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青光眼的局部药物治疗

Topical drug therapy in glaucoma.

作者信息

Resch Hemma, Garhofer Gerhard

机构信息

Department of Clinical Pharmacology, Medical University of Vienna, Vienna, Austria.

出版信息

Wien Med Wochenschr. 2006 Sep;156(17-18):501-7. doi: 10.1007/s10354-006-0335-0.

DOI:10.1007/s10354-006-0335-0
PMID:17041807
Abstract

Glaucoma is defined as a progressive optic neuropathy involving characteristic structural changes in the optic nerve head and corresponding visual field defects. Elevated intraocular pressure (IOP) is a major risk and causative factor for glaucomatous optic neuropathy. Although mechanisms other than elevated IOP may contribute to the underlying pathophysiology of glaucoma, reducing IOP remains the primary goal of therapy. Recent clinical studies have shown that decreasing the IOP can delay, or in some cases prevent progression of this chronic ocular disease. Over the past decade, several new medical therapies have become available for the treatment of glaucoma. In this article a review of topical glaucoma therapy is presented.

摘要

青光眼被定义为一种进行性视神经病变,涉及视神经乳头的特征性结构变化及相应的视野缺损。眼压升高是青光眼性视神经病变的主要风险因素和致病因素。尽管眼压升高以外的机制可能导致青光眼的潜在病理生理过程,但降低眼压仍然是治疗的主要目标。最近的临床研究表明,降低眼压可以延缓,在某些情况下还可以预防这种慢性眼病的进展。在过去十年中,出现了几种用于治疗青光眼的新药物疗法。本文对局部青光眼治疗进行综述。

相似文献

1
Topical drug therapy in glaucoma.青光眼的局部药物治疗
Wien Med Wochenschr. 2006 Sep;156(17-18):501-7. doi: 10.1007/s10354-006-0335-0.
2
Management of glaucoma: focus on pharmacological therapy.青光眼的治疗:聚焦于药物治疗。
Drugs Aging. 2005;22(1):1-21. doi: 10.2165/00002512-200522010-00001.
3
Medical Treatment of Primary Canine Glaucoma.犬原发性青光眼的医学治疗
Vet Clin North Am Small Anim Pract. 2015 Nov;45(6):1235-59, vi. doi: 10.1016/j.cvsm.2015.06.004. Epub 2015 Aug 28.
4
Use of fixed-dose combination drugs for the treatment of glaucoma.使用固定剂量复方药物治疗青光眼。
Drugs Aging. 2007;24(12):1007-16. doi: 10.2165/00002512-200724120-00004.
5
Meta-analysis of the efficacy and safety of alpha2-adrenergic agonists, beta-adrenergic antagonists, and topical carbonic anhydrase inhibitors with prostaglandin analogs.α2肾上腺素能激动剂、β肾上腺素能拮抗剂以及局部碳酸酐酶抑制剂与前列腺素类似物疗效和安全性的荟萃分析。
Arch Ophthalmol. 2010 Jul;128(7):825-33. doi: 10.1001/archophthalmol.2010.131.
6
Combination therapy as initial treatment in glaucoma and suspected glaucoma.联合治疗作为青光眼和疑似青光眼的初始治疗。
Can J Ophthalmol. 2012 Jun;47(3):240-2. doi: 10.1016/j.jcjo.2012.03.023. Epub 2012 May 12.
7
Glaucoma: a review of adjunctive therapy and new management strategies.青光眼:辅助治疗与新管理策略综述
Expert Opin Pharmacother. 2007 Dec;8(18):3237-49. doi: 10.1517/14656566.8.18.3237.
8
Intraocular pressure-lowering combination therapies with prostaglandin analogues.前列腺素类似物的降眼压联合治疗。
Drugs. 2012 Jul 9;72(10):1355-71. doi: 10.2165/11634460-000000000-00000.
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[Medical therapy of primitive hypertensive glaucoma-therapeutic principles, perspectives].[原发性高血压性青光眼的医学治疗——治疗原则与前景]
Oftalmologia. 2006;50(3):38-43.
10
Glaucoma medications: use and safety in the elderly population.青光眼药物:老年人群中的使用与安全性
Drugs Aging. 2006;23(4):321-32. doi: 10.2165/00002512-200623040-00005.

本文引用的文献

1
Bimatoprost: a pharmacoeconomic review of its use in open-angle glaucoma and ocular hypertension.比马前列素:其用于开角型青光眼和高眼压症的药物经济学综述
Pharmacoeconomics. 2006;24(3):297-314. doi: 10.2165/00019053-200624030-00010.
2
Effect of dorzolamide and timolol on ocular blood flow in patients with primary open angle glaucoma and ocular hypertension.多佐胺和噻吗洛尔对原发性开角型青光眼和高眼压症患者眼血流的影响。
Br J Ophthalmol. 2005 Oct;89(10):1293-7. doi: 10.1136/bjo.2005.067637.
3
Brimonidine and timolol fixed-combination therapy versus monotherapy: a 3-month randomized trial in patients with glaucoma or ocular hypertension.
溴莫尼定与噻吗洛尔固定复方疗法对比单一疗法:一项针对青光眼或高眼压症患者的3个月随机试验
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4
Efficacy and safety of a fixed combination of travoprost 0.004%/timolol 0.5% ophthalmic solution once daily for open-angle glaucoma or ocular hypertension.0.004%曲伏前列素/0.5%噻吗洛尔复方滴眼液每日一次治疗开角型青光眼或高眼压症的疗效与安全性
Am J Ophthalmol. 2005 Aug;140(2):242-50. doi: 10.1016/j.ajo.2005.02.058.
5
Switching from latanoprost to fixed-combination latanoprost-timolol: a 21-day, randomized, double-masked, active-control study in patients with glaucoma and ocular hypertension.从拉坦前列素转换为拉坦前列素-噻吗洛尔固定复方制剂:一项针对青光眼和高眼压症患者的为期21天的随机、双盲、活性对照研究。
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6
Transient ischemia of the retina results in massive degeneration of the retinotectal projection: long-term neuroprotection with brimonidine.视网膜短暂性缺血导致视网膜-顶盖投射大量退化:溴莫尼定的长期神经保护作用。
Exp Neurol. 2003 Dec;184(2):767-77. doi: 10.1016/S0014-4886(03)00298-X.
7
Rate of response to latanoprost or timolol in patients with ocular hypertension or glaucoma.
J Glaucoma. 2003 Dec;12(6):466-9. doi: 10.1097/00061198-200312000-00004.
8
EFFECTS OF PILOCARPINE ON OCULAR TENSION DYNAMICS.毛果芸香碱对眼内压动态的影响。
Am J Ophthalmol. 1964 Jan;57:34-41. doi: 10.1016/0002-9394(64)92029-x.
9
Vasoactive properties of bimatoprost in isolated porcine ciliary arteries.
Klin Monbl Augenheilkd. 2003 Mar;220(3):161-4. doi: 10.1055/s-2003-38167.
10
Partial antagonism of endothelin 1-induced vasoconstriction in the human choroid by topical unoprostone isopropyl.
Arch Ophthalmol. 2002 Mar;120(3):348-52. doi: 10.1001/archopht.120.3.348.