2008
DOI: 10.1055/s-2008-1027362
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Orbitale Fettgewebsatrophie bei lokaler Bimatoprost-Therapie - Kann Bimatoprost einen Enophthalmus verursachen?

Abstract: Bimatoprost may lead to an alteration of the eyelid with deepening of the lid sulcus and may also be responsible for an iatrogenic orbital fat atrophy. A possible mechanism of action might be the induction of apoptosis of orbital fibroblasts with a remodelling of the extracellular matrix. Prospective studies are necessary to confirm this cross-sectional observation.

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Cited by 46 publications
(18 citation statements)
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“…In some patients the disparity of periorbital appearance between the treated eye and the fellow eye returned to normal after discontinuation of the ophthalmic prostaglandin analogs or prostamide for a relatively long interval 66,68. The exact mechanism is uncertain, but fatty degeneration and reduced collagen fibers in the levator complex caused by the prostaglandin or prostamide analogs have been proposed as a possible mechanism 66,68…”
Section: Safetymentioning
confidence: 99%
“…In some patients the disparity of periorbital appearance between the treated eye and the fellow eye returned to normal after discontinuation of the ophthalmic prostaglandin analogs or prostamide for a relatively long interval 66,68. The exact mechanism is uncertain, but fatty degeneration and reduced collagen fibers in the levator complex caused by the prostaglandin or prostamide analogs have been proposed as a possible mechanism 66,68…”
Section: Safetymentioning
confidence: 99%
“…Since Peplinski and Albiani Smith [4] first reported the upper eyelid sulcus deepening and dermatochalasis involution in three Caucasian patients treated with bimatoprost unilaterally, other similar clinical observations have been reported [5,6,7,8,9,10]. Previous studies suggest that the common pathophysiologic mechanism of periocular changes by PG analogues is atrophy of preaponeurotic and deep orbital fat [6,7].…”
Section: Discussionmentioning
confidence: 69%
“…Previous studies suggest that the common pathophysiologic mechanism of periocular changes by PG analogues is atrophy of preaponeurotic and deep orbital fat [6,7]. A recent histological study also suggests orbital fat atrophy as a mechanism of upper eyelid sulcus deepening in topical PG analog users, including those using bimatoprost [10].…”
Section: Discussionmentioning
confidence: 99%
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“…The mechanism of PG-induced DUES has been proposed to be as follows. Via activation of the prostanoid FP receptor, PG analogs decrease fat production in the orbital fat tissue; consequently, the orbital volume is reduced, deepening the eyelid sulcus [11, 1621]. However, the incidence of DUES has been shown to differ depending on the type of PG analog.…”
Section: Discussionmentioning
confidence: 99%