Fujishima Hiroshi, Fukagawa Kazumi, Takano Yoji, Tanaka Mari, Okamoto Shigeki, Miyazaki Dai, Yamada Jun, Fukushima Atsuki, Uchio Eiichi, Nakagawa Yayoi
Department of Ophthalmology, International University of Health and Welfare, Mita Hospital, Mita, Tokyo, Japan.
J Ocul Pharmacol Ther. 2009 Jun;25(3):265-70. doi: 10.1089/jop.2008.0121.
Bromfenac sodium (BF) 0.1% was compared with fluorometholone (FML) 0.02% for the treatment of seasonal allergic conjunctivitis when concomitantly used with disodium cromoglycate (DSCG) 2.0%.
Eighty-six patients with seasonal allergic conjunctivitis were treated with DSCG four times a day, and BF was concomitantly administered twice a day in one eye and FML was administered four times a day in the contralateral eye for 1 week. Ocular signs were scored on a four-graded severity. Patients recorded symptoms using visual analog scale. Patients were asked which concomitant treatment was more suitable for them and scored global evaluation.
All subjective symptom scores were decreased in both concomitant treatment groups compared with baseline (P < 0.05). Objective signs were significantly improved with the concomitant use of BF or FML with DSCG (P < 0.05). Neither symptoms nor signs differed significantly between the concomitant use of BF and FML. Fifteen patients selected BF and 29 patients selected FML as the more preferred concomitant eye drops, 42 patients judged no difference in efficacy between the groups. No significant difference was observed in patient's global evaluation between the groups.
Bromfenac sodium for allergic conjunctivitis was effective, with efficacy equivalent to that of FML when used with DSCG.
比较0.1%的溴芬酸钠(BF)与0.02%的氟米龙(FML)在与2.0%的色甘酸钠(DSCG)联合使用时治疗季节性过敏性结膜炎的效果。
86例季节性过敏性结膜炎患者每天4次使用DSCG进行治疗,一只眼睛每天2次联合使用BF,对侧眼睛每天4次使用FML,持续1周。眼部体征按严重程度分为四级进行评分。患者使用视觉模拟量表记录症状。询问患者哪种联合治疗对他们更合适并进行总体评价评分。
与基线相比,两个联合治疗组的所有主观症状评分均降低(P<0.05)。BF或FML与DSCG联合使用时,客观体征有显著改善(P<0.05)。BF和FML联合使用时,症状和体征均无显著差异。15例患者选择BF,29例患者选择FML作为更优选的联合滴眼液,42例患者判断两组疗效无差异。两组患者的总体评价无显著差异。
溴芬酸钠治疗过敏性结膜炎有效,与DSCG联合使用时疗效与FML相当。