国际眼科纵览 ›› 2025, Vol. 49 ›› Issue (2): 88-94.doi: 10.3760/cma.j.cn115500-20241108-25202

• 综述 • 上一篇    下一篇

青光眼降眼压药物固定复方制剂

陈一豪  孙兴怀   

  1. 复旦大学附属眼耳鼻喉科医院眼科,上海 200031
  • 收稿日期:2024-11-08 出版日期:2025-04-22 发布日期:2025-04-10
  • 通讯作者: 孙兴怀,Email:xhsun@shmu.edu.cn

Fixed combination medications for intraocular pressure reduction in glaucoma

Chen Yihao, Sun Xinghuai   

  1. Department of Ophthalmology, Eye & ENT Hospital, Fudan University,  Shanghai 200031, China
  • Received:2024-11-08 Online:2025-04-22 Published:2025-04-10
  • Contact: Sun Xinghuai, Email: xhsun@shmu.edu.cn

摘要: 青光眼的核心治疗目标是降低眼压,传统降眼压药物多以单药或多药联合方式应用,多药联合治疗常因增加患者用药复杂性导致依从性降低,影响疗效。固定复方制剂(fixed-dose combination,FDC)通过将多种降眼压药物整合于单一剂型中,简化治疗方案。与传统联合用药相比,FDC可显著提高患者依从性。同时,FDC的降眼压效果至少不逊于非固定联合用药。此外,无防腐剂FDC可减少防腐剂引发的眼表疾病,患者结膜充血发生率降低,显著改善耐受性并减少长期治疗的失败风险。FDC的推广在优化疗效的同时,也可减轻患者经济负担,为青光眼患者提供更优治疗选择。(国际眼科纵览,2025, 49:88-94

关键词: 青光眼, 眼压, 固定复方制剂

Abstract: The core treatment goal for glaucoma is reducing intraocular pressure. Traditional intraocular pressure -lowering medications are commonly administered as monotherapy or in combination. However, combination therapy often increases treatment complexity, leading to reduced patient adherence and diminished efficacy. Fixed-dose combinations (FDCs) simplify treatment regimens by integrating multiple intraocular pressure-lowering drugs into a single formulation. Studies have shown that FDCs significantly improve adherence compared to non-FDC regimens. Furthermore, the efficacy of FDCs in reducing intraocular pressure is at least non-inferior to non-FDC combinations. Additionally, preservative-free FDCs minimize ocular surface disease caused by preservatives, reducing conjunctival hyperemia rates, significantly improving tolerability. The adoption of FDCs not only optimizes therapeutic outcomes but also alleviates economic burdens, offering a superior treatment option for glaucoma patients. (Int Rev Ophthalmol, 2025, 49:  88-94)

Key words: glaucoma, intraocular pressure, fixed-dose combination (FDC)