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无防腐剂他氟前列素 0.0015%的疗效和眼表面耐受性:一项针对初诊高眼压或青光眼患者的 6 个月、单盲、观察性研究。

Efficacy and ocular surface tolerability of preservative-free tafluprost 0.0015%: a 6-month, single-blind, observational study on naïve ocular hypertension or glaucoma patients.

机构信息

University Eye Clinic, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.

出版信息

Expert Opin Drug Saf. 2012 Jul;11(4):519-25. doi: 10.1517/14740338.2012.690734. Epub 2012 Jun 13.

DOI:10.1517/14740338.2012.690734
PMID:22690824
Abstract

OBJECTIVES

The aim of this study was to evaluate the safety of preservative-free tafluprost in newly diagnosed patients and to confirm its efficacy in lowering intraocular pressure (IOP).

METHODS

Naïve patients were submitted to an ophthalmic examination, including ocular surface status and quality of life evaluation. All examinations were performed at baseline and after 1 and 6 months.

RESULTS

28 patients were enrolled and treated with tafluprost, once a day, in the evening. TF-BUT changed from 9 (interquartile range (IQR) 6 - 11) s at baseline to 10 (IQR 7 - 10) s at 1 month (p = 0.106) and 9 (IQR 6 - 12) s at 6 months (p = 0.003). No eye developed corneal staining. Quality of life was (median (IQR)) 91.6 (79.2 - 95.8) at baseline and 95.8 (66.7 - 100) at 6 months (p = 0.62). Only a few adverse events occurred during the follow-up period (three patients experienced ocular burning and one developed redness). The mean IOP reduction was 5.5 mm Hg (95% CI 3.8 - 7.2). The median (IQR) baseline IOP was 18.7 (15 - 23.7) mm Hg; 14 (13 - 16) mm Hg and 16 (14 - 16) mm Hg (p < 0.0001) after 1 and 6 months, respectively.

CONCLUSION

No patient developed ocular surface disease and quality of life perception was preserved. Preservative-free tafluprost is therefore an effective drug that is safe for the ocular surface after 6 months of daily therapy.

摘要

目的

本研究旨在评估新诊断患者使用不含防腐剂的他氟前列素的安全性,并确认其降低眼内压(IOP)的疗效。

方法

对未经治疗的患者进行眼科检查,包括眼表状况和生活质量评估。所有检查均在基线时以及治疗 1 个月和 6 个月后进行。

结果

共纳入 28 例患者,每天晚上接受他氟前列素治疗,每天一次。TF-BUT 从基线时的 9(四分位间距(IQR)6-11)秒变为 1 个月时的 10(IQR 7-10)秒(p=0.106)和 6 个月时的 9(IQR 6-12)秒(p=0.003)。没有患者出现角膜染色。治疗 6 个月时,生活质量(中位数(IQR))为 91.6(79.2-95.8)分,与基线时的 95.8(66.7-100)分相比无显著差异(p=0.62)。在随访期间仅发生少数不良事件(3 例患者出现眼部烧灼感,1 例出现眼红)。平均眼压降低 5.5mmHg(95%CI 3.8-7.2)。基线时的中位(IQR)眼压为 18.7(15-23.7)mmHg;治疗 1 个月和 6 个月后分别为 14(13-16)mmHg 和 16(14-16)mmHg(p<0.0001)。

结论

没有患者出现眼表疾病,生活质量感知得到保持。因此,在 6 个月的每日治疗后,不含防腐剂的他氟前列素是一种对眼表安全且有效的药物。

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