Topical ibopamine in the treatment of chronic ocular hypotony attributable to vitreoretinal surgery, uveitis, or penetrating trauma

Am J Ophthalmol. 2006 Mar;141(3):571-3. doi: 10.1016/j.ajo.2005.09.034.

Abstract

Purpose: To study whether topical ibopamine effectively increases the intraocular pressure in patients with ocular hypotony after vitreoretinal surgery, uveitis, or penetrating trauma.

Design: A prospective randomized, double-blind, placebo controlled, crossover study.

Methods: In ten patients with ocular hypotony, an ibopamine 2% solution or placebo eyedrop was administered at 8 am and frequent applanation tonometry was performed during 10 hours on 2 days, 2 weeks apart.

Results: The mean IOP integral after administration of ibopamine was 2.4 mm Hg higher (95% CI for median difference in AUC over 480 minutes [P = .010]) compared with placebo.

Conclusions: The results of the study show that an ibopamine 2% eyedrop twice a day may increase the IOP for a period of over 8 hours in patients with hypotony.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Administration, Topical
  • Adult
  • Aged
  • Chronic Disease
  • Cross-Over Studies
  • Deoxyepinephrine / administration & dosage
  • Deoxyepinephrine / analogs & derivatives*
  • Deoxyepinephrine / therapeutic use
  • Dopamine Agonists / administration & dosage
  • Dopamine Agonists / therapeutic use*
  • Double-Blind Method
  • Eye Injuries, Penetrating / complications*
  • Female
  • Humans
  • Intraocular Pressure / drug effects*
  • Male
  • Middle Aged
  • Ocular Hypotension / drug therapy*
  • Ocular Hypotension / etiology
  • Prospective Studies
  • Tonometry, Ocular
  • Uveitis / complications*
  • Visual Acuity
  • Vitrectomy / adverse effects*

Substances

  • Dopamine Agonists
  • ibopamine
  • Deoxyepinephrine