一、拟胆硷药的副作用和反常作用 在青光眼的治疗中拟胆硷药(缩瞳剂)占有重要的地位。特别是毛果芸香硷,对闭角和开角青光眼都有确实的疗效,是青光眼治疗的基本药物。这类药物的副作用,有的已是众所周知,但还有一些副作用,特别是反常作用(Paradoxical effect)尚未引起人们普遍的注意。国外许多学者在这一方面不断有新的发现,并提出某些对抗措施,现概述如下。 First, the side effects and anomalous effects of cholinergic drugs Cholinergic drugs (miotic agents) occupy an important position in the treatment of glaucoma. Especially pilocarpine, closed angle and open angle glaucoma has a real effect, is the basic treatment of glaucoma drugs. Side effects of these drugs, some are well known, but there are some side effects, especially the Paradoxical effect has not yet caused widespread attention. Many foreign scholars continue to find new discoveries in this area and put forward certain countermeasures. The outline is as follows.