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A Basic Study of New Medical Therapy for Glaucoma to Improve Blood Supply to the Optic Nerve Head

Research Project

Project/Area Number 63480400
Research Category

Grant-in-Aid for General Scientific Research (B)

Allocation TypeSingle-year Grants
Research Field Ophthalmology
Research InstitutionOsaka Medical College

Principal Investigator

AZUMA Ikuo  Osaka Medical College Department of Ophthalmology, Profossor, 医学部, 教授 (30084817)

Co-Investigator(Kenkyū-buntansha) SATO Bunpei  Osaka Medical College Department of Ophthalmology, Assistant, 医学部, 助手 (10183386)
TOKUOKA Satoru  Osaka Medical College Department of Ophthalmology, Assistant, 医学部, 助手 (80155514)
MATSUDA Kimio  Osaka Medical College Department of Ophthalmology, Assistant, 医学部, 助手 (60165826)
NAKAJIMA Masayuki  Osaka Medical College Department of Ophthalmology, Associate Profexxor, 医学部, 講師 (00140161)
Project Period (FY) 1988 – 1990
Project Status Completed (Fiscal Year 1990)
Budget Amount *help
¥6,300,000 (Direct Cost: ¥6,300,000)
Fiscal Year 1990: ¥200,000 (Direct Cost: ¥200,000)
Fiscal Year 1989: ¥300,000 (Direct Cost: ¥300,000)
Fiscal Year 1988: ¥5,800,000 (Direct Cost: ¥5,800,000)
Keywordsglaucoma / thermography / intraocular blood flow / alpha-1 blocker / medical treatment / 医用サ-モグラフイ- / サ-モグラフィ- / 緑内障 / 眼温度 / 眼血流量 / サーモグラフィー
Research Abstract

A) Investigations were made on the cold response of skin and eye temperature in glaucoma to detect the abnormality of autonomic nerve system, and the following results were obtained : The skin temperature was measured using thermometer before and after exposure to ice water in normals, ocular hypertension (OH) , Primary Open-Angle Glaucoma (POAG) patients and Low Tension Glaucoma (LTG) patients. The temperature at the corneal center was measured via thermography (INF-160, product of Nihon Koden) before and after instillation of 40 drops of icy saline. There was no difference in skin temperature in LTG, POAG, OH and normal subjects before cold exposure of skin. However, skin temperature recovery rate decreased in LTG, POAG and OH, in order of delay. The corneal temperature before examination was statistically low in LTG and POAG. The delay was observed in the initial phase of temperature recovery in LTG, POAG and OH. These observations suggest the disturbance of sympathetic nerve function and the decrease of ocular circulation in glaucomatous eyes, especially in LTG.
B) Then, we tried to introduce the new anti-glaucomatous drug, alpha-1 blocker, for the treatment of glaucoma. The effect of Bunazosin hydrochloride, a selective alpha-1 blocker, on intraocular pressure and ocular blood flow was observed basically and clinically. A significant reduction of intraocular pressure and the improvement of blood flow was found after topical application of Bunazosin solution. The use of Bunazosin in the treatment of glaucoma may have high potential.

Report

(4 results)
  • 1990 Annual Research Report   Final Research Report Summary
  • 1989 Annual Research Report
  • 1988 Annual Research Report
  • Research Products

    (35 results)

All Other

All Publications (35 results)

  • [Publications] 徳岡 覚,中島 正之,西川 潤子,黒田 裕美,東 郁郎: "緑内障と眼・皮膚の温度調節能" 日本眼科紀要. 41. 1159-1165 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 杉山 哲也,中島 正之,松田 公夫,徳岡 覚,西川 潤子,東 郁郎: "塩酸ブナゾシン(選択的α,遮断剤)点眼のヒト眼圧に対する効果" 臨床眼科. 44. 821-824 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 杉山 哲也: "低眼圧緑内障の眼脈流量(拍動性眼血流量)に関する研究" 大阪医科大学雑誌. 50. (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 杉山 哲也,徳岡 覚,中島 正之,東 郁郎: "緑内障治療薬による家兎眼温度,組織血流量の変化ー塩酸ブナゾシン,UFO21点眼液についてー" 日本眼科学会誌. 95. (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 東 郁郎: "ステロイド緑内障の症候" 眼科. 32. 125-129 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 東 郁郎: "小児緑内障の視覚管理" 眼科臨床医報. 84. 547-551 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 編集 東 郁郎: "緑内障の薬物療法" (株)ミクス, 203 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 編集 東 郁郎: "緑内障の診療ガイド" 金原出版, 236 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Satoru Tokuoka, Masayuki Nakajima, Junko Nishikawa, Hiromi, Kurokawa & Ikuo Azuma: "Cold Response of Skin and Eye Temperatures in Glaucoma" Folia Ophthalmol. Jpn.41 (6). 1159-1165 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Tetsuya Sugiyama: "Pulsatile Osular Blood Flow in Low-Tension Glaucoma" J. Osaka Med. Coll.50 (1). (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Tetsuya Sugiyama, Satoru Tokuoka, Masayuki Nakajima, & Ikuo Azuma: "Chandes of Ocular Temperature and Tissue Blood Flow by Anti-Glaucomatous Agents in Rabbit's Eyes." Acta Soc Ophthalmol Jpn. 95. (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Tetsuya Sugiyama, Kimio Matsuda, Satoru Tokuoka, Bunpei Sato & Ikuo Azuma: "Effects of Combened Instillation of Dapiprazone and Epinephrine on Human Anterior Chamber Depth, Intraocular Pressure and Pupil Diameter" Acta Soc. Ophthalmol. Jpn.93 (4). 449-452 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Ikuo Azuma: "Usefulness of Alpha-1 Antagonist in Glaucoma Therapy" Folia Ophthalmol. Jpn.42. (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 徳岡 覚,中島 正之,西川 潤子,黒田 裕美,東 郁郎: "緑内障と眼の皮膚の温度調節能" 日本眼科紀要. 41. 1159-1165 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 杉山 哲也,中島 正之,松田 公夫,徳岡 覚,西川 潤子,東 邦郎: "塩酸ブナゾシン(選択的α_1遮断剤)点眼のヒト眼圧に対する効果" 臨床眼科. 44. 821-824 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 杉山 哲也: "低眼圧緑内障の眼脈流量(拍動性眼血流量)に関する研究" 大阪医科大学雑誌. 50. (1991)

    • Related Report
      1990 Annual Research Report
  • [Publications] 杉山 哲也,徳岡 覚,中島 正之,東 郁郎: "緑内障治療薬による家兎眼温度,組織血流量の変化ー塩酸ブナゾシン,UF021点眼液についてー" 日本眼科学会誌. 95. (1991)

    • Related Report
      1990 Annual Research Report
  • [Publications] 東 郁郎: "ステロイド緑内障の症候" 眼科. 32. 125-129 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 東 郁郎: "小児緑内障の視覚管理" 眼科臨床医報. 84. 547-551 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 編集東 郁郎: "緑内障の薬物療法" (株)ミクス, 203 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 編集東 郁郎: "緑内障の診療ガイド" 金原出版, 236 (1989)

    • Related Report
      1990 Annual Research Report
  • [Publications] 東郁郎ほか: "緑内障による視神経萎縮に対するメチルB12の薬効評価" 臨床眼科. 43. 404-406 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 東郁郎: "緑内障" 日本医事新報. 3424. 29-31 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 徳岡覚,東郁郎,佐藤文平,松田公夫ほか: "Dapiprazole,Epinephrine併用点眼の人・前房深度,眼圧,瞳孔経に及ぼす影響" 日本眼科学会誌. 93. 449-452 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 東郁郎ほか: "原発開放隅角緑内障および高眼圧症に対するBetaxolol点眼液の用量作用関係と効果持続性" 臨床評価. 17. 117-140 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 東郁郎ほか: "ベタキソロ-ル点眼液の原発開放隅角緑内障および高眼圧症に対する臨床評価ーー二重旨検法によるチモロ-ル点眼液との比較ーー" 臨床評価. 17. 243-274 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 徳岡覚,中島正之,東郁郎ほか: "緑内障と眼・皮膚の温度調節能" 眼〓. 40. (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] 東郁郎(編集): "眼科MOOK40.緑内障の診療ガイド" 金原出版, 237 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 東郁郎: OphthaImology Llpdate. 13. 3-10 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] Y.Goh;M.Nakajima;I.Azuma;O.Hayaishi: Brit J, Ophthalmol. 72. 461-464 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] Y.Goh;M.Nakajima;I.Azuma;O.Hayaishi: Japanese Journal of Ophthalmolgy. 32. 471-480 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 徳岡覚: 大阪医科大学雑誌. 48. (1989)

    • Related Report
      1988 Annual Research Report
  • [Publications] 徳岡覚,中島正之,東郁郎: 日本眼科紀要. 40. (1989)

    • Related Report
      1988 Annual Research Report
  • [Publications] 東郁郎 編: "図説、眼科治療方針[上][下]巻(急性・慢性緑内障)" メジカルビュー社, 26-33 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 東郁郎: "講座、プロスタグランジン 5.脳と神経(20.眼の機能)" 化学同人, 217-225 (1988)

    • Related Report
      1988 Annual Research Report

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Published: 1988-04-01   Modified: 2016-04-21  

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