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                  Results of 1-year fixed combination glaucoma treatment





                  TABLE I - INTRAOCULAR AND ARTERIAL BLOOD PRESSURE LEVELS DURING THE FOLLOW-UP VISITS
                                      Baseline                        Treatment groups
                                                         1 mo             6 mo         12 mo

                  DTFC               22.10 (2.69)       16.33 (2.11)    16.17 (2.81)   17.10 (2.42)
                  LTFC               20.57 (3.25)       14.90 (2.69)    14.70 (2.57)   15.13 (3.42)
                  SBP-1              157.70 (14.90)    152.73 (16.90)*   161.80 (18.40)*   148.50 (11.18)
                  SBP-2              146.70 (20.22)    136.0 (13.67)*   146.80 (15.40)*   144.20 (17.41)
                  DBP-1              92.13 (8.12)       93.73 (15.41)   97.43 (12.19)*   91.07 (8.47)
                  DBP-2              86.80 (7.53)       81.10 (7.04)    86.97 (9.49)*   86.57 (9.10)
                  *p<0.05 Statistically significant.
                  DTFC = dorzolamide/timolol; LTFC = latanoprost/timolol; SBP-1 and DBP-1 = systolic blood pressure, diastolic blood pressure, DTFC group; SBP-2 and DBP-2
                  = systolic blood pressure, diastolic blood pressure, LTFC group.


                  blood flow was evaluated with Color Doppler imaging (CDI)
                  (Accuvix XQ, Medison Co., Ltd., Seoul, Korea).
                  CDI is an ultrasound technique that combines b-scan gray
                  scale imaging of tissue structure, colored representation
                  of blood flow based on Doppler shifted frequencies, and
                  pulsed-Doppler  measurement  of blood flow velocities.
                  Blood flow velocities were measured in the ophthalmic ar-
                  tery (OA), central retinal artery (CRA), and short posterior
                  ciliary artery (SPCA) with a 7.5 MHz linear probe calcu-
                  lating peak systolic velocity (PSV), end-diastolic velocity
                  (EDV), and resistive index (RI) in each vessel.
                  All patients’ data were collected in the Eye Clinic of Kaunas
                  Medical University, Lithuania, and the CDI readings were
                  performed by a reading center (Glaucoma Research and
                  Diagnostic Laboratories, Department of Ophthalmology,
                  Indiana University School of Medicine, IN).
                                                            Fig. 1 - Fluctuations in ocular perfusion pressure compared to base-
                                                            line at 1-, 6-, and 12-month visits with dorzolamide/timolol (DTFC)
                  Statistical analysis                      and latanoprost/timolol (LTFC) treatment.

                  The CDI presents with 12 different parameters with co-
                  efficient of variation ranging from 1.7% to 18%, with the   considering a comparison significant if the p value was
                  majority of  parameters present with coefficient  of  varia-  less than 0.05 and applying Fisher criteria. If a significant
                  tion under 10%. The coefficient of variation for total RNFL   F-value was found for one independent variable, then this
                  thickness is 5%. With an N of 15 in each group, we have   was referred to as a significant main effect. When two or
                  at least 90% power to detect a change as small as 8.5%   more independent variables were considered simultane-
                  with alpha level 0.05 in retrobulbar velocities and 4.2% in   ously, an interaction between them was tested. Changes
                  RNFL thickness.                           in individual parameters were examined by paired Student
                  Descriptive statistics were obtained for the resulting mea-  t test. The level of significance was 5% and all values of
                  surements. We performed two-way analysis of variance   p<0.05 were considered statistically significant. To test the
                  with Bonferroni adjustment calculating exact probabilities   hypothesis that the mean difference between two mea-
                  792



             EJO_790-797_Janule.indd   792                                                      3-08-2009   14:04:14







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