Volume 12 , Issue 2 , June 2022 , Pages 189-195
1 College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
Background
Some patients with chronic hand dermatitis may complain of painful and itchy fissures; in some cases, the
fissures are reluctant to conventional therapies of hand dermatitis.
Objectives
To evaluate the efficacy and safety of topical timolol eye drop 0.05% solution for the treatment of fissures in
patients with hand dermatitis.
Patients and Methods
In this therapeutic trial, twenty-two cases with chronic hand dermatitis whose hand fissures are unresponsive
to conventional therapies are treated with a single daily application of topical timolol eye drop 0.05% solution
on the fissures for three weeks; those with complete disappearance of the fissures and symptoms are regarded
as complete response, those with a decrease in size and number of fissures with partial or no improvement of
symptoms are regarded as a partial response, and those with no change in size and number of fissures with no
improvement in symptoms are regarded as no response, search of any side effect done.
Results
The age of the patients ranged from 16-39 years, and the majority were females. Eleven patients (50%) showed
complete response, eight patients (36.4%) had a partial response, and three patients (13.6%) had no response.
Patients with a single fissure had a statistically significant better response than those with multiple fissures.
No, local or systemic side effects were recorded.
Conclusion
Topical timolol solution is an effective and safe choice for treating fissures in patients with hand dermatitis.