国际眼科纵览 ›› 2025, Vol. 49 ›› Issue (1): 62-68.doi: 10.3760/cma.j.cn115500-20240825-01011

• 综述 • 上一篇    下一篇

过敏性结膜炎的治疗

杨营会1 张悦2 喻晓兵2   

  1. 1 北京市顺义区医院眼科,北京 101300 ;2 北京医院眼科 国家老年医学中心 中国医学科学院老年医学研究院,北京 100730
  • 收稿日期:2024-08-25 出版日期:2025-02-22 发布日期:2025-02-20
  • 通讯作者: 喻晓兵, Email:yuxiaobing@sina.com

Treatment of allergic conjunctivitis

Yang Yinghui1, Zhang Yue2, Yu Xiaobing2   

  1. 1 Department of Ophthalmology, Shunyi District Hospital, Beijing 101300, China; 2 Department of Ophthalmology, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China
  • Received:2024-08-25 Online:2025-02-22 Published:2025-02-20
  • Contact: Yu Xiaobing, Email: yuxiaobing@sina.com

摘要: 过敏性结膜炎是一种常见的良性眼表疾病,临床上治疗过敏性结膜炎的药物众多,但起效时间慢、用药时间久、联合用药、长期用药、全身不良反应等局限性的存在亟需探索新疗法。近年来越来越多新靶点药物(抑制Th2、抗IgE抗体、PDE4抑制剂、受体拮抗剂、糖皮质激素受体激动剂)以及新的给药方式(药物洗脱眼镜、免疫疗法)开始出现。目前新靶点药物的疗效和作用机制正处于实验动物阶段。已上市的药物洗脱眼镜可有效缓解过敏症状,但纳米粒子的应用所带来的潜在药物毒性仍需进一步研究。新靶点药物和不同给药方式的出现为过敏性结膜炎的治疗带来了新希望。(国际眼科纵览,2025, 49:62-68)

关键词: 过敏性结膜炎, 抗过敏药物, 治疗

Abstract: Allergic conjunctivitis (AC) is a common benign ocular surface disease. Numerous drugs are available for the clinical treatment of allergic conjunctivitis, but limitations such as slow onset of action, prolonged duration of administration, combination of drugs, prolonged duration of administration, and systemic adverse effects urgently call for the exploration of new and effective therapies for allergic conjunctivitis. In recent years, more and more new target drugs (Th2 inhibitors, anti-IgE antibodies, PDE4 inhibitors, receptor antagonists, glucocorticoid receptor agonists) as well as new modes of drug delivery (drug-eluting ophthalmoscopes, immunotherapy) have emerged. The efficacy and mechanism of action of the new target drugs are currently being studied in experimental animals. The marketed drug-eluting ophthalmoscopes are effective in relieving allergic symptoms, but the potential drug toxicity associated with the use of nanoparticles still needs further study. Immunotherapy has not yet been applied in the treatment of allergic conjunctivitis. Currently, there is no effective treatment option for allergic conjunctivitis, but the emergence of new target drugs and different modes of drug delivery has brought new hope for the treatment of allergic conjunctivitis.  (Int Rev Ophthalmol, 2025, 49:  62-68)

Key words: allergic conjunctivitis, anti-allergic medicine, therapy