Latanoprost Health Dictionary

n. a condition of the *optic nerve in which a loss of retinal nerve fibres leads to loss of vision. The most significant and manageable risk factor is the pressure in the eye. There are two types of primary glaucoma (in which no other ocular disease is present): acute and chronic simple. In acute (or angle-closure) glaucoma, there is an abrupt rise in pressure due to sudden closure of the angle of the anterior chamber between the cornea and iris where aqueous humour usually drains from the eye. This is accompanied by sudden and severe pain with marked blurring of vision associated with inflammation of the anterior segment. In the more common chronic simple (or open-angle) glaucoma, the pressure increases gradually, usually without any symptoms, and the visual loss is insidious. The same type of visual loss may also occur in eyes with a normal pressure: this is called normal (or low-tension) glaucoma. Primary glaucoma occurs increasingly with age and is an important cause of blindness. It is frequently hereditary. Secondary glaucoma may occur when other ocular disease impairs the normal circulation of the aqueous humour and causes the intraocular pressure to rise.

In all types of glaucoma the aim of the treatment is to reduce the intraocular pressure. Drugs used for this purpose include beta blockers (e.g. timolol, levobunolol, carteolol), carbonic anhydrase inhibitors (e.g. brinzolamide, dorzolamide), alpha-receptor stimulants (e.g. apraclonidine, brimonidine), and prostaglandin analogues (e.g. latanoprost, bimatoprost, travaprost, tafluprost). They can be used in the form of eye drops. If the medical treatment is ineffective, surgery may be performed to allow the aqueous humour to drain from the eye in sufficient quantities to enable the pressure to return to normal. Such operations may either make a new channel through which the aqueous drains (known as drainage or filtering operations) or involve the insertion of a narrow tube (tube surgery).... glaucoma

n. one of a group of hormone-like substances present in a wide variety of tissues and body fluids (including the uterus, brain, lungs, kidney, and semen). Prostaglandins have many actions; for example, they cause contraction of smooth muscle (including that of the uterus), dilation of blood vessels, and are mediators in the process of inflammation (aspirin and other *NSAIDs act by blocking their production). They are also involved in the production of mucus in the stomach, which provides protection against acid gastric juice; use of NSAIDs reduces this effect and predisposes to peptic ulceration, the principal side-effect of these drugs. There are nine classes of prostaglandins (PGA–I), within which individual prostaglandins are denoted by numerals (e.g. PGE1). Synthetic prostaglandins are used to induce labour or produce abortion (see dinoprostone; gemeprost) and to treat peptic ulcers (see misoprostol), congenital heart disease in newborn babies (see alprostadil), and glaucoma (see latanoprost).... prostaglandin