Beta-blockers (Ocular route only) (versus unexposed)

Exposed non-exposed studies (cohort)

Study Country
Study period
Population source Exposure definition Non-exposure definition Sample size Rmk
Hashimoto - Beta-blockers, 2021 Japan
2005 - 2018
Live births in women who had been diagnosed with glaucoma (ICD-10 codes, H40 and H42) during the period between 6 months prior to the last menstrual period and the end of the first trimester. Live births in women who had glaucoma and at least one dispensation of only beta-blockers (as a intraocular pressure (IOP)-lowering medication) during the first trimester of pregnancy. unexposed, sick
Live births in women who had glaucoma and no dispensation of intraocular pressure–lowering medications.
31 / 735
Ho - Beta-blockers, 2009 Taiwan
2001 - 2003
All mothers having singleton births during the study period, in Taiwan. Mothers that had been prescribed topical ophthalmic antiglaucoma Beta-blockers during pregnancy. unexposed, disease free
Mothers with no history of chronic disease randomly selected from the remaining mothers and matched eight for every one in the study cohort).
189 / 1952 Exclusion of pregnancies who had been prescribed more than one category of topical ophthalmic medication.
Kaufman - Beta-blockers, 2024 India, Saudi Arabia, USA
2021 - 2022
Female patients aged 18–45 years who were previously pregnant with a diagnosis of glaucoma or ocular hypertension prior to pregnancy. Pregnant patient a diagnosis of glaucoma or ocular hypertension that use a beta-blocker (BB) as a topical glaucoma agent at any point during pregnancy. unexposed, sick
Pregnant patient a diagnosis of glaucoma or ocular hypertension that did not use a topical glaucoma agent at any point during pregnancy.
55 / 20 No pregnancies used systemic glaucoma medications.
Pellegrino - Timolol, 2018 Italy
2003 - 2015
Pregnant women referred to the Teratology Information Service for a counseling about the safety of performed therapies. Pregnant women with glaucoma and treated with topical Timolol monotherapy during the first trimester. unexposed, disease free
Healthy pregnant women with normal singleton pregnancies without significant exposure to any medications considered unsafe.
27 / 187 Twenty-seven women used timolol as monotherapy, one drop (0,2 mg) one time daily and 48 as part of multidrug therapy in association with prostaglandins analogues or carbonic anhydrase inhibitors (dorzolamide, brinzolamide) one drop one time daily.

Case-control studies (cohort)

Study Country
Study period
Case Control Sample size Rmk

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