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[后发性 Nd:YAG 激光晶状体囊切开术后眼压的术后表现——局部碳酸酐酶 II 抑制剂盐酸多佐胺(Trusopt)预防性给药的批判性评估]

[Postoperative behavior of intraocular pressure after posterior Nd:YAG laser capsulotomy--critical evaluation in preventive administration of local carbonic anhydrase II inhibitor dorzolamide hydrochloride (Trusopt)].

作者信息

Lachmann C, Jörg K M, Trinkmann R

机构信息

Augenklinik der Evangelischen Diakonissenanstalt Karlsruhe-Rüppurr.

出版信息

Klin Monbl Augenheilkd. 1998 Dec;213(6):326-30. doi: 10.1055/s-2008-1034997.

DOI:10.1055/s-2008-1034997
PMID:10048009
Abstract

BACKGROUND

The aim of the present study was to examine the influence of the topical carbonic anhydrase-II-inhibitor dorzolamide hydrochloride (Trusopt) in regarding to behaviour of intraocular eyepressure after Nd:YAG-laser-capsulotomy.

PATIENTS AND METHODS

The study was carried out as a double-blind-test. In a period of nine months, 120 patients underwent Nd:YAG-laser-capsulotomy. One group was given dorzolamide hydrochloride (Trusopt), the other group (placebo) remained without medication. The intraocular pressure was measured before capsulotomy and four hours post-op. For statistical evaluation the t-test of not-associated spot-checks was performed.

RESULTS

The prophylactic use of the topical carbonic anhydrase-II-inhibitor dorzolamide hydrochloride (Trusopt) after nd:YAG-laser-capsulotomy shows a highly significant lowering of intraocular pressure, i.e. 1.09 mm Hg in the average.

CONCLUSIONS

It was demonstrated that a single dose of dorzolamide hydrochloride (Trusopt) after Nd:YAG-laser-capsulotomy could lower intraocular pressure significantly. Prophylactical usage of dorzolamide hydrochloride (Trusopt) is a useful method to prevent the increase of intraocular pressure and thus to protect the eye against hazardous damage.

摘要

背景

本研究的目的是探讨局部应用碳酸酐酶-II抑制剂盐酸多佐胺(Trusopt)对钕:钇铝石榴石激光晶状体囊切开术后眼压变化的影响。

患者与方法

本研究采用双盲试验。在九个月的时间里,120例患者接受了钕:钇铝石榴石激光晶状体囊切开术。一组给予盐酸多佐胺(Trusopt),另一组(安慰剂组)未用药。在晶状体囊切开术前及术后4小时测量眼压。采用非相关样本的t检验进行统计学评估。

结果

钕:钇铝石榴石激光晶状体囊切开术后预防性使用局部碳酸酐酶-II抑制剂盐酸多佐胺(Trusopt)可显著降低眼压,平均降低1.09 mmHg。

结论

结果表明,钕:钇铝石榴石激光晶状体囊切开术后单次使用盐酸多佐胺(Trusopt)可显著降低眼压。预防性使用盐酸多佐胺(Trusopt)是预防眼压升高从而保护眼睛免受损害的有效方法。

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