Association of Ultrapure Citicoline, Homotaurine and Vitamin E in the Management of Normotensive Glaucoma: A Case Report

Normal tension glaucoma (NTG) remains a therapeutic challenge for the ophthalmologist since there are no effective therapies as the main therapeutic target, i.e., the intraocular pressure (IOP) increase, is missed. We report on the effectiveness of two neuroprotective molecules (ultrapure citicoline...

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Main Authors: Tommaso Verdina, Nicola Passarelli, Alessandra Carlini, Francesca Chemello, Rodolfo Mastropasqua, Gian Maria Cavallini
Format: Article
Language:English
Published: Karger Publishers 2020-06-01
Series:Case Reports in Ophthalmology
Subjects:
Online Access:https://www.karger.com/Article/FullText/507881
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author Tommaso Verdina
Nicola Passarelli
Alessandra Carlini
Francesca Chemello
Rodolfo Mastropasqua
Gian Maria Cavallini
author_facet Tommaso Verdina
Nicola Passarelli
Alessandra Carlini
Francesca Chemello
Rodolfo Mastropasqua
Gian Maria Cavallini
author_sort Tommaso Verdina
collection DOAJ
description Normal tension glaucoma (NTG) remains a therapeutic challenge for the ophthalmologist since there are no effective therapies as the main therapeutic target, i.e., the intraocular pressure (IOP) increase, is missed. We report on the effectiveness of two neuroprotective molecules (ultrapure citicoline plus homotaurine), in combination with a topical hypotensive approach, in the management of NTG in a long-term follow-up (30 months). A 38-year-old Caucasian woman with no significant medical history and a diagnosis of NTG, after an extensive 30-month treatment with oral dietary supplement containing ultrapure citicoline 500 mg, homotaurine 50 mg and vitamin E once per day and topical glaucoma medication (brimonidine + brinzolamide drops twice per day), presented a significantly improved automated 24-2 visual field with a controlled tonometric measurement associated with a stabilization of retinal fiber layer and ganglion cells at OCT examination with patient satisfaction. This finding suggests that ultrapure citicoline together with homotaurine and vitamin E, through a synergistic neuroprotective effect, could be a promising approach in the management of NTG.
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spelling doaj.art-a07b5d8a447c40d98f6c383eaf96cc092022-12-22T00:37:01ZengKarger PublishersCase Reports in Ophthalmology1663-26992020-06-0111222222810.1159/000507881507881Association of Ultrapure Citicoline, Homotaurine and Vitamin E in the Management of Normotensive Glaucoma: A Case ReportTommaso VerdinaNicola PassarelliAlessandra CarliniFrancesca ChemelloRodolfo MastropasquaGian Maria CavalliniNormal tension glaucoma (NTG) remains a therapeutic challenge for the ophthalmologist since there are no effective therapies as the main therapeutic target, i.e., the intraocular pressure (IOP) increase, is missed. We report on the effectiveness of two neuroprotective molecules (ultrapure citicoline plus homotaurine), in combination with a topical hypotensive approach, in the management of NTG in a long-term follow-up (30 months). A 38-year-old Caucasian woman with no significant medical history and a diagnosis of NTG, after an extensive 30-month treatment with oral dietary supplement containing ultrapure citicoline 500 mg, homotaurine 50 mg and vitamin E once per day and topical glaucoma medication (brimonidine + brinzolamide drops twice per day), presented a significantly improved automated 24-2 visual field with a controlled tonometric measurement associated with a stabilization of retinal fiber layer and ganglion cells at OCT examination with patient satisfaction. This finding suggests that ultrapure citicoline together with homotaurine and vitamin E, through a synergistic neuroprotective effect, could be a promising approach in the management of NTG.https://www.karger.com/Article/FullText/507881normotensive glaucomavisual fieldciticolinehomotaurineneuroprotection
spellingShingle Tommaso Verdina
Nicola Passarelli
Alessandra Carlini
Francesca Chemello
Rodolfo Mastropasqua
Gian Maria Cavallini
Association of Ultrapure Citicoline, Homotaurine and Vitamin E in the Management of Normotensive Glaucoma: A Case Report
Case Reports in Ophthalmology
normotensive glaucoma
visual field
citicoline
homotaurine
neuroprotection
title Association of Ultrapure Citicoline, Homotaurine and Vitamin E in the Management of Normotensive Glaucoma: A Case Report
title_full Association of Ultrapure Citicoline, Homotaurine and Vitamin E in the Management of Normotensive Glaucoma: A Case Report
title_fullStr Association of Ultrapure Citicoline, Homotaurine and Vitamin E in the Management of Normotensive Glaucoma: A Case Report
title_full_unstemmed Association of Ultrapure Citicoline, Homotaurine and Vitamin E in the Management of Normotensive Glaucoma: A Case Report
title_short Association of Ultrapure Citicoline, Homotaurine and Vitamin E in the Management of Normotensive Glaucoma: A Case Report
title_sort association of ultrapure citicoline homotaurine and vitamin e in the management of normotensive glaucoma a case report
topic normotensive glaucoma
visual field
citicoline
homotaurine
neuroprotection
url https://www.karger.com/Article/FullText/507881
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