J Korean Ophthalmol Soc > Volume 57(5); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(5):710-717.
DOI: https://doi.org/10.3341/jkos.2016.57.5.710    Published online May 15, 2016.
Effect of 0.05% Cyclosporine A on the Ocular Surface after Photorefractive Keratectomy.
Yong Il Kim, Sung Hyun Koo, Sang Won Ha, Gwang Ja Lee, Kyoo Won Lee, Young Jeung Park
1Cheil Eye Hospital, Daegu, Korea. eyepark9@naver.com
2Department of Ophthalmology, Dongkang Medical Center, Ulsan, Korea.
굴절교정레이저각막절제술 후 0.05% 사이클로스포린이 안구표면에 미치는 효과
김용일1⋅구성현2⋅하상원1⋅이광자1⋅이규원1⋅박영정1
제일안과병원1, 동강병원 안과2
Received: 3 September 2015   • Revised: 17 December 2015   • Accepted: 5 February 2016
Abstract
PURPOSE
To evaluate the effect of 0.05% cyclosporine A on the ocular surface after photorefractive keratectomy (PRK). METHODS: This retrospective study included 50 patients who underwent PRK. Patients were divided into two groups: 25 patients in group I were treated with topical 0.05% cyclosporine A with conventional medication, and 25 patients in group II were treated with conventional medication. Visual acuity (VA), tear break-up time (BUT), fluorescein staining score (F-stain), Schirmer I test, and ocular surface disease index (OSDI) were evaluated before surgery and 2 weeks, 1 month, 2 months, and 3 months after surgery. RESULTS: F-stain was significantly lower in group I than in group II at 2 weeks and 1 month (p < 0.05). There was no significant difference in uncorrected VA, BUT, Schirmer I test, or OSDI between the groups. However, group I showed a more effective pattern in dry eye. CONCLUSIONS: Combination treatment with 0.05% cyclosporine A was helpful for early ocular surface stability in patients with dry eye after PRK.
Key Words: Cyclosporine A;Dry eye;Ocular surface stability;Photorefractive keratectomy;Refractive surgery


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