【經濟日報】可逆轉近視?不實
來源:經濟日報 2024-04-07 □ 本報記者 吳佳佳
近日,國內一款0.01%硫(liu)酸(suan)滴(di)眼(yan)液(ye)獲(huo)批(pi)上(shang)市(shi),引(yin)發(fa)廣(guang)泛(fan)關(guan)注(zhu)。低(di)濃(nong)度(du)是(shi)目(mu)前(qian)唯(wei)一(yi)經(jing)循(xun)證(zheng)醫(yi)學(xue)驗(yan)證(zheng)能(neng)有(you)效(xiao)延(yan)緩(huan)青(qing)少(shao)年(nian)近(jin)視(shi)的(de)藥(yao)物(wu),被(bei)不(bu)少(shao)人(ren)視(shi)為(wei)神(shen)藥(yao)。硫(liu)酸(suan)滴(di)眼(yan)液(ye)的(de)功(gong)效(xiao)究(jiu)竟(jing)是(shi)什(shen)麼(me),適(shi)用(yong)對(dui)象(xiang)有(you)哪(na)些(xie)?近(jin)日(ri),記(ji)者(zhe)就(jiu)相(xiang)關(guan)問(wen)題(ti)采(cai)訪(fang)了(le)專(zhuan)家(jia)。
“低濃度滴眼液有嚴格的適應症,需要合理使用,並非神藥。”中華醫學會眼科學分會眼視光學組副組長、zhongguoyishixiehuiyankeyishifenhuiyanshiguangxuezhuanyeweiyuanhuifuzhurenweiyuanyangzhikuanzaijieshoujizhecaifangshizhichu,zhezhongyaowuzaiyankelinchuangyingyongzhongzhuyaoshimabijiezhuangji,duoweiertongqingshaonianyanguangshizuoweimansusantongyaoshiyong。jinguanbeiguangfanshiyong,danqifuzuoyongbunenghushi,yongdinongdusantongshibufenhaizihuichuxiankougan、麵部潮紅等反應。使用也有禁忌症,比如唐氏綜合征兒童不能使用。
由you於yu目mu前qian國guo際ji上shang尚shang無wu統tong一yi的de低di濃nong度du使shi用yong規gui範fan和he指zhi南nan,關guan於yu不bu同tong濃nong度du使shi用yong的de有you效xiao性xing和he安an全quan性xing,一yi直zhi是shi近jin視shi管guan理li領ling域yu的de一yi個ge研yan究jiu熱re點dian。楊yang智zhi寬kuan表biao示shi,滴di眼yan液ye延yan緩huan近jin視shi的de效xiao果guo呈cheng現xian濃nong度du依yi賴lai性xing,即ji高gao濃nong度du對dui近jin視shi的de控kong製zhi效xiao果guo更geng好hao,但dan不bu良liang反fan應ying更geng大da同tong時shi反fan彈dan效xiao應ying更geng強qiang,而er低di濃nong度du對dui近jin視shi的de控kong製zhi效xiao果guo稍shao差cha,但dan不bu良liang反fan應ying也ye相xiang對dui容rong易yi耐nai受shou。關guan於yu不bu同tong濃nong度du滴di眼yan液ye對dui近jin視shi防fang控kong作zuo用yong的de研yan究jiu仍reng在zai探tan索suo中zhong。此ci外wai,滴di眼yan液ye的de近jin視shi防fang控kong效xiao果guo還hai受shou到dao其qi他ta因yin素su的de影ying響xiang,如ru年nian齡ling、近視進展速度等。至於0.01%的滴眼液是否能作為預防性用藥使用,目前仍存在爭議。
“如ru果guo孩hai子zi已yi近jin視shi,首shou先xian考kao慮lv光guang學xue方fang法fa進jin行xing幹gan預yu,同tong時shi進jin行xing近jin視shi防fang控kong,減jian緩huan近jin視shi度du數shu增zeng加jia。低di濃nong度du眼yan藥yao水shui僅jin僅jin是shi防fang止zhi近jin視shi加jia深shen的de手shou段duan之zhi一yi。”楊智寬說。
