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0.8毫克/毫升氯沙坦对角膜混浊的影响。

Effect of 0.8mg/ml Losartan on Corneal Opacities.

作者信息

Fawad Aisha, Muzaffar Waqar, Anjum Unnab, Amer Mahad Naseer

机构信息

Aisha Fawad, FCPS (Ophth), FRCSGlas (Ophth) Associate Professor of Ophthalmology, Refractive Department, National University of Medical Sciences, National University of Medical Sciences, Rawalpindi, Pakistan.

Waqar Muzaffar, FCPS (Ophth), FRCS (Edinburgh), CST (UK) Professor and Dean of Ophthalmology, National University of Medical Sciences, National University of Medical Sciences, Rawalpindi, Pakistan.

出版信息

Pak J Med Sci. 2025 Mar;41(3):926-928. doi: 10.12669/pjms.41.3.11237.

DOI:10.12669/pjms.41.3.11237
PMID:40103911
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11911758/
Abstract

Losartan, commonly used as an angiotensin receptor II inhibitor for hypertension, has recently revealed additional therapeutic properties. Studies demonstrate its potential in treating liver fibrosis, mitigating heart disease secondary to radiation, reducing skin scar formation, and even reversing renal cortical fibrosis. In a specific case, a female patient suffering from persistent bilateral nummular keratitis and corneal opacities experienced significant improvement in her left eye after using 0.8mg/ml Losartan eye drops. Untreated right eye showed no change. Based on the positive outcome, patient was offered same treatment in her right eye as well with monthly follow-ups, which she happily accepted. The stark contrast between the treated and untreated eye highlights the promising role of Losartan in treating corneal opacities.

摘要

氯沙坦通常用作治疗高血压的血管紧张素 II 受体抑制剂,最近还显示出其他治疗特性。研究表明其在治疗肝纤维化、减轻放疗引起的心脏病、减少皮肤瘢痕形成甚至逆转肾皮质纤维化方面具有潜力。在一个具体病例中,一名患有持续性双侧钱币状角膜炎和角膜混浊的女性患者,使用 0.8mg/ml 氯沙坦眼药水后左眼有显著改善。未经治疗的右眼没有变化。基于这一积极结果,也为该患者右眼提供了同样的治疗并每月进行随访,她欣然接受。治疗眼和未治疗眼之间的鲜明对比凸显了氯沙坦在治疗角膜混浊方面的前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1b6/11911758/6f05841767f6/PJMS-41-926-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1b6/11911758/d89973a97ec1/PJMS-41-926-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1b6/11911758/6f05841767f6/PJMS-41-926-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1b6/11911758/d89973a97ec1/PJMS-41-926-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1b6/11911758/6f05841767f6/PJMS-41-926-g002.jpg

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本文引用的文献

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Proc Natl Acad Sci U S A. 2023 May 9;120(19):e2300706120. doi: 10.1073/pnas.2300706120. Epub 2023 May 1.
2
Topical Losartan: Practical Guidance for Clinical Trials in the Prevention and Treatment of Corneal Scarring Fibrosis and Other Eye Diseases and Disorders.局部用氯沙坦:预防和治疗角膜瘢痕纤维化和其他眼病及疾病的临床试验的实用指南。
J Ocul Pharmacol Ther. 2023 Apr;39(3):191-206. doi: 10.1089/jop.2022.0174. Epub 2023 Mar 6.
3
Topical Losartan for Treating Corneal Fibrosis (Haze): First Clinical Experience.
局部应用氯沙坦治疗角膜纤维化(混浊):初步临床经验。
J Refract Surg. 2022 Nov;38(11):741-746. doi: 10.3928/1081597X-20221018-02. Epub 2022 Nov 1.
4
Topical Losartan and Corticosteroid Additively Inhibit Corneal Stromal Myofibroblast Generation and Scarring Fibrosis After Alkali Burn Injury.局部应用氯沙坦和皮质类固醇可协同抑制碱烧伤后角膜基质成纤维细胞的生成和瘢痕纤维化。
Transl Vis Sci Technol. 2022 Jul 8;11(7):9. doi: 10.1167/tvst.11.7.9.
5
Topical losartan inhibits corneal scarring fibrosis and collagen type IV deposition after Descemet's membrane-endothelial excision in rabbits.局部应用氯沙坦可抑制兔去内皮后基质膜切除术后角膜瘢痕纤维化和Ⅳ型胶原沉积。
Exp Eye Res. 2022 Mar;216:108940. doi: 10.1016/j.exer.2022.108940. Epub 2022 Jan 21.
6
Investigation of the Antihypertrophic and Antifibrotic Effects of Losartan in a Rat Model of Radiation-Induced Heart Disease.探讨氯沙坦在放射性心脏病大鼠模型中的抗肥厚和抗纤维化作用。
Int J Mol Sci. 2021 Nov 30;22(23):12963. doi: 10.3390/ijms222312963.
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The effect of topical ramipril and losartan cream in inhibiting scar formation.局部应用雷米普利和氯沙坦乳膏抑制瘢痕形成的效果。
Biomed Pharmacother. 2019 Oct;118:109394. doi: 10.1016/j.biopha.2019.109394. Epub 2019 Aug 31.
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Clinical pharmacokinetics of losartan.氯沙坦的临床药代动力学
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