Summary
A double-blind short-term trial was done to test the effect of guanethidine 3% — adrenaline 0.5% (G-A) in a combined eye drop in 18 patients with open-angle glaucoma and one patient with narrow-angle glaucoma. In 9 of the 19 patients we expected an IOP lowering agent. There was one false-negative result. The mean fall in IOP due to G-A was 10.1 mm Hg (range 3 to 23) and 8.7 mm Hg (range −1 to 26) 6 and 8 h after application respectively. There was no effect on IOP in the 9 eyes that received the placebo.
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Backer, B., Ley, A.P.: Epinephrine and acetazolamide. Amer. J. Ophthal. 45, 639–643 (1958)
Bonomi, L., di Comite, P.: Outflow facility after guanethidine sulfate administration. Arch. Ophthal. 78, 337–340 (1967)
Budge, J.: Über die Bewegung der Iris. Braunschweig: Vieweg 1855
Cannon, W.B.: A law of denervation. Amer. J. med. sci. 198, 737–750 (1939)
Castrén, J.A., Pohjala, S.: Effect of guanethidine on glaucomatous eyes. Acta Ophthal. (Kbh) 40, 308–312 (1962)
Castrén, J.A., Pohjala, S., Pakarinen, P., Karjalainen, K.: Guanethidine (Ismelin) in the therapy of glaucoma. Ophthalmologica (Basel) 155, 194–204 (1968)
Collignon, J., Pryot, E.: La guanethidine a-t-elle une place dans le traitement d l'hypertension oculaire?. Bull. Soc. belge Ophthal. 165, 344–349 (1973)
Crombie, A.L.: Adrenergic hypertensitization as a therapeutic tool in glaucoma. Trans. Ophthal. Soc. U.K. 94, 570–572 (1974)
Emmelin, N.: Supersensitivity following “pharmological denervation”, Pharmacol. Rev. 13, 17–37 (1961)
Etienne, R.: The non-myotical topical therapy of chemic glaucoma simplex. Amer. Med. Ass. Meeting, Section Ophthalmology (1973)
Garner, L.L., Johnstone, W.W., Balantine, E.J., Carroll, M.E.: Effect of 2% Levo-Rotary Epinephrine on the intraocular pressure of the glaucomatous eye. Arch. Ophthal. 62, 230–238 (1959)
Gloster, J.: Guanethidine and glaucoma. Trans. Ophthal. Soc. U.K. 94, 573–577 (1974)
Hampel, C.W.: The effect of denervation on the sensitivity to adrenine of the smooth muscle in the nictitating membrane of the cat. Amer. J. Physiol. 111, 611–621 (1935)
Harris, L.S., Galin, M.A., Lerner, R.: The influence of Low-Dose L-Epinephrine on aqueous outflow facility. Ann. Ophthal. 2, 253–257 (1970)
Hendley, E., Eakins, K.: The mechanism of action of guanethidine on aqueous humour dynamics. J. Pharmacol. exp. Ther. 150, 393–397 (1965)
Küchle, H.J.: Zur lokalen Wirkung von guanethidine (Ismelin) auf das gesunde und glaukomkranke Auge. Klin. Mbl. Augenheilk. 139, 224–234 (1961)
Kutschera, E.: Klinische Erfahrungen mit Ismelin. Klin. Mbl. Augenheilk. 139, 234–241 (1961)
Merté, H.J., Toppel, L.: Guanethidine in der Glaukomtherapie. Albrecht v. Graefes Arch. Ophthal. 176, 30–42 (1968)
Mitchell, J.R., Oates, J.A.: Guanethidine and related agents. I. Mechanism of the selective blockade of adrenergic neurons and its antagonism by drugs. J. Pharmacol. exp. Ther. 172, 100–107 (1970)
Nagasubramanian, S., Tripathi, R.C., Poinoosawny, D., Gloster, J.: Low concentration guanethidine and adrenaline therapy of glaucoma. Trans. Ophthal. Soc. U.K. 96, 179–183 (1976)
Paterson, G.D., Paterson, G.: Drug therapy of glaucoma. Brit. J. Ophthal. 56, 288–294 (1972)
Paterson, G.D., Paterson, G., Miller, S.H.J.: The non-myotic therapy of open angle glaucoma, in Albi Int. Glaucoma Symp. 343–352 (1974)
Romano, J.: Trial with guanethidine 5% and neutrial adrenaline 1% in eyes with advanced glaucoma. Trans. Ophthal. Soc. U.K. 94, 576–577 (1974)
Roth, J.A.: Guanethidine and adrenaline used in combination in chronic simple glaucoma. Brit. J. Ophthal. 57, 507–510 (1973)
Sears, M.L.: The mechanism of action of adrenergic drugs in glaucoma. Invest. Ophthal. 5, 115–119 (1966)
Stepanik, J.: Tonographische und differentialtonometrische Untersuchungen über die Wirkung von Ismelin-Augentropfen (Ciba) bei glaucoma simplex. Albre cht v. Graefes Arch. Ophthal. 164, 6–9 (1961)
Tamura, T.: Effect of guanethidine on the vesiculated axon in the dilator muscle area of the rabbit iris. Jap. J. Ophthal. 17, 140–146 (1973)
Trendelenburg, U.: Supersensitivity and subsensitivity to sympathomimetic amines. Pharmacol. Rev. 15, 225–276 (1963)
Weekers, R., Pryot, E., Gustin, J.: Recent advances and future prospects in the medical treatment of ocular hypertension. Brit. J. Ophthal. 38, 742–746 (1954)
Weekers, R., Delmarcelle, Y., Gustin, J.: Treatment of ocular hypertension by adrenaline and diverse sympathomimetic drugs. Amer. J. Ophthal. 40, 666–672 (1955)
Weekers, R., Grieten, J., Collignon, J., Demaret, M.: Etude du mécanisme de l'hypotension oculaire provoquée par l'adrénaline. Docum. Ophthal. (Den Haag) 20, 175–183 (1966)
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Hoyng, P.F.J., Dake, C.L. & Greve, E.L. A double-blind short-term trial of guanethidine 3 % and adrenaline 0.5 % combined in one eye drop. Albrecht von Graefes Arch. Klin. Ophthalmol. 203, 73–80 (1977). https://doi.org/10.1007/BF00410049
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DOI: https://doi.org/10.1007/BF00410049