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成人弱视患者服用左旋多巴3周后的视力和暗点

Visual acuities and scotomas after 3 weeks' levodopa administration in adult amblyopia.

作者信息

Gottlob I, Wizov S S, Reinecke R D

机构信息

Foerderer Eye Movement Center for Children, Wills Eye Hospital, Philadelphia, PA 19107, USA.

出版信息

Graefes Arch Clin Exp Ophthalmol. 1995 Jul;233(7):407-13. doi: 10.1007/BF00180943.

Abstract

BACKGROUND

Previous studies have shown that both a single dose of levodopa and a 1-week administration of levodopa improve visual functions in adult amblyopic patients. In the present study, we investigated the effect of increased dosage and duration of levodopa on amblyopes' visual functions.

METHODS

Visual acuity and visual fields were examined before and after 3 weeks of daily administration of levodopa/carbidopa as well as 1 month and 2 months after completion of drug therapy in a double masked-design.

RESULTS

A significant increase in visual acuities and a decrease in fixation point scotomas were found. Changes were of comparable dimension to those found after 1 week of levodopa administration. Improvement of visual functions persisted 2 months after the levodopa/carbidopa administration was completed.

CONCLUSION

The present study confirms previous findings of improvement in visual function in amblyopia after levodopa/carbidopa administration. However, increasing the dosage and the duration of levodopa did not enhance the effect in adults.

摘要

背景

先前的研究表明,单剂量左旋多巴和为期1周的左旋多巴给药均可改善成年弱视患者的视觉功能。在本研究中,我们调查了增加左旋多巴剂量和给药时长对弱视患者视觉功能的影响。

方法

采用双盲设计,在每日服用左旋多巴/卡比多巴3周前后以及药物治疗结束后1个月和2个月检查视力和视野。

结果

发现视力显著提高,注视点暗点减少。变化程度与服用左旋多巴1周后发现的变化相当。左旋多巴/卡比多巴给药结束后2个月,视觉功能仍持续改善。

结论

本研究证实了先前关于服用左旋多巴/卡比多巴后弱视患者视觉功能改善的发现。然而,增加左旋多巴的剂量和给药时长并未增强对成年人的效果。

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