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眼部用双氯芬酸。其药理学、在白内障手术中的临床应用及在其他眼部炎症性疾病中的应用潜力综述。

Ocular diclofenac. A review of its pharmacology and clinical use in cataract surgery, and potential in other inflammatory ocular conditions.

作者信息

Goa K L, Chrisp P

机构信息

Adis International Limited, Auckland, New Zealand.

出版信息

Drugs Aging. 1992 Nov-Dec;2(6):473-86. doi: 10.2165/00002512-199202060-00004.

DOI:10.2165/00002512-199202060-00004
PMID:1493352
Abstract

Diclofenac sodium is a potent nonsteroidal anti-inflammatory drug with analgesic activity. When instilled as a topical 0.1% solution in a limited number of patients undergoing cataract surgery, diclofenac limits surgically induced miosis, reduces signs of ocular inflammation, does not cause elevations in intraocular pressure, and reduces the occurrence and severity of cystoid macular oedema. Preliminary findings suggest a niche for topical diclofenac in other ocular inflammatory conditions such as iritis, episcleritis and conjunctivitis, although its efficacy in these areas awaits confirmation. The drug appears well tolerated, apart from a transient burning sensation after instillation in some patients. Ocular diclofenac thus appears well suited as a local anti-inflammatory adjunct to cataract surgery, and may be useful in some other inflammatory ocular conditions.

摘要

双氯芬酸钠是一种具有镇痛活性的强效非甾体抗炎药。当以0.1%的局部溶液滴入少数接受白内障手术的患者眼中时,双氯芬酸钠可限制手术引起的瞳孔缩小,减轻眼部炎症迹象,不会导致眼压升高,并减少黄斑囊样水肿的发生和严重程度。初步研究结果表明,局部使用双氯芬酸钠在虹膜炎、巩膜炎和结膜炎等其他眼部炎症性疾病中具有一定作用,尽管其在这些领域的疗效尚待证实。除了一些患者滴入后有短暂的烧灼感外,该药物耐受性良好。因此,眼部用双氯芬酸钠似乎非常适合作为白内障手术的局部抗炎辅助药物,并且可能对其他一些眼部炎症性疾病有用。

相似文献

1
Ocular diclofenac. A review of its pharmacology and clinical use in cataract surgery, and potential in other inflammatory ocular conditions.眼部用双氯芬酸。其药理学、在白内障手术中的临床应用及在其他眼部炎症性疾病中的应用潜力综述。
Drugs Aging. 1992 Nov-Dec;2(6):473-86. doi: 10.2165/00002512-199202060-00004.
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Effects of topical diclofenac sodium in a rabbit model of ocular inflammation and leukotaxis.局部用双氯芬酸钠在兔眼炎症和白细胞趋化性模型中的作用。
J Ocul Pharmacol. 1986 Winter;2(1):23-9. doi: 10.1089/jop.1986.2.23.
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Clinical efficacy of diclofenac sodium on postsurgical inflammation after intraocular lens implantation.双氯芬酸钠对人工晶状体植入术后手术炎症的临床疗效。
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Diclofenac prevents an early event of macular thickening after cataract surgery in patients with diabetes.双氯芬酸可预防糖尿病患者白内障手术后黄斑增厚的早期事件。
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[Anti-inflammatory effects and aqueous humor concentration of various nonsteroidal anti-inflammatory drugs in extracapsular cataract surgery].[各种非甾体类抗炎药在白内障囊外摘除术中的抗炎作用及房水浓度]
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Preoperative and postoperative use of nonsteroidal antiinflammatory drugs in cataract surgery.白内障手术中术前及术后使用非甾体类抗炎药
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Treatment of ocular inflammation with diclofenac sodium: double-blind trial following cataract surgery.双氯芬酸钠治疗眼部炎症:白内障手术后的双盲试验
Ann Ophthalmol. 1985 Sep;17(9):577-81.

引用本文的文献

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Structural Characterization of Multicomponent Crystals Formed from Diclofenac and Acridines.双氯芬酸与吖啶形成的多组分晶体的结构表征
Materials (Basel). 2022 Feb 17;15(4):1518. doi: 10.3390/ma15041518.
2
Diclofenac prevents temporal increase of intraocular pressure after uneventful cataract surgery with longer operation time.双氯芬酸可预防手术时间较长的白内障超声乳化吸除联合人工晶状体植入术术后眼压的一过性升高。
Clin Ophthalmol. 2009;3:95-101. Epub 2009 Jun 2.
3
Clinical pharmacokinetics of diclofenac. Therapeutic insights and pitfalls.双氯芬酸的临床药代动力学。治疗见解与陷阱。

本文引用的文献

1
The Framingham Eye Study monograph: An ophthalmological and epidemiological study of cataract, glaucoma, diabetic retinopathy, macular degeneration, and visual acuity in a general population of 2631 adults, 1973-1975.《弗雷明汉姆眼科研究专论》:对2631名成年人组成的普通人群进行的白内障、青光眼、糖尿病视网膜病变、黄斑变性及视力的眼科与流行病学研究,1973 - 1975年。
Surv Ophthalmol. 1980 May-Jun;24(Suppl):335-610.
2
Polymorphonuclear leukocyte response. Inhibition following corneal epithelial denudation by steroidal and nonsteroidal anti-inflammatory agents.多形核白细胞反应。甾体类和非甾体类抗炎药对角膜上皮剥脱后的抑制作用。
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Senile lens changes and diabetes in two population studies.
两项人群研究中的老年性晶状体变化与糖尿病
Am J Ophthalmol. 1981 Mar;91(3):381-95. doi: 10.1016/0002-9394(81)90293-2.
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Ophthalmology. 1982 Aug;89(8):966-79. doi: 10.1016/s0161-6420(82)34693-x.
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A comparison of the effects of non-steroidal compounds on the disruption of the blood-aqueous barrier.非甾体化合物对血-房水屏障破坏作用的比较
Exp Eye Res. 1982 Sep;35(3):271-7. doi: 10.1016/s0014-4835(82)80051-1.
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Cataracts and macular degeneration in older Americans.
Arch Ophthalmol. 1982 Apr;100(4):571-3. doi: 10.1001/archopht.1982.01030030573002.
7
Prevalence and aetiology of cataract in Punjab.旁遮普邦白内障的患病率及病因
Br J Ophthalmol. 1982 Jan;66(1):35-42. doi: 10.1136/bjo.66.1.35.
8
Epidemiology of cataract - a major cause of preventable blindness.白内障的流行病学——可预防失明的主要原因
Bull World Health Organ. 1981;59(4):493-501.
9
Relationship of gastric mucosal damage induced in pigs by antiinflammatory drugs to their effects on prostaglandin production.抗炎药物诱导猪胃黏膜损伤与其对前列腺素产生的影响之间的关系。
Dig Dis Sci. 1982 Jul;27(7):624-35. doi: 10.1007/BF01297219.
10
[Effect of topical diclofenac sodium, a non-steroidal anti-inflammatory drug, on various ocular inflammatory models in animals].[非甾体抗炎药双氯芬酸钠局部应用对动物多种眼部炎症模型的影响]
Nippon Ganka Gakkai Zasshi. 1983;87(1):19-28.