorzolamide and timolol with fewer systemic adverse effects; a convenient administration schedule; and the IOP-controlling pattern, which is relatively flat compared with timolol and dorzolamide, and enables better control in glaucoma progression, since large fluctuations may be associated with the risk of developing glaucoma in untreated ocular hypertensive subjects.Keywords: latanoprost, intraocular pressure, glaucoma, ocular hypertension Andrea RussoIvano RivaTeodoro PizzolanteFederico NotoLuciano QuarantaDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2008, Iss Issue 4, Pp 897-905 (2009)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Andrea Russo
Ivano Riva
Teodoro Pizzolante
Federico Noto
Luciano Quaranta
Latanoprost ophthalmic solution in the treatment of open angle glaucoma or raised intraocular pressure: a review
description Andrea Russo, Ivano Riva, Teodoro Pizzolante, Federico Noto, Luciano QuarantaCattedra di Malattie dell’Apparato Visivo, Università degli studi di Brescia, USVD “Centro per lo studio del Glaucoma” Spedali Civili di BresciaAbstract: Latanoprost is a prostaglandin F2-alpha isopropyl ester prodrug which is rapidly hydrolyzed by esterases in the cornea to the biologically active latanoprost acid. When latanoprost is topically administered into the eye, the cornea seems to act like as a slow-release depot to the anterior segment. One hour after administration maximum concentration is found in the iris, followed by the anterior chamber and the ciliary body. Despite extensive research, controversy remains about the real mechanism of action of this drug. Immunohistochemical data have shown that the intraocular pressure (IOP) reduction with topical prostaglandin F2-alpha is associated with a reduction of collagens within the uveoscleral outflow pathway. Evidence from several experimental and clinical studies suggests that latanoprost is a valuable addition first-line treatment alternatives for glaucoma, ocular hypertension and even angle-closure glaucoma. Strong points are its efficacy, which is demonstrated to be higher than that of brimonidine, dorzolamide and timolol with fewer systemic adverse effects; a convenient administration schedule; and the IOP-controlling pattern, which is relatively flat compared with timolol and dorzolamide, and enables better control in glaucoma progression, since large fluctuations may be associated with the risk of developing glaucoma in untreated ocular hypertensive subjects.Keywords: latanoprost, intraocular pressure, glaucoma, ocular hypertension
format article
author Andrea Russo
Ivano Riva
Teodoro Pizzolante
Federico Noto
Luciano Quaranta
author_facet Andrea Russo
Ivano Riva
Teodoro Pizzolante
Federico Noto
Luciano Quaranta
author_sort Andrea Russo
title Latanoprost ophthalmic solution in the treatment of open angle glaucoma or raised intraocular pressure: a review
title_short Latanoprost ophthalmic solution in the treatment of open angle glaucoma or raised intraocular pressure: a review
title_full Latanoprost ophthalmic solution in the treatment of open angle glaucoma or raised intraocular pressure: a review
title_fullStr Latanoprost ophthalmic solution in the treatment of open angle glaucoma or raised intraocular pressure: a review
title_full_unstemmed Latanoprost ophthalmic solution in the treatment of open angle glaucoma or raised intraocular pressure: a review
title_sort latanoprost ophthalmic solution in the treatment of open angle glaucoma or raised intraocular pressure: a review
publisher Dove Medical Press
publishDate 2009
url https://doaj.org/article/4ff5fad9208f4d4dac68f95d5b98d64c
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