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It is already known that the local treatment with Alphagan eye drops (a drug commonly used by glaucoma patients) reduces ocular blood flow. In-vitro studies suggest that the vasoconstrictive effect of Alphagan is more pronounced when this drug is combined with a prostaglandin analogue (eg. Xalatan eye drops). The investigators also question whether this effect is more pronounced in subjects suffering from a primary vascular dysregulation (PVD). To test for the effect of these drugs on PVD and non-PVD subjects the investigators will take measurements of corneal temperature as surrogate for ocular blood flow.
The investigators would like to investigate the effect of Alphagan eye drops, Xalatan eye drops and their combination (both Alphagan and Xalatan) on corneal temperature in healthy subjects with and without a primary vascular dysregulation (PVD).
The investigators would like to answer the following questions:
20 healthy non-PVD subjects and 20 healthy PVD subjects in the age range from 20-40 years will be recruited. Recruited subjects will have all measurements: corneal temperature, intraocular pressure (IOP), ear temperature, blood-pressure. Both prior to and after instillation of eye drops (Xalatan, Alphagan and placebo).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| healthy subjects without PVD | Active Comparator | healthy subjects without primary vascular dysregulation Intervention: Brimonidine, Latanoprost and Placebo |
|
| healthy subjects with PVD | Active Comparator | healthy subjects with primary vascular dysregulation Intervention: Brimonidine, Latanoprost and Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brimonidine | Drug | Week1, day2: 1 eyedrop/right eye Week2, day1: 1 eyedrop/left eye Week2, day2: 1 eyedrop/left eye |
|
| Measure | Description | Time Frame |
|---|---|---|
| Corneal temperature | Week 1: day 1 and 2 before eyedrops and after. Week 2: day 1 and 2 before eyedrops and after. |
| Measure | Description | Time Frame |
|---|---|---|
| Intraocular pressure | Week 1: day 1 and 2 before eyedrops and after. Week 2: day 1 and 2 before eyedrops and after. | |
| Ear temperature | Week 1: day 1 and 2 before eyedrops and after. Week 2: day 1 and 2 before eyedrops and after. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Josef Flammer, MD | University of Basel, Dept. of Ophthalmology | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Basel, Dept. of Ophthalmology | Basel | 4031 | Switzerland |
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| ID | Term |
|---|---|
| D000068438 | Brimonidine Tartrate |
| D000077338 | Latanoprost |
| ID | Term |
|---|---|
| D011810 | Quinoxalines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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|
| Latanoprost | Drug | Week1, day1: 1 eyedrop/right eye Week1, day2: 1 eyedrop/right eye Week2, day2: 1 eyedrop/left eye |
|
|
| Placebo | Drug | Week1, day1: 1 eyedrop/left eye Week1, day2: 2 eyedrops/left eye Week2, day1: 1 eyedrop/right eye Week2, day2: 2 eyedrops/right eye |
|
|
| Blood pressure | Week 1: day 1 and 2 before eyedrops and after. Week 2: day 1 and 2 before eyedrops and after. |
| D011461 | Prostaglandins F, Synthetic |
| D011465 | Prostaglandins, Synthetic |
| D011453 | Prostaglandins |
| D015777 | Eicosanoids |
| D005231 | Fatty Acids, Unsaturated |
| D005227 | Fatty Acids |
| D008055 | Lipids |
| D012898 | Autacoids |
| D018836 | Inflammation Mediators |
| D001685 | Biological Factors |