Department of Ophthalmology and Visual Science, Graduate School of Biomedical Science, Hiroshima University, Minami-ku, Hiroshima, Japan.
Jpn J Ophthalmol. 2010 Jul;54(4):286-90. doi: 10.1007/s10384-010-0828-7. Epub 2010 Aug 11.
To compare the intraocular pressure (IOP) reduction over 24 h achieved with tafluprost (0.0015%) with that achieved with latanoprost (0.005%).
Twenty-seven healthy volunteers were studied. After a 24-h IOP baseline measurement was taken, one ophthalmic solution was applied to the right eye daily for 7 days. The drug was then withdrawn for 2 weeks. The other agent was then applied to the left eye in the same manner. IOP was measured every 3 h for 24 h on the seventh day of treatment.
The 24-h IOP after 7 days' treatment with latanoprost decreased from 11.5 mmHg at baseline to 9.7 mmHg (-1.8 mmHg) and that with tafluprost from 11.8 to 9.8 mmHg (-1.9 mmHg). Tafluprost was statistically more effective after 24 h (P = 0.007; paired t test). The number of subjects with a 24-h mean IOP reduction of <10% was 8/27 (29.6%) with latanoprost versus 4/27 (14.8%) with tafluprost. The incidence of conjunctival hyperemia with latanoprost was 4/27 (14.8%) and that with tafluprost was 8/27 (29.6%).
The overall efficacies of the two agents were not different, but tafluprost was associated with a greater reduction in IOP at 24 h after administration. Tafluprost showed a higher rate of conjunctival hyperemia.
比较曲伏前列素(0.0015%)和拉坦前列素(0.005%)在 24 小时内降低眼内压(IOP)的效果。
27 名健康志愿者参与了这项研究。在进行 24 小时 IOP 基线测量后,每天右眼滴注一种眼药水,连续 7 天。然后停药 2 周。然后以同样的方式在左眼滴注另一种药物。在治疗的第 7 天,每 3 小时测量一次眼压,持续 24 小时。
在使用拉坦前列素治疗 7 天后,24 小时的 IOP 从基线时的 11.5mmHg 下降至 9.7mmHg(下降了-1.8mmHg),而使用曲伏前列素则从 11.8mmHg 下降至 9.8mmHg(下降了-1.9mmHg)。曲伏前列素在 24 小时后效果更为显著(P=0.007;配对 t 检验)。有 24 小时平均 IOP 降低小于 10%的患者数,使用拉坦前列素的有 8/27(29.6%),而使用曲伏前列素的则有 4/27(14.8%)。使用拉坦前列素的有 4/27(14.8%)和使用曲伏前列素的有 8/27(29.6%)出现结膜充血。
两种药物的总体疗效没有差异,但曲伏前列素在给药后 24 小时内降低 IOP 的效果更大。曲伏前列素显示出更高的结膜充血发生率。