J Korean Ophthalmol Soc > Volume 51(5); 2010 > Article
Journal of the Korean Ophthalmological Society 2010;51(5):740-745.
DOI: https://doi.org/10.3341/jkos.2010.51.5.740    Published online May 15, 2010.
Glaucoma Filtering Surgery With Low Concentration of Cyclosporin A in Rabbits: A Pilot Study.
Yeon Deok Kim, Hyung Bin Hwang, Myoung Hee Park, Jung Il Moon
1Glaucoma and Cataract Services, HanGil Eye Hospital, Incheon, Korea.
2Department of Ophthalmology, Visual Science, St. Mary's Hospital, The Catholic University of Korea School of Medical, Seoul, Korea. jimoon@catholic.ac.kr
토끼에서 녹내장 여과수술 후 저농도 사이클로스포린이 창상치유에 미치는 영향
김연덕1,2ㆍ황형빈2ㆍ박명희2ㆍ문정일2
Glaucoma and Cataract Services, HanGil Eye Hospital1, Incheon, Korea Department of Ophthalmology, Visual Science, St. Mary’s Hospital, The Catholic University of Korea School of Medical2, Seoul, Korea
Abstract
PURPOSE
The effect of 0.2% cyclosporin A (CsA) as an adjuvant therapy after glaucoma-filtering surgery was the focus of this study. METHODS: A posterior lip sclerotomy was performed in 16 eyes of 8 rabbits, and 0.2% CsA was administered into the right eyes. The left eyes served as controls. The intraocular pressure (IOP) was measured 1, 3, 5, 7, 14, and 28 days after surgery. Hematoxylin-eosin (HE) and anti-bromodeoxyuridine (BrdU) immunocytochemical staining were performed at 1, 2, 4, and 8 weeks. RESULTS: The IOP at 7 and 14 days after surgery was lower in the 0.2% CsA group and statistically significant (P=0.047, P=0.48; respectively). HE staining did not show any difference between experimental and control eyes, but anti-BrdU staining showed a lower number of positive cells in the experimental eyes at 1 week. The fibroblast proliferation rate was significantly lower 1 week after surgery in the 0.2% CsA group (P=0.003). CONCLUSIONS: An effect of 0.2% CsA on early wound healing was observed. The data suggest that a low concentration of CsA can be useful when employed as adjuvant therapy in glaucoma filtering surgery.
Key Words: Adjuvant therapy;Antifibrotic agent;Cyclosporin;Glaucoma filtering surgery;Wound healing
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