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色甘酸钠-氟米龙复方滴眼液治疗过敏性结膜炎的安全性和有效性

Safety and efficacy of sodium cromoglycate-fluorometholone fixed combination eye drops in allergic conjunctivitis.

作者信息

Alwadani Saeed

机构信息

Department of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

出版信息

Saudi J Ophthalmol. 2022 Jul 11;36(1):107-112. doi: 10.4103/sjopt.sjopt_208_21. eCollection 2022 Jan-Mar.

Abstract

PURPOSE

This study aimed to assess the efficacy and safety of sodium cromoglycate with fluorometholone in patients with allergic conjunctivitis.

METHODS

We conducted a single-arm phase IV open-label trial where fifty patients who received the eye drops were followed for 4 weeks. Treatment efficacy was assessed using the ocular itching score, conjunctival assessment score, total symptom and sign (TSS) score, and Visual Analog Scale (VAS).

RESULTS

Patients who received sodium cromoglycate-fluorometholone eye drops experienced significant improvements in their ocular itching score (mean difference [MD]: 1.14, < 0.001) and conjunctival redness score (MD: 1.18, < 0.001). Statistically significant improvements in TSS and VAS were achieved in 78% of the patients reporting no conjunctivitis by the end of the study. The overall therapeutic response to the drug was as follows: 16% improved and 84% much improved. No serious adverse events were reported.

CONCLUSION

Sodium cromoglycate with fluorometholone eye drops achieved 100% therapeutic response among patients with allergic conjunctivitis. The eye drops improve the ocular itching, and conjunctival irritation without serious adverse events. This combination appears effective and tolerable for treatment of allergic conjunctivitis.

摘要

目的

本研究旨在评估色甘酸钠联合氟米龙治疗过敏性结膜炎患者的疗效和安全性。

方法

我们进行了一项单臂IV期开放标签试验,对50例接受滴眼液治疗的患者进行了4周的随访。使用眼部瘙痒评分、结膜评估评分、总症状和体征(TSS)评分以及视觉模拟量表(VAS)评估治疗效果。

结果

接受色甘酸钠-氟米龙滴眼液治疗的患者眼部瘙痒评分(平均差值[MD]:1.14,<0.001)和结膜充血评分(MD:1.18,<0.001)有显著改善。在研究结束时,78%报告无结膜炎的患者TSS和VAS有统计学显著改善。该药物的总体治疗反应如下:16%改善,84%显著改善。未报告严重不良事件。

结论

色甘酸钠联合氟米龙滴眼液在过敏性结膜炎患者中达到了100%的治疗反应。该滴眼液可改善眼部瘙痒和结膜刺激,且无严重不良事件。这种联合用药似乎对过敏性结膜炎的治疗有效且耐受性良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/775f/9375451/11f38205a886/SJO-36-107-g001.jpg

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