1. Eradication of Helicobacter pylori may be beneficial in the management of chronic open-angle glaucoma. (Original Investigation)
- Author
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Kountouras, Jannis, Mylopoulos, Nikolaos, Chatzopoulos, Dimitrios, Zavos, Christos, Boura, Panagiota, Konstas, Anastasios G.P., and Venizelos, John
- Subjects
Helicobacter pylori -- Physiological aspects ,Open-angle glaucoma -- Care and treatment ,Helicobacter infections -- Complications ,Health - Abstract
Background: We have documented a high prevalence of Helicobacter pylori infection in patients with glaucoma. Objective: To evaluate the effect of H pylori eradication on the 2 most commonly used glaucoma parameters: intraocular pressure and visual field. Methods: A total of 41 patients with glaucoma and 30 age-matched anemic controls underwent upper gastrointestinal endoscopies and gastric mucosal biopsies to detect the presence of H pylori infection by histologic analysis and rapid urease test (CLOtest; Delta West, Draper, Utah). Saliva samples were also tested by CLOtest. Serum anti--H pylori--specific IgG was analyzed by enzyme-linked immunosorbent assay. Helicobacter pylori--positive patients received a triple eradication regimen (omeprazole, clarithromycin, and amoxicillin treatment), and all patients were observed for 2 years while remaining under the same antiglaucoma therapy. Results: Helicobacter pylori was detected in 88% of glaucoma cases and in 47% of controls (P Conclusion: Helicobacter pylori eradication may positively influence glaucoma parameters, suggesting a possible causal link between H pylori and glaucoma.
- Published
- 2002