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. 2023 Sep 1;32(9):738-743.
doi: 10.1097/IJG.0000000000002271. Epub 2023 Jul 20.

Short-Term Outcomes of Bimatoprost Sustained-Release Intracameral Implant in Glaucoma

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Short-Term Outcomes of Bimatoprost Sustained-Release Intracameral Implant in Glaucoma

Michael K Wong et al. J Glaucoma. .

Abstract

Prcis: This retrospective study found a statistically significant reduction in mean intraocular pressure (IOP) and the number of medications after intracameral Bimatoprost sustained release (SR) injection in patients with glaucoma. A history of selective laser trabeculoplasty (SLT) did not impact treatment outcomes.

Purpose: To determine outcomes of Bimatoprost SR on IOP and the number of topical IOP-lowering medications in patients with glaucoma. A secondary objective was to determine the outcomes of Bimatoprost SR in patients with a prior history of SLT.

Methods: Retrospective case series. One hundred eighteen eyes from 84 patients that received Bimatoprost SR by 6 glaucoma specialists at Wills Eye Hospital from March 2020 to September 2021 were examined. The intervention was a single injection of intracameral Bimatoprost SR. The main outcome measures included IOP and the number of medications.

Results: The most recent mean follow-up time for all eyes was 27.8 ± 18.6 weeks. The mean posttreatment IOP at the most recent follow-up of 16.6 ± 5.3 mm Hg was significantly lower than the mean under-therapy pretreatment IOP of 18.5 ± 5.7 mm Hg for all eyes ( P < 0.01). The mean posttreatment number of medications at the most recent follow-up of 1.3 ± 1.3 decreased compared with the number of pretreatment medications of 2.1 ± 1.4 for all eyes ( P < 0.01). Analysis of multilevel models controlling for demographic variables demonstrated a statistically significant reduction in IOP and number of medications posttreatment ( P < 0.01). A prior history of SLT (n = 54) had no impact on treatment for both IOP and the number of medications ( P > 0.1 for both).

Conclusions: Intracameral Bimatoprost SR reduced IOP and decreased the number of medications. Prior history of SLT did not impact Bimatoprost SR treatment outcomes.

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Conflict of interest statement

Disclosure: R.M.N.: Allergan/Abbvie. M.R.M.: Allergan, Glaukos, Bausch and Lomb, Alcon, Nicox, Santen, Qura. M.J.P.: New World Medical. N.N.K.: Abbvie/Allergan, Guardion Health Services Inc, Equinox, Nicox, Olleyes, Santen, Glaukos, Diopsys, Aerie, Regeneron, Alimera, Genetech. D.L.: Allergan, Glaukos, New World Medical, Ocular Therapeutix, Olleyes, Equinox, Mati, Nicox, Santen. The remaining authors declare no conflict of interest.

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