다양한 안표면질환에 대한 0.05% 싸이클로스포린 점안제의 단기 효과

• 영문명: The Short-Term Effect of Topical Cyclosporine A 0.05% in Various Ocular Surface Disorder
• 발행기관: 대한안과학회
• 저자명: 변여주·김태임·서경률,Yeo-Jue Byun, M.D., Tae-Im Kim, M.D., Kyung Yul Seo, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number3, 401~408쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.03.31

영문 초록

`Purpose: To evaluate the efficacy of topical cyclosporine A 0.05% (Restasis) in the treatment of dry eye symptoms caused by various ocular surface inflammatory disorders. Methods: Thirty?three patients with ocular surface diseases, including 17 with Sj?gren syndrome, 8 with meibomian gland dysfunction (MGD), 4 with Thygeson’s keratitis, and 4 with atopic keratoconjunctivitis (AKC) were treated with Restasis twice a day for 3 months. During follow?up, the symptom severity assessment (burning, itching, foreign body sensation, blurring, photophobia, and pain), TBUT (tear break?up time), Schirmer score, frequencies of artificial tear use, onset of symptomatic relief, subjective satisfaction score, and side effects were evaluated. Results: In patients with Sj?gren syndrome, foreign body sensation, blurring, photophobia, and pain were reduced after treatment, and the mean Schirmer score, TBUT increased and frequencies of artificial tear use decreased significantly. In patients with MGD, photophobia was reduced after treatment, TBUT and artificial tear use improved after 2 months, and the Schirmer score increased at 3 months. In patient’s with Thygeson’s keratitis, foreign body sensation and photophobia reduced, and the Schirmer score was increased at 3 months. No significant changes in symptoms, Schirmer score, or TBUT were observed in patients with AKC. Of all subjects, 55% reported symptomatic relief between 3 and 5 weeks after treatment. The mean satisfaction score after treatment was the highest for patients with Sj?gren syndrome. Two subjects reported a temporary burning sensation, and one subject quit using Restasis because of bitter taste and a burning sensation. Conclusions: Treatment with Restasis appeared to be effective in treating dry eye symptoms in patients with Sj?gren syndrome. It was shown to be partially helpful in patients with MGD and Thygeson’s keratitis, while it showed no beneficial effect in patients with AKC.`

키워드

Cycosporin A, Dry eye, Meibomian gland dysfunction, Sj?gren syndrome, Thygeson keratitis