Suppr超能文献

亚洲干眼症(DED)的治疗:短泪膜破裂时间型干眼症的治疗策略

Treatment of Dry Eye Disease (DED) in Asia: Strategies for Short Tear Film Breakup Time-Type DED.

作者信息

Kawahara Atsushi

机构信息

Yoshida Eye Hospital, 2-31-8, Hondori, Hakodate 041-0851, Hokkaido, Japan.

出版信息

Pharmaceutics. 2023 Nov 5;15(11):2591. doi: 10.3390/pharmaceutics15112591.

Abstract

Dry eye disease (DED) is a multifactorial disorder in which tear fluid homeostasis is lost, resulting in increased tear film osmolarity and ocular surface irritation. In Asia, the short tear film breakup time-type DED, which has become a global problem in recent years, is common. While the mainstay of DED treatment in the West is the suppression of inflammation, the first goal of treatment is the stabilization of the tear film in Asia. To date, artificial tears and steroid eye drops have been the main treatment for DED. However, artificial tears require frequent administration of eye drops and thus pose adherence problems, while steroids have problems with side-effects (cataracts, increased intraocular pressure). This review evaluates the new generation therapies in Asia based on what is known about them and demonstrates that they are more effective for DED than traditional therapies such as artificial tears and steroids. Based on considerations, it is proposed that the optimal treatment for the short tear film breakup time-type DED is the initial application of mucin-secretion-enhancing eye drops (long-acting diquafosol) and oral supplements; and if additional treatment is needed, cyclosporine eye drops and the adjunctive therapies presented in this review are added.

摘要

干眼疾病(DED)是一种多因素紊乱疾病,其中泪液动态平衡丧失,导致泪膜渗透压增加和眼表刺激。在亚洲,短泪膜破裂时间型干眼近年来已成为一个全球性问题,较为常见。在西方,干眼治疗的主要方法是抑制炎症,而在亚洲,治疗的首要目标是稳定泪膜。迄今为止,人工泪液和类固醇眼药水一直是干眼的主要治疗方法。然而,人工泪液需要频繁滴眼,因此存在依从性问题,而类固醇则有副作用(白内障、眼压升高)问题。本综述基于对新一代疗法的已知情况对其进行评估,并表明它们对干眼的治疗比人工泪液和类固醇等传统疗法更有效。基于这些考虑,建议对短泪膜破裂时间型干眼的最佳治疗方法是首先应用增强粘蛋白分泌的眼药水(长效地夸磷索)和口服补充剂;如果需要额外治疗,则添加环孢素眼药水和本综述中介绍的辅助疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6b6/10674215/f18d40d6c27a/pharmaceutics-15-02591-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验