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非甾体类抗炎眼药水对原发性开角型青光眼或高眼压症患者使用拉坦前列素降低眼压的影响。

Effect of non-steroidal anti-inflammatory ophthalmic solution on intraocular pressure reduction by latanoprost in patients with primary open angle glaucoma or ocular hypertension.

作者信息

Chiba T, Kashiwagi K, Chiba N, Tsukahara S

机构信息

Department of Ophthalmology, University of Yamanashi Faculty of Medicine, 1110 Shimokato, Tamaho, Yamanashi 409-3898, Japan.

出版信息

Br J Ophthalmol. 2006 Mar;90(3):314-7. doi: 10.1136/bjo.2005.080895.

DOI:10.1136/bjo.2005.080895
PMID:16488953
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1856952/
Abstract

AIM

To investigate the effects of a non-steroidal anti-inflammatory drug (NSAID) ophthalmic solution on latanoprost induced intraocular pressure (IOP) reduction in glaucoma patients.

METHODS

Examination was conducted on 16 eyes of 16 glaucoma patients who had been given only latanoprost for at least 6 weeks. The NSAID ophthalmic solution, sodium 2-amino-3-(4-bromobenzoyl) phenylacetate sesquihydrate, was additionally given for 12 weeks into one eye (NSAID group), while sodium hyaluronic acid ophthalmic solution was administered into the other eye (control group) in a double masked fashion. The IOP measurement was performed before the start of additional administration of ophthalmic solutions, 2, 4, 6, 8, 10, and 12 weeks after the start of additional administration, and 2, 4, and 6 weeks after discontinuing additional administration.

RESULTS

No significant difference was observed in the IOPs before additional administration of ophthalmic solution between the NSAID group and the control group. Following the additional administration of ophthalmic solution, IOP in the NSAID group was consistently higher than that in the control group, and a maximum difference in IOP between the two groups was 1.08 (SD 1.75) mm Hg (p = 0.03). This trend was observed even after additional administration was discontinued.

CONCLUSION

NSAID ophthalmic solution may partly affect IOP reduction by latanoprost.

摘要

目的

研究一种非甾体抗炎药(NSAID)眼药水对青光眼患者使用拉坦前列素降低眼压(IOP)效果的影响。

方法

对16例青光眼患者的16只眼睛进行检查,这些患者仅使用拉坦前列素至少6周。以双盲方式,一只眼睛额外给予NSAID眼药水2 -氨基- 3 -(4 -溴苯甲酰基)苯乙酸倍半水合物钠12周(NSAID组),另一只眼睛给予透明质酸钠眼药水(对照组)。在额外给予眼药水开始前、开始后2、4、6、8、10和12周以及停止额外给药后2、4和6周进行眼压测量。

结果

NSAID组和对照组在额外给予眼药水前的眼压无显著差异。额外给予眼药水后,NSAID组的眼压始终高于对照组,两组眼压的最大差异为1.08(标准差1.75)mmHg(p = 0.03)。即使在停止额外给药后,这种趋势仍然存在。

结论

NSAID眼药水可能会部分影响拉坦前列素降低眼压的效果。

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本文引用的文献

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Ocular hypotensive effects of cholinergic and adrenergic drugs may be influenced by prostaglandins E2 in the human and rabbit eye.胆碱能和肾上腺素能药物的降眼压作用可能会受到人眼和兔眼中前列腺素E2的影响。
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Effect of non-steroidal anti-inflammatory ophthalmic solution on intraocular pressure reduction by latanoprost.非甾体抗炎眼药水对拉坦前列素降低眼压作用的影响。
Br J Ophthalmol. 2003 Mar;87(3):297-301. doi: 10.1136/bjo.87.3.297.
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Comparison between isopropyl unoprostone and latanoprost by prostaglandin E(2)induction, affinity to prostaglandin transporter, and intraocular metabolism.通过前列腺素E(2)诱导、对前列腺素转运体的亲和力及眼内代谢对异丙前列素和拉坦前列素进行比较。
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Latanoprost and brimonidine: therapeutic and physiologic assessment before and after oral nonsteroidal anti-inflammatory therapy.拉坦前列素和溴莫尼定:口服非甾体抗炎治疗前后的治疗及生理评估
Am J Ophthalmol. 2002 Jan;133(1):11-8. doi: 10.1016/s0002-9394(01)01286-7.
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Arachidonic acid release and prostaglandin E2 synthesis as irritant index of surfactants in 3T6 fibroblast cultures.花生四烯酸释放和前列腺素E2合成作为3T6成纤维细胞培养中表面活性剂刺激指数的研究
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Effect of latanoprost or 8-iso prostaglandin E2 alone and in combination on intraocular pressure in glaucomatous monkey eyes.拉坦前列素或8-异前列腺素E2单独及联合应用对青光眼猴眼眼压的影响。
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Prostaglandins increase matrix metalloproteinase release from human ciliary smooth muscle cells.前列腺素可增加人睫状肌平滑肌细胞中基质金属蛋白酶的释放。
Invest Ophthalmol Vis Sci. 1997 Dec;38(13):2772-80.
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Clinical dose-regimen studies with latanoprost, a new ocular hypotensive PGF2 alpha analogue.新型降眼压前列腺素F2α类似物拉坦前列素的临床剂量方案研究。
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