[对过敏性结膜炎的新和未来的治疗方法]
Stefan Kassumeh1, Barbara S Brunner2, Siegfried G Priglinger2
1Augenklinik und Poliklinik, LMU Klinikum, LMU München, Mathildenstr. 8, 80336, München, Deutschland. stefan.kassumeh@med.uni-muenchen.de.
Die Ophthalmologie
|February 16, 2024
概括
新型免疫调节剂和生物制剂在传统治疗失败时为严重的眼睛过敏提供了新的希望. 了解这些疾病的免疫路径是开发更有针对性和有效治疗的关键.
科学领域:
- 眼科医生 眼科 眼科
- 免疫学 免疫学 免疫学
- 过敏学 过敏学
背景情况:
- 传统的眼科药物往往不足以治疗严重的慢性眼睛过敏.
- 新兴的免疫调节剂和生物疗法对管理这些复杂疾病充满希望.
研究的目的:
- 根据免疫病理生理学来确定眼睛过敏的潜在治疗点.
- 审查新型免疫调节剂和生物制剂,详细说明它们的作用机制.
主要方法:
- 对眼部过敏和系统性过敏疾病治疗的当前文献进行系统审查.
- 对免疫调节剂和眼睛过敏中的生物使用情况报告的分析.
- 评估这些新型治疗方法的临床相关性和应用.
主要成果:
- 慢性眼睛过敏包括由免疫球蛋白E (IgE),巨细胞,T辅助细胞和埃索因菲尔介导的复杂炎症.
- 环素A 0.1%的眼滴已被批准用于儿童严重的春季角膜炎 (VKC).
- 非标签使用的生物制品,如dupilumab和omalizumab显示出对耐火性VKC和形膜炎 (AKC) 的承诺.
结论:
- 对眼睛过敏免疫病理生理学的深入理解对于发现新的治疗点至关重要.
- 目前的免疫调节疗法主要局限于环素A眼滴.
- 在VKC和AKC治疗中,需要对非标签免疫调节剂和生物药物进行进一步的临床研究.
相关概念视频
Open Angle Glaucoma: Treatment
449
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...
449
Angle Closure Glaucoma: Treatment
498
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...
498
Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs
297
Asthma is a chronic respiratory condition for which new therapeutic avenues, including anti-inflammatory drugs like mast cell stabilizers and anti-IgE treatments, continue to be developed.
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
297
Direct-Acting Cholinergic Agonists: Therapeutic Uses
743
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...
743
Drug Delivery: Miscellaneous Routes
339
Drug delivery methods like oral inhalation, nasal sprays, transdermal patches, eye drops, intravitreal injection, and rectal administration provide localized effects with reduced toxicity.
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
339
Drugs Used in Lower Respiratory Disorders: Overview
442
Lower respiratory tract disorders present challenges that often require skilled and nuanced approaches for effective management. Common ailments, such as asthma and chronic obstructive pulmonary disease (COPD), have prompted the development of intricate treatment strategies involving bronchodilators and anti-inflammatory drugs, each tailored to ease breathing and revitalize the lungs.
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
442


