Periorbital Changes associated with Topical Prostaglandins Analogues in a Hispanic Population

P R Health Sci J. 2017 Dec;36(4):218-222.

Abstract

Objective: To describe the prevalent side effects of prostaglandin analogues (PA) in a Hispanic population and their effect on quality of life (QOL).

Patients and methods: This is a cross-sectional study conducted in a tertiary medical facility in which patients were evaluated in a single visit. Total of 14 participants in the study, 10 women and 4 men. Ages ranged from 26-78 years old. Subjects underwent a single full Oculoplastic evaluation by two physicians; one was blinded on patient medical history and assessed for PA side effects. After evaluation, each study subject was asked to answer a self reported QOL questionnaire.

Results: Study participants had used or were currently using Bimatoprost (28.6%), Latanoprost (50%) or Travoprost (21.4%). After evaluate periorbital changes, 2 patients (14.3%) had ptosis, 2 (14.3%) had periorbital skin hyperpigmentation, 11 (78.6%) had periorbital fat show, 11 (78.6%) had eyelash elongation, 1 (7.1%) had injected conjunctiva, 5 (35.7%) had iris hyperpigmentation. 10 (71.4%) noted changes in the size/shape of their eyes. The questionnaire show that 10 (71.4%) disliked how their eyes looked. 9 (62.4%) reported dry eyes, 3 (21.4%) noted increased need to blink, 5 (35.7%) reported foreign body sensation, 7 (50%) reported burning sensation, 2 (14.2%) reported secretions and 3 (21.4%) reported sticky eyes. Mean QOL was 3.50, 2.14, and 2.00 in the Bimatroprost, Latanoprost, and Travoprost users respectively.

Conclusion: QOL questionnaire showed that Bimatoprost side effects had the most negative impact in QOL, followed by the Latanoprost and Travoprost groups.

Keywords: Periorbital; Prostaglandin analogues; Quality of Life.

Publication types

  • Comparative Study

MeSH terms

  • Administration, Ophthalmic
  • Adult
  • Aged
  • Antihypertensive Agents / administration & dosage
  • Antihypertensive Agents / adverse effects
  • Bimatoprost / administration & dosage
  • Bimatoprost / adverse effects*
  • Cross-Sectional Studies
  • Female
  • Hispanic or Latino
  • Humans
  • Latanoprost / administration & dosage
  • Latanoprost / adverse effects*
  • Male
  • Middle Aged
  • Quality of Life*
  • Surveys and Questionnaires
  • Tertiary Care Centers
  • Travoprost / administration & dosage
  • Travoprost / adverse effects*

Substances

  • Antihypertensive Agents
  • Latanoprost
  • Bimatoprost
  • Travoprost