药源性眼部损伤967例分析

Analysis of 967 Cases of Drug-induced Ophthalmic Injuries

目的 :回顾分析药源性眼部损伤的发生情况与药物品种及给药方法的关系。方法 :查阅1960年～2000年国内公开发行的医药学期刊上有关药物所致眼部损伤病例的报道 ,并进行统计分析。结果 :154种药物引起眼部损伤967例 ,临床表现包括眼部色素沉着、视力障碍、失明及角膜、结膜、视神经、视网膜、视乳头的损伤等 ;诱发药物以抗微生物药、中枢神经系统药及循环系统药占的比例较大 ,氯丙嗪、奋乃静、胺碘酮、乙胺丁醇等诱发病例最多。结论 :全身给药所致眼部损伤多为正常用法、用量下的药物不良反应 ,而眼部用药所致眼部损伤则有错误用药、错误操作。

OBJECTIVE:To review the occurrence of ophthalmic injuries and analyse the relationship between the injuries and the kinds of drugs used and the route of administration METHODS:The cases of drug-induced ophthalmic injuries which were reported in medical journals published from 1960 to 2000 year were collected and analysed RESULTS:There were 967 cases of drug-induced ophthalmic injuries caused by 154 kinds of drug The clinical manifestations of ophthalmic injuries included ocular pigmentation,visual disturbance,loss of sight and injuries to cornea,conjunctiva,optic nerve,retina or optic papilla,and the inducing drugs were mostly antimicrobials,central nervous system and circulatory system drugs,such as chlorpromazine,perphenazine,amiodaron,ethambutol etc CONCLUSION:Drug-induced ophthalmic injuries caused by systemic administering drugs in commonly-used dosage and route pertain to ADRs The ophthalmic injuries caused by local application of drugs to the eyes result from improper drugs used,faulty manipulation and unsuitable applications of drugs during or after operations