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氯替泼诺软膏、凝胶和混悬液治疗眼及角膜移植术后炎症和疼痛的批判性评价

Critical appraisal of loteprednol ointment, gel, and suspension in the treatment of postoperative inflammation and pain following ocular and corneal transplant surgery.

作者信息

Pirouzian Amir, Craven E Randy

机构信息

Department of Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia ; Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA.

出版信息

Clin Ophthalmol. 2014 Feb 10;8:379-87. doi: 10.2147/OPTH.S30278. eCollection 2014.

Abstract

PURPOSE

To review comprehensively the available peer-reviewed published articles in the literature on loteprednol suspension, gel, and ointment in the treatment of ocular inflammation and pain following ocular surgery.

METHODS

We conducted a PubMed literature search review of all published articles on keywords associated with loteprednol etabonate and ocular surgery.

RESULTS

A total of 59 peer-reviewed articles were found in the literature. The focus of the majority of the articles was on the safety and efficacy of loteprednol etabonate 0.5% in postoperative control of inflammation and pain following cataract surgery. There were only three articles with a remote association between loteprednol etabonate and keratoplasty.

CONCLUSION

Lotemax® ointment may also have potential as a first-line anti-inflammatory agent of choice in postoperative settings of strabismus and penetrating glaucoma, and following low-risk penetrating keratoplasty procedures.

摘要

目的

全面回顾文献中已发表的、经同行评审的关于氯替泼诺混悬液、凝胶和软膏治疗眼部手术后眼部炎症和疼痛的文章。

方法

我们对PubMed文献进行了检索,回顾了所有与氯替泼诺酯和眼部手术相关关键词的已发表文章。

结果

文献中总共发现了59篇经同行评审的文章。大多数文章的重点是0.5%氯替泼诺酯在白内障手术后控制炎症和疼痛的安全性和有效性。只有三篇文章涉及氯替泼诺酯与角膜移植术之间的间接关联。

结论

在斜视和穿透性青光眼的术后情况以及低风险穿透性角膜移植手术后,洛替美克软膏也可能有潜力作为一线抗炎药物的首选。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4660/3926497/3b0f72ba60b8/opth-8-379Fig1.jpg

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