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他氟前列素治疗正常眼压性青光眼患者3年的效果。

Effects of tafluprost treatment for 3 years in patients with normal-tension glaucoma.

作者信息

Inoue Kenji, Tanaka Ayumi, Tomita Goji

机构信息

Inouye Eye Hospital, Tokyo, Japan.

出版信息

Clin Ophthalmol. 2013;7:1411-6. doi: 10.2147/OPTH.S46340. Epub 2013 Jul 9.

Abstract

PURPOSE

To evaluate the effects of tafluprost treatment for 3 years on intraocular pressure (IOP) and visual field performance.

METHODS

The IOP of 55 patients with normal-tension glaucoma was monitored every 1-3 months for 3 years. The Humphrey visual field test was performed every 6 months after treatment and results compared with before-treatment results. Visual field performance was also evaluated by trend and event analysis.

RESULTS

After 3 years' tafluprost single-use vials treatment, the IOP (12.8 ± 2.8 mmHg [mean ± standard deviation]) was significantly lower than before treatment (15.7 ± 2.2 mmHg; P < 0.0001). When comparing before-treatment Humphrey visual field test findings with those after 3 years of treatment, no change was found in the mean deviation and pattern standard deviation. Visual field performance had worsened in four patients and three patients according to trend analysis and event analysis, respectively. Adverse reactions appeared in ten cases and one patient (1.8%) discontinued treatment due to an adverse reaction.

CONCLUSION

Tafluprost single-use vials treatment was effective in reducing IOP over the 3 years of this study, but visual field performance worsened by 10.3%-13.8% in patients with normal-tension glaucoma. Safety was satisfactory.

摘要

目的

评估他氟前列素治疗3年对眼压(IOP)和视野表现的影响。

方法

对55例正常眼压性青光眼患者的眼压进行了为期3年的监测,每1 - 3个月监测一次。治疗后每6个月进行一次汉弗莱视野测试,并将结果与治疗前结果进行比较。还通过趋势分析和事件分析对视野表现进行了评估。

结果

经过3年的他氟前列素单剂量瓶装治疗后,眼压(12.8±2.8 mmHg[平均值±标准差])显著低于治疗前(15.7±2.2 mmHg;P<0.0001)。将治疗前汉弗莱视野测试结果与治疗3年后的结果进行比较时,平均偏差和模式标准差未发现变化。根据趋势分析和事件分析,分别有4例和3例患者的视野表现恶化。出现了10例不良反应,1例患者(1.8%)因不良反应停药。

结论

在本研究的3年中,他氟前列素单剂量瓶装治疗在降低眼压方面有效,但正常眼压性青光眼患者的视野表现恶化了10.3% - 13.8%。安全性令人满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57e1/3711876/03eca3d51af1/opth-7-1411Fig1.jpg

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