Colin J, Chastel C, Baikoff G, Renard G
J Fr Ophtalmol. 1981;4(1):57-60.
Clinical resistance of herpetic keratitis to antiviral agents constitutes one of the reasons for failure of treatment after their administration. A retrospective study of 42 cases of superficial herpetic keratitis resistant to IDU, IDU and IDC, and Ara-A demonstrated that in 2 out of 3 cases this resistance appeared in patients previously treated locally with antiviral compounds for anterior ocular lesions. Patients resistant to IDU were then treated with Ara-A, and those not responding to Ara-A, with TFT. Resistance may be observed following this new treatment during the subsequent relapses.
疱疹性角膜炎对抗病毒药物的临床耐药性是给药后治疗失败的原因之一。一项对42例对碘苷(IDU)、碘苷和阿糖胞苷(IDC)以及阿糖腺苷(Ara-A)耐药的浅表性疱疹性角膜炎病例的回顾性研究表明,三分之二的病例中,这种耐药性出现在先前因眼前部病变而局部使用抗病毒化合物治疗的患者中。对IDU耐药的患者随后用Ara-A治疗,对Ara-A无反应的患者用三氟胸腺嘧啶核苷(TFT)治疗。在随后的复发中,采用这种新治疗方法后可能会观察到耐药性。