Harran University School of Medicine, Department of Ophthalmology, Sanliurfa, Turkey.
Ophthalmologica. 2010;224(2):109-15. doi: 10.1159/000235924. Epub 2009 Sep 2.
To evaluate the effects of a mid-viscosity mucomimetic lubricant eye drop containing hydroxypropyl guar (HPG) as a gelling agent on computerized perimetry FASTPAC test results of primary open-angle glaucoma (POAG) patients with trachomatous dry eye.
Both eyes of 33 patients with bilateral POAG and trachomatous dry eye were included in the study. They were treated with the same antiglaucomatous eye drop and underwent computerized perimetry. Before and after the treatment with lubricant eye drop (Systane) for 8 weeks, tear function tests (Schirmer test with topical anesthesia, fluorescein staining and tear film break-up time) and FASTPAC test with computerized perimetry were performed. Pre- and posttreatment tear functions, visual field test global indices, reliability indices, test duration and numbers of depressed points in pattern deviation plots were compared.
We found significant improvements in tear function tests results, in computerized perimetry FASTPAC test indices, test duration and the number of depressed points in pattern deviation plots in the posttreatment evaluations.
This study indicates that there was a benefit of mid-viscosity lubricant eye drop containing HPG treatment on computerized perimetry FASTPAC test performance in POAG subjects with trachomatous dry eye. We assume that the positive effect of this therapy is probably due to a better tear film stability, resulting in a higher optical quality of the repaired anterior corneal surface.
评估含有羟丙基瓜尔胶(HPG)作为胶凝剂的中黏度拟态润滑剂滴眼剂对沙眼性干眼症的原发性开角型青光眼(POAG)患者计算机视野 FASTPAC 测试结果的影响。
本研究纳入了 33 名双侧 POAG 和沙眼性干眼症患者的双眼。他们接受了相同的抗青光眼滴眼剂治疗,并进行了计算机视野检查。在使用润滑剂滴眼剂(Systane)治疗 8 周前后,进行了泪液功能测试(表面麻醉的 Schirmer 测试、荧光素染色和泪膜破裂时间)和计算机视野 FASTPAC 测试。比较了治疗前后的泪液功能、视野测试全局指标、可靠性指标、测试持续时间和模式偏差图中抑郁点的数量。
我们发现,在治疗后的评估中,泪液功能测试结果、计算机视野 FASTPAC 测试指标、测试持续时间和模式偏差图中抑郁点的数量均有显著改善。
本研究表明,含有 HPG 的中黏度润滑剂滴眼剂对沙眼性干眼症的 POAG 患者的计算机视野 FASTPAC 测试结果有一定的改善作用。我们假设这种治疗的积极效果可能是由于泪膜稳定性的提高,从而导致修复前角膜表面的光学质量更高。