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比较拉坦前列素、曲伏前列素和贝美前列素对中央角膜厚度的影响。

The comparison of the effects of latanoprost, travoprost, and bimatoprost on central corneal thickness.

机构信息

Department of Ophthalmology, Ruijin Hospital Affiliated Medical School, Shanghai Jiaotong University, Shanghai, China.

出版信息

Cornea. 2011 Aug;30(8):861-4. doi: 10.1097/ICO.0b013e3182000c27.

Abstract

PURPOSE

To compare the effects of latanoprost, travoprost, and bimatoprost on central corneal thickness (CCT).

METHODS

A total of 69 eyes of 69 patients with glaucoma or ocular hypertension submitted to monotherapy with prostaglandin analogues (latanoprost 0.005%, travoprost 0.004%, or bimatoprost 0.03%) during a mean of 17.19 ± 15.71 months follow-up period. Measurements were performed at the initial diagnosis and at the end of follow-up. All the measurements were carried out by the same doctor between 9 am and 11 am, using Goldmann applanation tonometer for intraocular pressure and ultrasonic pachymetry for CCT.

RESULTS

A statistically significant reduction in CCT was observed in all groups (P < 0.001). The reduction of CCT in the latanoprost, travoprost, and bimatoprost groups was 14.95 ± 5.04, 15.73 ± 3.25, and 17.00 ± 6.23 μm, respectively. No significant difference was found in the reduction of CCT among the 3 groups (P > 0.05). No significant difference was also found in the reduction of CCT between the patients with less than or equal to 6 months' treatment and the patients with more than 6 months' treatment in the 3 groups (P > 0.05).

CONCLUSIONS

Topical therapy with prostaglandin analogues is associated with CCT reduction. Latanoprost, travoprost, and bimatoprost have a similar effect on CCT.

摘要

目的

比较拉坦前列素、曲伏前列素和贝美前列素对中央角膜厚度(CCT)的影响。

方法

69 例青光眼或高眼压患者共 69 眼,接受前列腺素类似物单药治疗(拉坦前列素 0.005%、曲伏前列素 0.004%或贝美前列素 0.03%),平均随访 17.19±15.71 个月。在初始诊断时和随访结束时进行测量。所有测量均由同一位医生在上午 9 点至 11 点之间使用 Goldmann 压平眼压计进行眼压测量和超声角膜测厚仪进行 CCT 测量。

结果

所有组的 CCT 均显著降低(P<0.001)。拉坦前列素、曲伏前列素和贝美前列素组的 CCT 降低分别为 14.95±5.04、15.73±3.25 和 17.00±6.23μm。3 组间 CCT 降低无显著差异(P>0.05)。3 组中治疗时间少于或等于 6 个月的患者与治疗时间超过 6 个月的患者之间的 CCT 降低也无显著差异(P>0.05)。

结论

前列腺素类似物的局部治疗与 CCT 降低有关。拉坦前列素、曲伏前列素和贝美前列素对 CCT 有相似的作用。

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