Document Detail


Corneal pharmacodynamics after photorefractive keratectomy and laser in situ keratomileusis in rabbits.
MedLine Citation:
PMID:  12046889     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate changes in corneal pharmacodynamics after PRK and LASIK in rabbits. METHODS: Two groups of five rabbits (10 eyes) each received PRK and LASIK, and an unoperated third group was used as a control. Dexamethasone, efflumidex, diclofenac, and tobramycin were applied. Anterior chamber aqueous was collected every 20 minutes and analyzed by spectrophotometry. Histological studies were performed to find drug deposits in the cornea. RESULTS: The coefficient of diffusion after PRK was determined for dexamethasone (3.2 x 10(-4) cm/min), efflumidex (1.4 x 10(-4)), diclofenac (7.4 x 10(-5)), and tobramycin (5.4 x 10(-6)). After LASIK, the coefficient of diffusion for dexamethasone was 3.4 x 10(-5); efflumidex, 1.7 x 10(-5); diclofenac, 8.8 x 10(-6); and tobramycin, 2.4 x 10(-6) cm/min. Total time of passing through the cornea after PRK and LASIK was also measured: dexamethasone 45 and 70 min, efflumidex 50 and 115 min, diclofenac 60 and 200 min, and tobramycin 335 and 690 min. Histologically a drug deposit area was found in corneas after LASIK under the flap. In the control group, coefficient of diffusion for dexamethasone was 1.2 x 10(-5) cm/min, efflumidex 1.5 x 10(-5), diclofenac 6.4 x 10(-6), and tobramycin 2.1 x 10(-6). Total time of passing through the cornea for the control group for dexamethasone was 60 min, efflumidex 105 min, diclofenac 160 min, and tobramycin 540 min. CONCLUSIONS: Coefficient of diffusion increased after photorefractive surgery.
Authors:
Dmitri Maitchouk; Elena Smirennaia; Vyacheslav Kourenkov
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of refractive surgery (Thorofare, N.J. : 1995)     Volume:  18     ISSN:  1081-597X     ISO Abbreviation:  J Refract Surg     Publication Date:    2002 May-Jun
Date Detail:
Created Date:  2002-06-05     Completed Date:  2002-12-09     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9505927     Medline TA:  J Refract Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S382-4     Citation Subset:  IM    
Affiliation:
New Line Vision, Moscow, Russia. nlvision@online.ru
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MeSH Terms
Descriptor/Qualifier:
Animals
Anti-Bacterial Agents / pharmacokinetics,  pharmacology
Anti-Inflammatory Agents / pharmacokinetics,  pharmacology
Anti-Inflammatory Agents, Non-Steroidal / pharmacokinetics,  pharmacology
Aqueous Humor / metabolism
Cornea / drug effects,  metabolism*,  surgery*
Dexamethasone / pharmacokinetics*,  pharmacology
Diclofenac / pharmacokinetics*,  pharmacology
Fluorophotometry
Keratomileusis, Laser In Situ*
Lasers, Excimer
Ophthalmic Solutions / pharmacokinetics,  pharmacology
Photorefractive Keratectomy*
Rabbits
Tobramycin / pharmacokinetics*,  pharmacology
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Anti-Inflammatory Agents; 0/Anti-Inflammatory Agents, Non-Steroidal; 0/Ophthalmic Solutions; 15307-86-5/Diclofenac; 32986-56-4/Tobramycin; 50-02-2/Dexamethasone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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