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Recovery of deepening of the upper eyelid sulcus after switching from prostaglandin FP receptor agonists to EP2 receptor agonist: a 3-month prospective analysis

Abstract

Purpose

To examine the effect of switching from a prostanoid FP receptor agonists to EP2 receptor agonist (omidenepag isopropyl) on the deepening of the upper eyelid sulcus (DUES) and intraocular pressure (IOP) in Japanese glaucoma patients over 3 months post treatment.

Study design

Prospective observational study.

Methods

Patients with glaucoma who received FP receptor agonists treatment and had complained of DUES-related reduction in quality of life were included. Their FP receptor agonists was switched to omidenepag isopropyl without a drug holiday. At baseline and 1 and 3 months post-switch, photographs were taken and the changes in DUES were assessed by three independent observers. IOP and adverse events were also assessed.

Results

The study included 23 eyes of 23 patients (6 men, 17 women; average age, 60.6 years). After switching, DUES improved in 12 eyes at 1 month and in 16 eyes at 3 months; eyes in the remaining patients showed no worsening of the condition. The mean IOP before switching was 15.3 ± 3.3 mmHg (95% confidence interval 13.9–16.7 mmHg). Following the switch, the mean IOP values were 15.6 ± 3.3 mmHg (14.1–17.0 mmHg) at 1 month and 15.5 ± 3.3 mmHg (14.1–16.9 mmHg) at 3 months (P = 1.0 at 1 month, P = 1.0 at 3 months; both adjusted by Bonferroni correction). No adverse effects were observed.

Conclusion

Omidenepag isopropyl improved DUES while maintaining IOP in over 70% of Japanese patients with glaucoma who exhibited DUES caused by FP receptor agonists; the improvement was observed within 3 months after switching from FP receptor agonists.

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Acknowledgements

This study was funded by Santen Pharmaceutical Co., Ltd, Osaka.

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Correspondence to Rei Sakata.

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Conflicts of interest

R. Sakata, None; T. Fujishiro, None; H. Saito, None; N. Nakamura, None; M. Honjo, None; S. Shirato, None; E. Miyamoto, Employee (Santen); Y. Yamada, Employee (Santen); M. Aihara, None.

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Corresponding Author: Rei Sakata

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Sakata, R., Fujishiro, T., Saito, H. et al. Recovery of deepening of the upper eyelid sulcus after switching from prostaglandin FP receptor agonists to EP2 receptor agonist: a 3-month prospective analysis. Jpn J Ophthalmol 65, 591–597 (2021). https://doi.org/10.1007/s10384-021-00855-3

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Keywords

  • Omidenepag isoproryl
  • EP2 receptor agonist
  • Glaucoma
  • Upper eyelid sulcus
  • Prostaglandin FP receptor agonists