国际眼科纵览

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A型肉毒毒素在眼部的应用

苏寒,付晶   

  1. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室
  • 收稿日期:2018-08-13 出版日期:2018-12-22 发布日期:2018-12-22
  • 通讯作者: 付晶,Email:fu_jing@126.com
  • 基金资助:

    北京市卫生系统高层次卫生技术人才-学科骨干(2015-3-023);北京市卫生和计划生育委员会首都卫生发展科研专项重点攻关(首发2018-1-2051)

Application of botulinum toxin type A in ophthalmology

SU Han, FU Jing   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology & Visual Science, Beijing 100730, China
  • Received:2018-08-13 Online:2018-12-22 Published:2018-12-22
  • Contact: FU Jing, Email: fu_jing@126.com
  • Supported by:

    High Level Health Technical Talent Training Program of Beijing Municipal Health Bureau(2015-3-023);Capital Health Development Project-Major Project, Beijing Municipal Bureau of Health(SF-2018-1-2051)

摘要:

A型肉毒毒素(botulinum toxin type A,BTA)自上世纪七十年代开始用于治疗斜视以来,因其创伤小、毒副作用少,逐渐在眼睑痉挛、斜视、上睑退缩、睑内翻、泪液分泌过多、眼球震颤等多种眼科疾病治疗领域得到广泛尝试和应用。目前BTA在共同性斜视中的应用是一研究热点,其中对儿童共同性斜视的治疗效果各有观点,至今仍未统一。在BTA对眼科疾病的治疗中,并发症并不常见,且大多是短暂的,其发生往往与注射部位、剂量及技巧有关。(国际眼科纵览, 2018,  42:    381-387)

Abstract:

Since the report of the utilization of botulinum toxin type A (BTA) in treatment of strabismus in the 1970s, there were countless attempts and extensive applications of BTA in the treatment field of ophthalmic diseases such as strabismus, blepharospasm, eyelid retraction, entropion, lacrimal hypersecretion, nystagmus, due to its less trauma and side effects. Especially in the field of concomitant strabismus, it is a research hotspot. The efficacy  of BTA  in children's concomitant strabismus is still controversial. Complications are uncommon and are mostly transient, often occurring in relation to the position, dose and technique of injection. (Int Rev Ophthalmol, 2018, 42: 381-387)