2006
DOI: 10.1089/jop.2006.22.62
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Effect of Oral Donepezil on Intraocular Pressure in Normotensive Alzheimer Patients

Abstract: Donepezil, a selective acetylcholinesterase (AChE) inhibitor, has been shown to reduce intraocular pressure (IOP) in ocular normotensive rabbit eyes. The aim of this investigation was to evaluate the effect of oral donepezil on IOP and pupil diameter after mid-term oral treatment in normotensive persons. Thirty-two newly diagnosed Alzheimer patients with normal IOP and no further antiglaucomatous treatment were included in the study. IOP and pupil diameter were evaluated before and 4 weeks after daily intake o… Show more

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Cited by 16 publications
(12 citation statements)
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“…Topical rivastigmine lowered intraocular pressure (IOP) in rabbits (101). Oral administration of donepezil in normotensive Alzheimer patients resulted in decreased IOP and pupil diameter (102). A pilot study in normotensive glaucoma patients showed that donepezil improved visual field, ONH blood flow, regional cerebral blood flow, although IOP was not significantly changed.…”
Section: Visual System In Aging and Admentioning
confidence: 99%
“…Topical rivastigmine lowered intraocular pressure (IOP) in rabbits (101). Oral administration of donepezil in normotensive Alzheimer patients resulted in decreased IOP and pupil diameter (102). A pilot study in normotensive glaucoma patients showed that donepezil improved visual field, ONH blood flow, regional cerebral blood flow, although IOP was not significantly changed.…”
Section: Visual System In Aging and Admentioning
confidence: 99%
“…Interestingly, in addition to its neuroprotective effects, a cholinesterase inhibitor used to treat AD has demonstrated dual therapeutic potential by reducing IOP in AD patients [155]. Current treatments for glaucoma are directed at reducing IOP, but evidence indicates that RGC loss still occurs in many glaucoma patients after successful IOP normalization, indicating that other mechanisms are involved.…”
Section: (Figure 7)mentioning
confidence: 99%
“…An increased prevalence of POAG, which is open-angle glaucoma without exfoliations, in AD patients has been demonstrated by a few clinical studies (Bayer et al 2002a, b;Tamura et al 2006), while other studies have not found an association between POAG and AD (Estermann et al 2006;Kessing et al 2007). The conflicting data might in part be due to methodological issues, i.e., the criteria of glaucoma used, as reviewed recently (Kirby et al 2010).…”
Section: Introductionmentioning
confidence: 95%