眼表面和疼痛:这两种感觉之间的关键差异和相似之处
Shyamal Raolji1, Preet Kumar2, Anat Galor1,3
1Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami.
Current opinion in allergy and clinical immunology
|July 25, 2023
概括
眼部和疼痛源于神经激活. 对 nociceptive (与过敏有关的) 和 neuropathic (神经损伤) 条件的治疗正在推进,改善了患者的治疗结果.
科学领域:
- 眼科医生 眼科 眼科
- 神经科学是一个神经科学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 眼部和疼痛源于眼部表面的多模式神经激活.
- 无感觉性往往与由组胺驱动的过敏性有关,而神经病态则是由于神经损伤造成的.
研究的目的:
- 审查眼部和疼痛的病理生理学.
- 探索目前和新的治疗策略,用于感觉和神经病态的眼部感觉.
主要方法:
- 对眼部和疼痛的病理生理学和治疗方法的文献综述.
- 对新型药物输送系统和治疗剂的分析.
主要成果:
- 无感觉性通常由组胺介导;治疗包括NSAID和抗组胺药物,正在研究新的输送系统.
- 神经病性眼和疼痛是通过神经调节剂,如α2三角联体,TCA和低剂量纳尔特雷克松来控制的.
- 新兴疗法包括治疗神经病的defelikefalin和治疗神经病痛的libvatrep.
结论:
- 眼部和疼痛可能涉及感觉和/或神经病变机制.
- 准确诊断潜在原因对于有效治疗至关重要.
- 新型疗法显示出改善患者生活质量的前景.
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