Mehra K S, Kumar A, Dubey S S, Palodhi G R
Ann Ophthalmol. 1982 Nov;14(11):1013-5.
Thus, it can be concluded from our observations that the effect of cortisone drops in reducing the concentration of ascorbic acid in the aqueous humor can be neutralized by simultaneous administration of vitamin A drops. This observation has an important clinical bearing, as ophthalmologists have hesitated to use cortisone locally for a long time for fear that it may either precipitate glaucoma or cataract (most probably because of the subsequent lowering of ascorbic acid concentration in the aqueous humor and lens). Our finding that with the administration of vitamin A drops along with cortisone drops there is no significant lowering of the ascorbic acid level in the aqueous humor indicates that one can use cortisone drops without being afraid of precipitating glaucoma or cataract.
因此,从我们的观察中可以得出结论,同时给予维生素A滴剂可中和可的松滴剂降低房水中抗坏血酸浓度的作用。这一观察结果具有重要的临床意义,因为长期以来眼科医生一直犹豫是否局部使用可的松,担心它可能引发青光眼或白内障(很可能是由于随后房水和晶状体中抗坏血酸浓度降低)。我们发现,同时给予维生素A滴剂和可的松滴剂时,房水中抗坏血酸水平没有显著降低,这表明人们可以使用可的松滴剂而不必担心引发青光眼或白内障。