title: Incidence of deepening of the upper eyelid sulcus after topical use of travoprost ophthalmic solution in Japanese.
abstract: OBJECTIVE
  To investigate the incidence of deepening of the upper eyelid sulcus (DUES) with topical use of travoprost in Japanese glaucoma patients.
  
  
  METHODS
  This prospective study enrolled 32 primary open-angle glaucoma Japanese patients who had been treated topically with travoprost unilaterally for 6 months at baseline, and started treatment in both eyes. The patients were observed during outpatient visits at 2, 4, and 6 months. At every visit, the photographs of both eyes and forehead were displayed randomly and the presence of DUES was diagnosed when 3 examiners unanimously rated the case as positive. The patients were also asked if they noticed any subjective symptom of DUES. Sex, refraction, and intraocular pressure (IOP) were evaluated as potential risk factors.
  
  
  RESULTS
  DUES was identified objectively in 34% (11/32) of the patients after 2 months of treatment, and in 53% (17/32) after 4 and 6 months of treatment. The incidence was significantly higher in older patients (P<0.05), but not related to sex, refraction, pretreatment and posttreatment IOP, and IOP reduction. Finally, 41% (7/17) of patients with objectively diagnosed DUES noticed the presence of DUES by themselves. No patient dropped out of the study because of DUES.
  
  
  CONCLUSIONS
  DUES is a common side effect of topical travoprost treatment in Japanese glaucoma patients.
authors.affiliation: *Department of Ophthalmology, Tokyo Medical University †Yotsuya Shirato Eye Clinic, Tokyo, Japan.
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Maruyama
authors.forename: Shiroaki
authors.initials: S
authors.lastname: Shirato
authors.forename: Asako
authors.initials: A
authors.lastname: Tsuchisaka
mesh_terms: D000287:Administration, Topical; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000959:Antihypertensive Agents / Q000009:adverse effects* / Q000627:therapeutic use; D044466:Asian People; D003008:Cloprostenol / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000627:therapeutic use; D005141:Eyelid Diseases / Q000139:chemically induced* / Q000175:diagnosis; D005143:Eyelids / Q000187:drug effects* / Q000473:pathology; D005260:Female; D005902:Glaucoma, Open-Angle / Q000188:drug therapy*; D006801:Humans; D015994:Incidence; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D009883:Ophthalmic Solutions; D011446:Prospective Studies; D000069557:Travoprost
chemical_list: D000959:Antihypertensive Agents; D009883:Ophthalmic Solutions; D003008:Cloprostenol; D000069557:Travoprost