Gottlob I, Charlier J, Reinecke R D
Foerderer Eye Movement Center for Children, Wills Eye Hospital, Philadelphia, Pennsylvania 19107.
Invest Ophthalmol Vis Sci. 1992 Aug;33(9):2722-8.
The authors previously showed that a single dose of levodopa improves the contrast sensitivity and decreases the size of fixation point scotomas in amblyopic patients. In the present study, they investigated the effect of levodopa after 1 wk of daily administration using a cross-over, double masked design. The decrease of fixation point scotomas was confirmed with automatic static perimetry. An improvement of visual acuity occurred in 70% of the patients after 1 wk of levodopa administration compared to only 22% in the authors' previous study using one single dose. The improvements in visual acuities and visual fields persisted even after the levodopa administration was completed.
作者们之前曾表明,单剂量左旋多巴可提高弱视患者的对比敏感度,并减小注视点暗点的大小。在本研究中,他们采用交叉、双盲设计,调查了每日服用左旋多巴1周后的效果。通过自动静态视野计证实了注视点暗点有所减小。服用左旋多巴1周后,70%的患者视力得到改善,而在作者之前使用单剂量的研究中,这一比例仅为22%。即使在左旋多巴给药结束后,视力和视野的改善仍持续存在。