Evidence map›Paper›PMID 30794789›Full record

ArticleAmerican journal of ophthalmology2019

Effect of Timolol on Aqueous Humor Outflow Facility in Healthy Human Eyes.

Arash Kazemi, Jay W McLaren, Matthew G J Trese, Carol B Toris, Vikas Gulati, Shan Fan, David M Reed, Tyler Kristoff, Jesse Gilbert, Sayoko E Moroi and 1 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in American journal of ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Arash KazemiDepartment of Ophthalmology, Mayo Clinic, Rochester, Minnesota, USA.
Jay W McLarenDepartment of Ophthalmology, Mayo Clinic, Rochester, Minnesota, USA.
Matthew G J TreseDepartment of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA.
Carol B TorisDepartment of Ophthalmology and Visual Sciences, University of Nebraska, Omaha, Nebraska, USA; Department of Ophthalmology and Visual Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
Vikas GulatiDepartment of Ophthalmology and Visual Sciences, University of Nebraska, Omaha, Nebraska, USA.
Shan FanDepartment of Ophthalmology and Visual Sciences, University of Nebraska, Omaha, Nebraska, USA.
David M ReedDepartment of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA.
Tyler KristoffDepartment of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA; Department of Ophthalmology and Visual Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
Jesse GilbertDepartment of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA.
Sayoko E MoroiDepartment of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA.
Arthur J SitDepartment of Ophthalmology, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: sit.arthur@mayo.edu.
University of Michigan–Ann Arbor · USMayo Clinic · USCase Western Reserve University · US

Funding

VIVARIUM MODULEP30EY007003 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David Antonetti · 1987 to 2026
$17.6M
Aqueous Humor Dynamic Components that Determine Intraocular Pressure VarianceR01EY022124 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MOROI, SAYOKO E · 2012 to 2022
$3.6M
Study of Aqueous Humor Dynamics in a Pediatric PopulationK23EY023266 · NEI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI GULATI, VIKAS · 2013 to 2017
$1.1M
E75 IN THE DEVELOPING DROSOPHILA EYEF31EY007003 · NEI · YALE UNIVERSITY · PI SHILTON, ALYCIA N · 1999 to 2001
$14k
NEI NIH HHS F31 EY007003NEI NIH HHS K23 EY023266NEI NIH HHS P30 EY007003NEI NIH HHS R01 EY022124
6 · The paper itself

Abstract

purposeHyposecretion of aqueous humor has been postulated to adversely affect the health of the trabecular meshwork and outflow resistance. However, the effect of medications that reduce aqueous humor production on outflow facility in living human eyes is unclear. This study evaluated the effect of timolol, an aqueous humor flow suppressant, on outflow facility in healthy eyes.

designProspective, before-and-after study.

methodsIn a multicenter study, 113 healthy participants over 40 years of age were included. Intraocular pressure (IOP) was measured with the participant in the sitting position by using a pneumatonometer. The outflow facility was measured with the participant in the supine position by 2-minute pneumatonography. After participants self-administered drops of timolol 0.5% for 1 week, twice daily in each eye, both measurements were repeated.

resultsMean IOP decreased from 15.1 ± 3.0 mm Hg at baseline to 12.4 ± 2.4 mm Hg (P < 0.001) after 1 week of timolol use. Mean outflow facility decreased from 0.23 ± 0.08 μL/min/mm Hg at baseline to 0.18 ± 0.08 μL/min/mm Hg (P < 0.001) after timolol. The change in outflow facility was negatively correlated with baseline outflow facility (r = -0.51; P < 0.001).

conclusionsTimolol reduces outflow facility in healthy human eyes, and this effect is greater in eyes with higher baseline outflow facility. This phenomenon may be related to reduced aqueous humor flow, but the precise mechanism remains to be determined.

Indexed as

Adrenergic beta-AntagonistsAdultAgedAged, 80 and overAqueous HumorFemaleFluorophotometryGonioscopyHealthy VolunteersHumansInstillation, DrugIntraocular PressureMaleMiddle AgedProspective StudiesTimololAdrenergic beta-AntagonistsTimolol

Identifiers

PMID30794789
PMCPMC6548641
OpenAlexW2917728224

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.