The Effect of Mirtogenol Towards the Changes in Retinal Nerve Fiber Layer Thickness and Visual Field in Primary Open Angle Glaucoma

Astriviani Widyakusuma, Virna Dwi Oktariana, Widya Artini, Joedo Prihartono

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To evaluate the effect of Mirtogenol towards the changes in retinal nerve fiber layer (RNFL) thickness and visual field in patients with primary open angle glaucoma (POAG) with controlled IOP. Methods: This is a prospective, double blind, randomized study. Forty one POAG patients with IOP ≤ 18 mmHg were randomly assigned to receive either Mirtogenol or placebo. Changes in RNFL thickness and mean deviation of visual fields were evaluated before the treatment, as well as 4 weeks and 8 weeks after the treatment. Patients were asked for any side effects during the treatment period. Result: The average RNFL thickness in the Mirtogenol group decreased -0.70±1.63 μm from 87.29±19.39 μm before the treatment to 86.58±19.43 μm after 8 weeks of treatment, however the change was not significant (p=0.121). The average RNFL thickness in the placebo group decreased -1.74±1.79 μm from 97.14±17.19 μm before the treatment to 95.40±18.56 μm after 8 weeks of treatment, the change was statistically significant (p< 0.001). The average MD of visual field in the Mirtogenol group increased 0.542±1.93 dB after 8 weeks of treatment while the MD of visual field in the placebo group decreased -0.083±1.36 dB after 8 weeks of treatment. Hoewever the changes in MD of visual field was not significant (p>0.05). No side effect was found throughout the study. Conclusion: Mirtogenol seemed to maintain retinal nerve fiber layer thickness and increased mean deviation of visual fields
Original languageIndonesian
Article number1
Pages (from-to)28-33
Number of pages6
JournalOphthalmologica Indonesiana
Volume43
Issue number1
Publication statusPublished - 2017

Keywords

  • Mirtogenol
  • retinal nerve fiber layer thickness
  • visual field
  • primary open angle glaucoma

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