Toxicity and efficacy of intravitreal injection of spartanamicin B in the treatment of Candida endophthalmitis.

Abstract:

AIMS/BACKGROUND:We evaluated the retinal toxicity of spartanamicin B and its efficacy in a rabbit model of Candidal endophthalmitis. METHODS:Toxicity. Fourteen albino rabbit eyes were injected intravitreally with spartanamicin B (1, 2, 5, 10, 25, 50, and 100 microg); 2 eyes received the vehicle alone. Efficacy. Ten rabbit eyes were inoculated with 3000 Candida organisms which caused endophthalmitis in 24 hours. Eight eyes were treated with intravitreal spartanamicin B in doses of 1, 2, 5, or 10 microg/0.1 ml; 2 untreated eyes served as controls. RESULTS:Toxicity. The eyes injected with < or =10 microg and the control group eyes exhibited no clinical, histological, or electroretinographic evidence of retinal toxicity. Doses >10 microg caused vitritis. Efficacy. Clinical examination of the treated eyes showed a gradual improvement over 3-6 days; mild opacities remained until day 14. Results of cultures performed 15 days after infection were negative in all treated eyes. CONCLUSIONS:Intravitreally injected spartanamicin B (10 microg) is nontoxic to the retina, effective against C. albicans in the endophthalmitis model in the rabbit eye and caused no discernible histological changes in the retina.

journal_name

Int Ophthalmol

authors

Serracarbassa PD,Peyman GA,Liang C,Calixto N Jr,Nair MG

doi

10.1023/a:1006191629625

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

53-8

issue

1

eissn

0165-5701

issn

1573-2630

journal_volume

22

pub_type

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