Safety and efficacy of travoprost solution for the treatment of elevated intraocular pressure.
Travoprost is a prostaglandin analogue widely used for reducing intraocular pressure (IOP) in patients affected with glaucoma and ocular hypertension. It exerts its ocular hypotensive effect through the prostaglandin FP receptors, located in the ciliary muscle and the trabecular meshwork. Several studies have shown that topical administration of travoprost induces a mean IOP reduction ranging from 25% to 32%, and sustained throughout the 24-hour cycle. When compared with timolol, travoprost is more effective at reducing IOP, while generally no difference has been found in the head-to-head comparison with other prostaglandin analogues. The fixed combination of travoprost and timolol has demonstrated a hypotensive efficacy comparable to the concomitant administration of the two drugs. Recently, a new preservative-free formulation of travoprost 0.004% has been marketed for reducing tolerability-related problems in subjects affected with ocular surface disease. Low rates of topical and systemic adverse reactions, strong ocular hypotensive efficacy, and once-a-day dosing make travoprost a first-line treatment for patients affected with elevated IOP.
Centre for the Study of Glaucoma, University of Brescia, Brescia, Italy.
Luciano
L
Quaranta
Centre for the Study of Glaucoma, University of Brescia, Brescia, Italy.
Ivano
I
Riva
Ophthalmology Department, University of Ioannina, Ioannina, Greece.
Andreas
A
Katsanos
Laboratory of Clinical Research, IRCCS, Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Irene
I
Floriani
DSCMT, University of Tor Vergata, Rome, Italy.
Marco
M
Centofanti
Glaucoma Unit, 1st University Department of Ophthalmology, AHEPA Hospital, Thessaloniki, Greece.
Anastasios G P
AG
Konstas
glaucoma; ocular hypertension; prostaglandin analogue