Additive intraocular pressure-lowering effect of dorzolamide 1%/ timolol 0.5% fixed combination on prostaglandin monotherapy in patients with normal tension glaucoma

Purpose: To evaluate the intraocular pressure (IOP)-lowering effect of adding dorzolamide 1.0%/ timolol 0.5% fixed combination (DTFC)to prostaglandin analogs (PGAs) as monotherapy in patients with normal tension glaucoma. Methods: A prospective, clinical, case-controlled study of patients with normal tension glaucoma. Patients had been on a once-dailynight dose of prostaglandins (PGs) as monotherapy and then received DTFC added to PGs for 8 weeks. The IOP was measured at 9 am, week 0 (baseline), week 4, and week 8. Results: The baseline IOP of 40 patients who had previously been treated by prostaglandin monotherapy was 15.6 +/- 2.0 mmHg at baseline. The IOPs at 4 and 8 weeks after adding DTFC to PGs were 13.5 +/- 2.1 mmHg and 13.7 +/- 2.2 mmHg, respectively. Significant decrease of the IOP was observed at each time point of measurement as compared with the baseline IOP before adding DTFC (P = 0.01). The percent IOP reduction from the baseline IOP at week 4 and week 8 was 13.5% +/- 12.3% and 11.7% +/- 13.1%, respectively. The percentage of patients who achieved 10% or more IOP reduction from the baseline IOP at week 8 was 62.5%. The baseline IOP was significantly correlated with the percent IOP reduction at week 8 (P = 0.03, r = 0.34). Conclusion: DTFC therapy added to PGAs as glaucoma monotherapy is effective in patients with normal tension glaucoma.