[Aqueous humor flow measured by fluorophotometry. A comparative study of the effect of various beta-blocker eyedrops in patients with ocular hypertension].

L M Coulangeon, M Sole, J M Menerath, P Sole
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Abstract

A randomized double-blind study of aqueous humor flow and intraocular pressure measurements before and four hours after instillation of placebo and beta-blocker eyedrops, was carried out in 40 hypertensive patients. The treated and non-treated patients either did or didn't show an optic disc excavation and a visual field defect. Hypertensive patients with a previous tension treatment will stop therapy on a 3-week period up to an increase of their own ocular tension value greater than or equal to 3 mmHg. The intraocular pressure statistically decreased of 20.8% four hours after topical placebo, the aqueous humor flow remaining unchanged. In this study, timolol eyedrops induced a greater decrease of the aqueous humor flow (39%), followed equally by betaxolol (23.8%) and carteolol (20.42%). Timolol and betaxolol eyedrops equally induced a significant decrease of the intraocular pressure. There was no effect of carteolol on the intraocular pressure. The outflow facility was independent of the instilled beta-blocker eyedrop.

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用荧光光度法测定房水流量。不同受体阻滞剂滴眼液对高眼压患者疗效的比较研究[j]。
一项随机双盲研究对40名高血压患者进行了房水流量和眼内压的测量,分别在注射安慰剂和-受体阻滞剂眼药水前和4小时后进行。接受治疗和未接受治疗的患者或有或没有显示视盘突出和视野缺损。既往接受过眼压治疗的高血压患者应在3周内停止治疗,直至其自身眼压值升高大于或等于3mmhg。局部安慰剂治疗4小时后,眼压下降20.8%,房水流量保持不变。在本研究中,替马洛尔滴眼液对房水流量的影响最大(39%),其次是倍他洛尔(23.8%)和卡替洛尔(20.42%)。替马洛尔滴眼液和倍他洛尔滴眼液均能显著降低眼压。卡替洛尔对眼压无影响。流出设施独立于滴注β受体阻滞剂滴眼液。
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