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他氟噻吗滴眼液在青光眼治疗中的应用研究进展OA

Research progress on tafluprost and timolol fixed-dose combination therapy for glaucoma

中文摘要英文摘要

青光眼是全球首位的致盲性眼病,也是 60 岁以上人群失明的主要原因之一.在中国,随着人口老龄化加剧,青光眼患病率也呈现显著上升趋势.其病理特征主要表现为视神经损伤和视野缺损.无法控制的眼压升高会导致视神经损伤以及视力丧失.眼压是青光眼视觉功能下降唯一可改变的危险因素.因此,降眼压药物是目前防治青光眼疾病进展的有效方法.在单药治疗未能达到目标眼压时,可使用具有不同降压作用机制的药物进行联合治疗.然而,对于长期使用多种降压机制联合用药的青光眼患者,增加依从性及降低防腐剂的暴露至关重要.他氟噻吗滴眼液是不含防腐剂的固定剂量复方滴眼液,每日滴眼 1 次,即可达到与联合用药相同的有效性及安全性.相比联合使用两种滴眼液,进一步提高了患者的用药便利性、生活质量和依从性.此外,降低防腐剂的暴露可进一步提高长期用药的青光眼患者的获益.因此文章对他氟噻吗滴眼液的发展过程、临床疗效、安全性等进行综述,旨在加强临床医生对其了解,并为其在临床中的应用提供指导.

Glaucoma is one of the leading causes of blindness in individuals aged over 60 years and the primary blinding eye disease worldwide.Uncontrolled increases in intraocular pressure(IOP)can lead to optic nerve damage and vision loss.IOP is the only modifiable risk factor for visual function decline in glaucoma.Therefore,medications that lower IOP are currently the most effective approach to preventing disease progression.Topical IOP-lowering medications are an effective means of preventing glaucoma progression and vision loss.When monotherapy fails to achieve the target IOP,drug combinations with different mechanisms of action may be employed.However,it is crucial to minimize preservative exposure in patients requiring long-term treatment with multi-mechanism combinations.The preservative-free fixed-dose combination of tafluprost(0.001 5%)and timolol(0.5%)is a preservative-free compound eye drop formulation.Administered once daily,it demonstrates comparable efficacy and safety to separate administration of the two medications.Compared with using two separate eye drops,this combination further improves medication convenience,patient quality of life,and treatment adherence.Additionally,reducing preservative exposure may offer greater benefits for glaucoma patients requiring long-term therapy.Therefore,this article reviews the development process,clinical efficacy,and safety of preservative-free fixed-dose combination of tafluprost(0.001 5%)and timolol(0.5%),aiming to provide a reference for its clinical application.

王灿;赵平

辽宁爱尔眼科医院,沈阳 110000辽宁爱尔眼科医院,沈阳 110000

医药卫生

青光眼他氟前列素噻吗洛尔防腐剂固定复方制剂

glaucomatafluprosttimololpreservativefixed combination

《眼科学报》 2026 (7)

613-622,10

10.12419/25072506

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