Please use this identifier to cite or link to this item: http://hdl.handle.net/11452/34774
Title: How does usage of serotonin noradrenaline reuptake inhibitors affect intraocular pressure in depression patients?
Authors: Yener, Neslihan Parmak
Kılınçel, Oğuzhan
Gündüz, Cem
Uludağ Üniversitesi/Tıp Fakültesi/Göz Hastalıkları Anabilim Dalı.
Gündüz, Gamze Uçan
AAH-6661-2021
57204236887
Keywords: Ophthalmology
Pharmacology & pharmacy
Anterior segment parameters
Intraocular pressure
Serotonin noradrenaline reuptake inhibitors
Angle-closure glaucoma
Venlafaxine
Mechanisms
Expression
Potent
Agents
Issue Date: May-2018
Publisher: Mary Ann Liebert
Citation: Gündüz, G. U. vd. (2018). ''How does usage of serotonin noradrenaline reuptake inhibitors affect intraocular pressure in depression patients?''. Journal of Ocular Pharmacology and Therapeutics, 34(4), 354-359.
Abstract: Purpose: To evaluate anterior segment parameters and intraocular pressure (IOP) modifications in patients using serotonin noradrenaline reuptake inhibitors (SNRIs) due to major depressive disorder. Methods: This cross-sectional study included 170 eyes of 85 subjects. All subjects were divided into three groups: group 1 included 44 healthy control subjects, group 2 included 22 patients receiving antidepressants for 1 week to 6 months, and group 3 included 19 patients receiving antidepressants for >6 months. All subjects underwent a detailed ophthalmologic examination, including gonioscopy. Anterior segments of all subjects were evaluated with the Scheimpflug system and pupil diameter (PD), central corneal thickness, anterior chamber depth (ACD), anterior chamber volume, and anterior chamber angle (ACA) measurements were enrolled. Results: The median IOP was significantly lower in patients using antidepressants [16.0 (11.0-21.0) mmHg] than the control group [17.5 (12.0-21.0) mmHg] (P=0.041). The PD was significantly larger in patients using antidepressants [3.56 (2.29-5.60) mm] than the control group [2.95 (2.00-4.40) mm] (P=0.000). In the study group, PD was also significantly larger in patients using SNRIs for 6 months [3.67 (2.38-5.08) mm] than <6 months [3.31 (2.29-5.60) mm] (P=0.000). The median ACD was significantly lower in patients using antidepressants for 6 months [3.21 (2.52-4.06) mm] than the control group [3.44 (2.63-4.29) mm] (P=0.000). ACAs were measured between 25 degrees and 55 degrees by Scheimpflug imaging. Conclusions: Treatment of SNRIs causes mydriasis and decrease in width of ACD. These changes may not increase IOP as long as the patient has an open angle. SNRIs lead to decrease in IOP particularly in long-term usage.
URI: https://doi.org/10.1089/jop.2017.0133
https://www.liebertpub.com/doi/10.1089/jop.2017.0133
http://hdl.handle.net/11452/34774
ISSN: 1080-7683
1557-7732
Appears in Collections:Scopus
Web of Science

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