Ilyas Haroon, Slonim Charles B, Braswell Guy R, Favetta John R, Schulman Melvin
Department of Ophthalmology, University of South Florida College of Medicine, Tampa, FL 33613, USA.
Eye Contact Lens. 2004 Jan;30(1):10-3. doi: 10.1097/01.ICL.0000092071.82938.46.
To determine the long-term safety of the topical steroid, loteprednol etabonate 0.2%, in the treatment of seasonal and perennial allergic conjunctivitis.
A retrospective review of 397 patients from three private ophthalmologic practices treating seasonal and perennial allergic conjunctivitis with long-term loteprednol etabonate 0.2% was performed. Chart review of slitlamp findings and intraocular pressure measurements during follow-up visits was performed to determine the incidence of adverse effects, such as steroid-induced intraocular pressure increase, cataract formation, and any other possible topical steroid-induced adverse event. One hundred fifty-nine of the 397 patients had been continuously using loteprednol for more than 12 months.
There were no reported adverse effects of long-term loteprednol etabonate 0.2% use in any of the 159 patients, whose continuous use ranged from a cumulative total of 120 drops per eye to 3,741 drops per eye.
Loteprednol etabonate 0.2% is a safe topical steroid when used on a long-term basis for the treatment of seasonal and perennial allergic conjunctivitis.
确定0.2% 氯替泼诺乙酯这种局部用类固醇药物治疗季节性和常年性变应性结膜炎的长期安全性。
对来自三家私人眼科诊所的397例使用0.2% 氯替泼诺乙酯长期治疗季节性和常年性变应性结膜炎的患者进行回顾性研究。对随访期间裂隙灯检查结果和眼压测量进行病历审查,以确定不良反应的发生率,如类固醇诱导的眼压升高、白内障形成以及任何其他可能的局部用类固醇诱导的不良事件。397例患者中有159例持续使用氯替泼诺超过12个月。
159例患者中均未报告长期使用0.2% 氯替泼诺乙酯的不良反应,其持续使用量每眼累计从120滴至3741滴不等。
0.2% 氯替泼诺乙酯长期用于治疗季节性和常年性变应性结膜炎时是一种安全的局部用类固醇药物。