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孕期青光眼药物治疗:文献综述与致畸学信息服务(TIS)病例系列

Glaucoma Drug Therapy in Pregnancy: Literature Review and Teratology Information Service (TIS) Case Series.

作者信息

Pellegrino Marcella, D'Oria Luisa, De Luca Carmen, Chiaradia Giacomina, Licameli Angelo, Neri Caterina, Nucci Marta, Visconti Daniela, Caruso Alessandro, De Santis Marco

机构信息

Teratology Information Service, Department of Obstetrics and Gynecology, Fetal Diagnosis and Therapy Unit, Catholic University of Sacred Heart, Policlinico A. Gemelli Hospital, Rome, Italy.

Department of Statistics, Catholic University of Sacred Heart, Policlinico A. Gemelli Hospital, Rome, Italy.

出版信息

Curr Drug Saf. 2018;13(1):3-11. doi: 10.2174/1574886312666171030125804.

DOI:10.2174/1574886312666171030125804
PMID:29086700
Abstract

BACKGROUND

There are many contradictions about pregnancy and fetal/neonatal outcomes after topical use of timolol alone or timolol in combination with other antiglaucoma medications.

METHODS

Seventy-five pregnant women exposed to antiglaucoma medications were followed prospectively by phone interviews. 27 women used timolol as monotherapy, 48 women used timolol as a part of multidrug therapy. We selected a control group of 187 healthy pregnant women.

RESULTS

Topical use of timolol alone or timolol in combination with other antiglaucoma medications does not influence pregnancy or fetal/neonatal outcomes.

CONCLUSION

Beta-blocker is the first choice treatment for glaucoma in pregnancy but, when necessary, multidrug therapy should not to be excluded.

摘要

背景

单独局部使用噻吗洛尔或噻吗洛尔与其他抗青光眼药物联合使用后,关于妊娠及胎儿/新生儿结局存在诸多矛盾之处。

方法

通过电话访谈对75名暴露于抗青光眼药物的孕妇进行前瞻性随访。27名女性单独使用噻吗洛尔进行治疗,48名女性将噻吗洛尔作为多药联合治疗的一部分。我们选取了187名健康孕妇作为对照组。

结果

单独局部使用噻吗洛尔或噻吗洛尔与其他抗青光眼药物联合使用并不影响妊娠或胎儿/新生儿结局。

结论

β受体阻滞剂是孕期青光眼的首选治疗药物,但必要时不应排除多药联合治疗。

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Glaucoma Drug Therapy in Pregnancy: Literature Review and Teratology Information Service (TIS) Case Series.孕期青光眼药物治疗:文献综述与致畸学信息服务(TIS)病例系列
Curr Drug Saf. 2018;13(1):3-11. doi: 10.2174/1574886312666171030125804.
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Efficacy and side effects of latanoprost monotherapy compared to adding dorzolamide to timolol in patients with glaucoma and ocular hypertension--a three-month randomised study. Spanish Latanoprost Study Group.拉坦前列素单药治疗与在噻吗洛尔中添加多佐胺治疗青光眼和高眼压症患者的疗效及副作用——一项为期三个月的随机研究。西班牙拉坦前列素研究组
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Brinzolamide 1%/timolol 0.5%: safety and efficacy of a new fixed-combination IOP-lowering product for glaucoma.布林佐胺 1%/噻吗洛尔 0.5%:一种新型青光眼固定联合降眼压产品的安全性和疗效。
Curr Med Res Opin. 2010 Nov;26(11):2575-8. doi: 10.1185/03007995.2010.517718. Epub 2010 Sep 27.

引用本文的文献

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Biomedicines. 2024 Nov 25;12(12):2685. doi: 10.3390/biomedicines12122685.
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Outcomes of pregnancy after exposure to antiglaucoma drugs.接触抗青光眼药物后的妊娠结局。
Indian J Ophthalmol. 2024 Apr 1;72(4):599-601. doi: 10.4103/IJO.IJO_3231_23. Epub 2024 Mar 28.
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A Narrative Review of the Complex Relationship between Pregnancy and Eye Changes.
妊娠与眼部变化复杂关系的叙述性综述
Diagnostics (Basel). 2021 Jul 23;11(8):1329. doi: 10.3390/diagnostics11081329.
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Management of glaucoma in pregnancy - balancing safety with efficacy.妊娠期青光眼的管理——平衡安全性与有效性
Ther Adv Ophthalmol. 2021 Jun 28;13:25158414211022876. doi: 10.1177/25158414211022876. eCollection 2021 Jan-Dec.