长视治疗的影响 皮洛卡尔平化 1.25%对夜间驾驶性能的影响
George O Waring1, Mile Brujic2, Selina McGee3
1Waring Vision Institute, Mt Pleasant, SC, USA.
Clinical & experimental optometry
|December 3, 2023
概括
与安慰剂相比,皮洛卡平化眼科溶液 (pilo) 对夜间驾驶性能产生了负面影响. 这些证据支持目前对使用Pilo的患者进行警告,这些患者在夜间开车.
科学领域:
- 眼科医生 眼科 眼科
- 视光学测量 视光学测量 视光学测量
- 临床药理学 临床药理学
背景情况:
- 皮洛卡尔平化眼科溶液 (pilo) 已被批准用于治疗长视.
- 使用Pilo的患者被警告不要夜间驾驶,但缺乏经验数据.
研究的目的:
- 为了评估Pilo对夜间驾驶表现的影响,在成年人的长视障碍.
主要方法:
- 一项双面罩,交叉,第3b期研究涉及43名患有长视的成年人.
- 参与者接受了试验或安慰剂,夜间驾驶表现在封闭电路课程上进行评估.
- 主要终点是复合的夜间驾驶性能Z分数.
主要成果:
- 与安慰剂相比,Pilo的整体夜间驾驶性能较低 (LSMD: -0.224).
- 在7个个别驾驶任务中,有3个在使用pilo.com时明显恶化.
- 没有报告严重的不良事件;头痛和视力受损是常见的.
结论:
- 皮洛卡尔平化眼科溶液会降低夜间驾驶的性能.
- 这些发现支持对夜间驾驶的Pilo用户的现有警告.
相关概念视频
Open Angle Glaucoma: Treatment
456
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...
Drugs such as carbonic anhydrase inhibitors, α2- and...
456
Angle Closure Glaucoma: Treatment
515
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...
515
Direct-Acting Cholinergic Agonists: Therapeutic Uses
756
Direct-acting cholinergic agonists have many therapeutic uses in various medical fields. Choline esters, including acetylcholine, have limited clinical utility due to their non-selectivity and short duration of action. Still, acetylcholine and carbachol are applied topically during ophthalmologic surgery to induce miosis. Pilocarpine, a muscarinic and ganglionic stimulator, effectively treats open-angle glaucoma and alleviates xerostomia and dry mouth caused by radiotherapy or Sjögren...
756
Photoreceptors and Visual Pathways
6.0K
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category,...
6.0K
Direct-Acting Cholinergic Agonists: Pharmacokinetics
1.2K
Direct-acting cholinergic agonists, such as synthetic choline esters and naturally occurring alkaloids, exert their effects by enhancing the actions of acetylcholine and stimulating the parasympathetic nervous system. Synthetic choline esters share structural similarities with acetylcholine. For example, they have a positively charged quaternary ammonium or onium group, contributing to their hydrophilic characteristics. As a result, they are poorly absorbed in the body through oral...
1.2K
Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
65
Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
65


