Bucci M G, Pescosolido N
Klin Monbl Augenheilkd. 1977 Apr;170(4):586-9.
Topical administration of Isoproterenol reduces the intraocular pressure in glaucomatous eyes, but produces systemic side-effects (tachycardia arterial hypotension) that make its clinical use unadvisable. Such side-effects are significant when the concentration of Isoproterenol is 4 and 5%. Pre-treatment of the contralateral eye with a solution of Propranolol 1%, 30 and 60 min. before Isoproterenol instillation, markedly reduces systemic side-effects, without diminishing the ocular hypotensive effectiveness.
异丙肾上腺素局部给药可降低青光眼患者的眼压,但会产生全身性副作用(心动过速、动脉低血压),这使得其临床应用不可取。当异丙肾上腺素浓度为4%和5%时,这些副作用较为显著。在滴入异丙肾上腺素前30分钟和60分钟,用1%的普萘洛尔溶液对侧眼进行预处理,可显著降低全身性副作用,同时不降低眼压降低效果。