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相关概念视频

Glaucoma: Overview01:25

Glaucoma: Overview

621
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
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Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
560
Local Anesthetics: Adverse Effects01:12

Local Anesthetics: Adverse Effects

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While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
453
Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

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In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
477
Antiepileptic Drugs: Potassium Channel Activators01:20

Antiepileptic Drugs: Potassium Channel Activators

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Ezocgabine or retigabine, an antiepileptic drug of remarkable efficacy, has revolutionized the management of seizures. It is a potassium channel activator, explicitly targeting the family of Q subtype potassium channels. It enhances the transmembrane potassium currents, regulating neuronal excitability. This action stabilizes the resting membrane potential, a pivotal factor in mitigating the hyperexcitability that characterizes epilepsy.
Ezogabine has gained approval as an adjunctive treatment...
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Antipsychotic Drugs: Typical and Atypical Agents01:21

Antipsychotic Drugs: Typical and Atypical Agents

246
Antipsychotic drugs are classified into first-generation (typical) drugs including phenothiazines; and second-generation (atypical) drugs. Chlorpromazine hydrochloride (Thorazine), a phenothiazine derivative, broadly impacts the central, autonomic, and endocrine systems. This drug, along with typical agents like haloperidol (Haldol), primarily works by antagonizing D2 receptors, thus reducing dopaminergic neurotransmission. However, typical antipsychotics can cause side effects such as sedation...
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The Rodent Model of Nonarteritic Anterior Ischemic Optic Neuropathy rNAION
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莱尼佐利德视觉神经病变 视觉神经病变

H Victoria Miller1, Angela A Cao2, Collin M McClelland1,3

  • 1University of Minnesota Department of Ophthalmology.

Current opinion in ophthalmology
|August 21, 2023
PubMed
概括

利尼佐利德可能会导致视神经病变,影响视力,特别是在更高剂量或更长时间的治疗期间. 虽然往往是可逆的,但并不能保证所有患者的视力完全恢复.

科学领域:

  • 眼科医生 眼科 眼科
  • 传染性疾病 传染性疾病
  • 药理学 药理学是指药理学的学科.

背景情况:

  • 利尼佐利德是治疗多抗药性感染的关键抗生素.
  • 视神经病变是一种已知的,虽然往往是可逆的,线索利德治疗的副作用.
  • 越来越多地使用linezolid,特别是在耐药结核病中,需要了解其对眼睛的毒性.

研究的目的:

  • 审查报告的线索利德诱导的视神经病变病例.
  • 描述共同的特征和恢复模式.
  • 为了突出最近的发现和潜在的剂量依赖.

主要方法:

  • 系统性文献综述报告的67例linezolid视神经病变的病例.
  • 分析患者特征,治疗持续时间,剂量和视力恢复结果.
  • 基于linezolid使用指示的恢复率的比较.

主要成果:

  • 莱涅佐利德视觉神经病变通常依赖于持续时间和可逆.
  • 只有66.7%的受试者能完全恢复视力.
  • 视觉敏度,视野和色彩视觉最常受到影响.
  • 较高的线化物剂量和对耐药结核病的治疗与较低的完全康复率有关.

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结论:

  • 莱涅佐利德是有效的,但具有视神经病变的风险.
  • 对于接受linezolid的患者,特别是那些服用较高剂量或长期治疗的患者,建议对视觉神经病变进行查.
  • 意识到剂量和持续时间对视力恢复的影响对于患者管理至关重要.