环孢菌素A滴眼液治疗类固醇依赖性变应性结膜炎的随机对照研究

来源 :世界核心医学期刊文摘.眼科学分册 | 被引量 : 0次 | 上传用户:zkl_2009
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Aim:To evaluate the efficacy,safety,and therapeutic effect of topical ciclosporin A 0.05% as a steroid sparing agent in steroid dependent allergic conjunctivitis.Methods:Prospective,randomised,double masked,placebo controlled trial comparing signs,symptoms,and the ability to reduce or stop concurrent steroid in steroid dependent atopic keratoconjunctivitis and vernal keratoconjunctivitis using 0.05% topical ciclosporin A compared to placebo.Steroid drop usage perweek(drug score),symptoms,and clinical signs scores were the main outcome measures.Results:The study included an enrolment of 40 patients,18 with atopic keratoconjunctivitis and 22 with vernal keratoconjunctivitis.There was no statistical significant difference in drug score,symptoms,or clinical signs scores between the placebo and ciclosporin group at the end of the treatment period.No adverse reactions to any of the study formulations were encountered.Conclusions:Topical ciclosporin A 0.05% was not shown to be of any benefit over placebo as a steroid sparing agent in steroid dependent allergic eye disease. Aim: To evaluate the efficacy, safety, and therapeutic effect of topical ciclosporin A 0.05% as a steroid sparing agent in steroid dependent allergic conjunctivitis. Methods: Prospective, randomized, double masked, placebo controlled trial comparing signs, symptoms, and the ability to reduce or stop concurrent steroid in steroid dependent atopic keratoconjunctivitis and vernal keratoconjunctivitis using 0.05% topical ciclosporin A compared to placebo.Steroid drop usage perweek (drug score), symptoms, and clinical signs scores were the main outcome measures. Results: The study included an enrolment of 40 patients, 18 with atopic keratoconjunctivitis and 22 with vernal keratoconjunctivitis. There was no statistical significant difference in drug score, symptoms, or clinical signs scores between the placebo and ciclosporin group at the end of the treatment period. Non-reaction reactions to any of the study formulations were encountered. Conclusions: Topical ciclosporin A 0.05% was not shown to be any benefit over placebo as a steroid sparing agent in steroid dependent allergic eye disease.
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