Intraocular pressure-lowering efficacy of bimatoprost 0.03% and travoprost 0.004% in patients with glaucoma or ocular hypertension.
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Biomedical subjects
Publications and source records attributed to R Noecker.
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Ion transport and metabolism in the posterior midgut before, during and after the molt to the fifth instar of the tobacco hornworm Manduca sexta were investigated. In situ measurements reveal that the transepithelial potential difference of the posterior midgut falls during the molting process. This finding was confirmed by in vitro experiments in which it was demonstrated that both the transepithelial potential and the short-circuit current are lower in molting fourth instars compared with feeding fourth instars. The short-circuit current increases after ecdysis, with a maximal rate being achieved approximately 4 h after the molt. Resumption of feeding after the molt is not necessary to initiate this increase in active ion transport. The metabolic organization of the tissue also changes during the molting process. The maximal activities of glycolytic enzymes and 3-hydroxyacyl-CoA dehydrogenase, an enzyme of lipid ss-oxidation, decrease during the molting process and increase after ecdysis. Although citrate synthase activity, an index of maximal aerobic capacity, decreases during the molt and increases again after ecdysis, tissue respiration is the same in feeding fourth instars and molting larvae. This result indicates that a greater percentage of maximal aerobic capacity is used during molting and that energy may be diverted to cell proliferation and differentiation and away from the support of active ion transport at this time.
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Preservatives are an important component of ophthalmic preparations, providing antimicrobial activity in the bottle and preventing decomposition of active drug. Often underrecognized, however, are the significant cytotoxic effects of preservatives associated with long-term therapy and especially use of multiple preserved drugs. The most common preservatives in ophthalmic preparations for glaucoma and surface eye disease-benzalkonium chloride (BAK), chlorobutanol, sodium perborate, and stabilized oxychloro complex (SOC)-were reviewed. Compared with other preservatives, SOC caused the least amount of damage to rabbit corneal epithelial cells. BAK has demonstrated cytotoxic effects in cell culture, as well as in animal and human studies. Physicians should consider treatment with new-generation preparations containing low-risk preservatives such as SOC, especially in patients receiving multiple ophthalmic medications.