Costagliola Ciro, Campa Claudio, Parmeggiani Francesco, Incorvaia Carlo, Perri Paolo, D'Angelo Sergio, Lamberti Giuseppe, Sebastiani Adolfo
Department of Ophthalmology, University of Ferrara, Ferrara, Italy.
Br J Clin Pharmacol. 2007 Mar;63(3):376-9. doi: 10.1111/j.1365-2125.2006.02768.x. Epub 2006 Sep 19.
To investigate whether dorzolamide modifies peripapillary retinal haemodynamics in juvenile primary open-angle glaucoma (JPOAG) patients treated with timolol.
In 40 JPOAG subjects, before and after dorzolamide coadministration with timolol, the following examinations were achieved: intraocular pressure (IOP), blood pressure (BP), ocular perfusion pressure (OPP), heart rate (HR), visual field and retinal flowmetry.
Adjunctive therapy with dorzolamide induced the following modifications: IOP reduction [1.75 mmHg, 95% confidence interval (CI) 1.23, 2.26; P < 0.05], OPP increase (5.09 mmHg, 95% CI 2.97, 7.20; P < 0.02) and retinal blood flow improvement (35.0 arbitrary units, 95% CI 12.20, 57.80; P < 0.03). BP, HR and visual field indices did not change.
Dorzolamide, in association or in fixed combination with timolol, significantly improves retinal blood flow in JPOAG patients.
研究多佐胺对接受噻吗洛尔治疗的青少年原发性开角型青光眼(JPOAG)患者视乳头周围视网膜血流动力学的影响。
对40例JPOAG患者,在多佐胺与噻吗洛尔联合用药前后,进行以下检查:眼压(IOP)、血压(BP)、眼灌注压(OPP)、心率(HR)、视野和视网膜血流测量。
多佐胺辅助治疗引起以下变化:眼压降低[1.75 mmHg,95%置信区间(CI)1.23,2.26;P < 0.05],眼灌注压升高(5.09 mmHg,95% CI 2.97,7.20;P < 0.02),视网膜血流改善(35.0任意单位,95% CI 12.20,57.80;P < 0.03)。血压、心率和视野指标未改变。
多佐胺与噻吗洛尔联合或固定复方使用,可显著改善JPOAG患者的视网膜血流。