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葡萄膜炎抗炎治疗的副作用。

Side-effects of anti-inflammatory therapy in uveitis.

作者信息

Uchiyama Eduardo, Papaliodis George N, Lobo Ann-Marie, Sobrin Lucia

机构信息

Department of Ophthalmology , Massachusetts Eye and Ear Infirmary, Boston, Massachusetts , USA and.

出版信息

Semin Ophthalmol. 2014 Sep-Nov;29(5-6):456-67. doi: 10.3109/08820538.2014.959203.

Abstract

Uveitis is a group of inflammatory ocular conditions that cause significant visual morbidity around the world. Many of the cases of blindness secondary to uveitis can be avoided with adequate and aggressive management of the intraocular inflammation. Steroids have been utilized in the treatment of noninfectious uveitis for more than 60 years, but their chronic use is associated with severe ocular and systemic side-effects. Ophthalmologists are often not familiar with the systemic steroid-sparing agents available for the management of ocular inflammation and depend primarily on the use of corticosteroids. In this article, we review the most common agents utilized in the treatment of uveitis and their side-effect profiles.

摘要

葡萄膜炎是一组炎症性眼部疾病,在全球范围内导致严重的视力损害。通过对眼内炎症进行充分且积极的治疗,许多继发于葡萄膜炎的失明病例是可以避免的。类固醇已用于治疗非感染性葡萄膜炎60多年,但长期使用会伴有严重的眼部和全身副作用。眼科医生通常不熟悉可用于治疗眼部炎症的全身性类固醇替代药物,主要依赖于使用皮质类固醇。在本文中,我们综述了治疗葡萄膜炎最常用的药物及其副作用。

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