Rakic J M
C.H.U. Sart-Tilman, Ophtalmologie, Liège, Belgique.
Bull Soc Belge Ophtalmol. 1993;247(1):67-70.
Cyclosporine A is a selective T-cell immunosuppressant, and doesn't inhibit the phagocytic system to the same degree as do steroids. Significant nephrotoxicity has been associated with its systemic use for solid organ transplantation or chronic idiopathic uveitis. Topical administration of CsA 2% in olive oil reduces the risk of systemic side-effects and appears to be well tolerated without local toxicity. Ocular penetration currently limits its indications for corneo-scleral immune diseases or high-risk corneal grafts.
环孢素A是一种选择性T细胞免疫抑制剂,与类固醇不同,它不会同等程度地抑制吞噬系统。其全身用于实体器官移植或慢性特发性葡萄膜炎已出现显著肾毒性。在橄榄油中局部给予2%的环孢素A可降低全身副作用风险,且似乎耐受性良好,无局部毒性。目前眼部穿透力限制了其在角膜巩膜免疫疾病或高风险角膜移植中的应用。