Date of Award
Master of Science in Vision Science
Nada J. Lingel
Side effects inherent to systemic beta-blockers make propranolol contraindicated in patients with certain cardiac and pulmonary conditions. Due to systemic absorption, topical beta-blockers such as timolol maleate, which are used as anti-glaucoma agents, have similar contraindications. The follow report describes an ocular hypertensive patient who was switched from timolol maleate to latanoprost because of a newly diagnosed possibility of mild COPD. The patient developed a bilateral hand tremor, which was previously blocked by systemic absorption of the topical beta-blocker. Included are classification, differential diagnosis and treatment of essential tremor, as well as a review of the mechanism of action and contraindications of timolol maleate and latanoprost.
deCalesta, Pamela, "A care of essential tremor masked by the topical beta blocker timolol maleate" (1998). College of Optometry. 1230.