Document Detail


Treatment of persistent corneal epithelial defect by autologous serum application.
MedLine Citation:
PMID:  10519596     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the efficacy of autologous serum application for the treatment of persistent epithelial defect. DESIGN: Prospective, clinical, noncomparative case series. PARTICIPANTS: A total of 16 eyes were studied. INTERVENTION: Autologous serum was prepared from the patients and diluted to 20% by saline. The patients were instructed to use the autologous serum six to ten times a day. The concentration of vitamin A, epidermal growth factor (EGF), and transforming growth factor-beta (TGF-beta) was measured at 1 week and 1 month stored in the refrigerator and 1 month and 3 months in the freezer. MAIN OUTCOME MEASURES: Time to closure of epithelial defect. RESULTS: Vitamin A, EGF, and TGF-beta were stable during the 1 month in the refrigerator and 3 months in the freezer. Among 16 persistent epithelial defects, 7 (43.8%) healed within 2 weeks, 3 (18.8%) healed within 1 month, and the remaining 6 (37.5%) did not respond within 1 month. No apparent side effect of autologous serum application was observed. CONCLUSIONS: Autologous serum application healed 43.8% of persistent defect within 2 weeks and 62.5% within 1 month.
Authors:
K Tsubota; E Goto; S Shimmura; J Shimazaki
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ophthalmology     Volume:  106     ISSN:  0161-6420     ISO Abbreviation:  Ophthalmology     Publication Date:  1999 Oct 
Date Detail:
Created Date:  1999-10-18     Completed Date:  1999-10-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7802443     Medline TA:  Ophthalmology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1984-9     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology and Oral Health Center, Tokyo Dental College, Ichikawa-shi, Chiba, Japan. kazuo@eyebank.or.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood*
Cell Movement
Corneal Diseases / etiology,  therapy*
Dry Eye Syndromes / complications
Epidermal Growth Factor / blood
Epithelium, Corneal / pathology*
Female
Humans
Male
Middle Aged
Prospective Studies
Transforming Growth Factor beta / blood
Vitamin A / blood
Wound Healing
Chemical
Reg. No./Substance:
0/Transforming Growth Factor beta; 11103-57-4/Vitamin A; 62229-50-9/Epidermal Growth Factor

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


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