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Published on: December 29, 2021
Do cannabinoids play a role in the control of glaucoma?
Javier Peña1, Camila Jiménez1, Jimena Schmidt2
1Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Proyecto Epistemonikos, Santiago, Chile.
Cannabinoids may temporarily lower intraocular pressure in glaucoma patients. However, this effect is short-lived and accompanied by significant adverse effects, questioning their clinical utility.
Area of Science:
- Ophthalmology
- Pharmacology
Background:
- Cannabinoid use for medical conditions is debated.
- Proposed use for glaucoma management lacks definitive evidence.
- Effectiveness and safety of cannabinoids for glaucoma are controversial.
Purpose of the Study:
- To evaluate the effectiveness and safety of cannabinoids for glaucoma management.
- To synthesize evidence from systematic reviews on cannabinoid use in glaucoma.
Main Methods:
- Systematic search of the Epistemonikos database.
- Inclusion of five systematic reviews comprising three randomized controlled trials.
- Data extraction, reanalysis of primary studies, and GRADE assessment.
Main Results:
- Cannabinoids demonstrated a potential to reduce intraocular pressure.
- The observed reduction in intraocular pressure was transient.
- Frequent adverse effects were associated with cannabinoid use.
Conclusions:
- Cannabinoids may offer a temporary reduction in intraocular pressure.
- The transient nature of the effect and frequent adverse events limit their therapeutic value.
- Further research may be needed to clarify the role of cannabinoids in glaucoma treatment.
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