June 1992
Volume 33, Issue 7
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Articles  |   June 1992
Effects of timolol, betaxolol, and levobunolol on human tenon's fibroblasts in tissue culture.
Author Affiliations
  • D E Williams
    Jules Stein Eye Institute, UCLA School of Medicine 90024-7004.
  • K D Nguyen
    Jules Stein Eye Institute, UCLA School of Medicine 90024-7004.
  • S Shapourifar-Tehrani
    Jules Stein Eye Institute, UCLA School of Medicine 90024-7004.
  • S Kitada
    Jules Stein Eye Institute, UCLA School of Medicine 90024-7004.
  • D A Lee
    Jules Stein Eye Institute, UCLA School of Medicine 90024-7004.
Investigative Ophthalmology & Visual Science June 1992, Vol.33, 2233-2241. doi:
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      D E Williams, K D Nguyen, S Shapourifar-Tehrani, S Kitada, D A Lee; Effects of timolol, betaxolol, and levobunolol on human tenon's fibroblasts in tissue culture.. Invest. Ophthalmol. Vis. Sci. 1992;33(7):2233-2241.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Evidence has been found suggesting that long-term therapy with topical antiglaucoma medications may decrease the success of glaucoma filtering surgery. To investigate this question further, the antiproliferative effects of the preservative benzalkonium chloride and three pure and commercially available beta-adrenergic antagonist preparations (timolol, betaxolol, and levobunolol) were studied on tissue cultures of human Tenon's capsule fibroblasts. Each drug preparation was tested on three different cell lines. Fibroblast growth was measured with tritiated thymidine uptake and hexosaminidase assays. Trypan blue uptake was used to assess cell viability microscopically. The commercially available preparations containing benzalkonium chloride and those of betaxolol and levobunolol without the preservative had similar inhibitory doses for 50% of cells. The timolol preparation without preservative was significantly less toxic than its commercially available one. The three tested beta-adrenergic blockers did not stimulate fibroblast proliferation directly in this in vitro model. Even when the cultures were washed free of the drugs, growth continued to be suppressed, suggesting that the inhibition was not reversible. An increase in fibroblasts and inflammatory cells after long-term antiglaucoma medical therapy thus may be caused not by a direct stimulation of cell proliferation but by chronic inflammation from the irritating effects of antiglaucoma medications and/or their preservatives.

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