国际眼科纵览 ›› 2013, Vol. 37 ›› Issue (2): 73-76.doi: 10.3760/ cma. j. issn.1673-5803. 2013. 02. 001

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重视糖尿病患者眼局部注射糖皮质激素对血糖的影响

 张永鹏, 彭晓燕   

  1. 100730 首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科学与视觉科学重点实验室 北京市眼科研究所
  • 收稿日期:2012-10-31 出版日期:2013-04-22 发布日期:2013-05-03
  • 通讯作者: 彭晓燕, Email: drpengxy@163.com

Why we should pay attention to  blood glucose level after ocular corticosteroids injection in diabetic patients

 ZHANG  Yong-Peng, PENG  Xiao-Yan   

  1. Beijing Institute of Ophthalmology, Beijing Ophthalmology and Visual Science Laboratory, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2012-10-31 Online:2013-04-22 Published:2013-05-03
  • Contact: PENG Xiaoyan, Email: drpengxy@163.com

摘要: 【摘要】全身使用糖皮质激素可导致血糖升高等一系列副作用,对于糖尿病患者某些眼病的治疗,眼科医生更倾向于眼局部而非全身使用糖皮质激素,期望增加眼局部药物浓度而减少对血糖的影响。然而,近年来动物实验和临床研究表明,单次或重复眼局部应用(如球结膜下注射、球后注射、筋膜囊下注射、玻璃体腔注射等)短效或长效糖皮质激素,均可引起明显的血糖升高。建议糖尿病患者眼局部注射糖皮质激素后注意血糖监测,必要时调整降血糖治疗方案。(国际眼科纵览, 2013, 37: 73-76)

Abstract: 【Abstract】Because the systemic use of corticosteroids is associated with risks of serious side effects, local  administration  are generally preferred for  patients with ocular diseases. It may possible to obtain high drug concentrations within the eye with less effect on blood glucose level. However, recent animal experiments and clinical studies highlight the possibility of significant blood glucose elevation after a single or repeated periocular or intravitreal injection of shortterm or longterm corticosteroids (including subconjunctival injection, retrobulbar injection, posterior subtenon injection and intravitreal injection). After periocular or intravitreal corticosteroid injection, diabetic patients should be monitored for  blood glucose  levels and the hypoglycemic treatment should be adapted if necessary.  (Int Rev Ophthalmol, 2013, 37: 73-76)