The determination of additive effect and intraocular pressure lowering effects of 0.05% bromocriptine and 0.25% timolol

Role of dopaminergic receptors in glaucomatous disease modulation

Both studies on animals and humans suggest the presence of dopamine (DA) receptors in the anterior segment of the eye. Their role in the dynamics of intraocular pressure (IOP) is not yet clear. DA₂ and DA₃ receptors are mainly located on postganglionic sympathetic nerve endings. Their stimulation reduces the release of norepinephrine and suppresses the production of aqueous humor. DA₁ receptors seem to be more expressed by the ciliary body and the outflow pathway of aqueous humor. The administration of DA₁-selective agonists stimulates the production of aqueous humor, increasing IOP, whereas DA₂- and DA₃-selective agonists could reduce IOP and, therefore, the risk to develop a glaucoma (GL). GL is a broad spectrum of eye diseases which have in common the damage to the optic nerve and the progressive loss of the visual field. Further studies are desirable to clarify the role of the dopaminergic system and the usefulness of DA₂ and DA₃ agonists in reducing IOP.