Clinical study of therapeutic ocular surface medium for persistent epithelial defect.

Abstract:

PURPOSE:To investigate therapeutic ocular surface medium (TOSM), a potential physiological tear replacement therapy, for persistent epithelial defect (PED). METHODS:11 eyes of 10 patients with PED for ≥ 2 weeks without improvement despite conventional treatment were enrolled in a prospective pilot study of TOSM over 1 month. RESULTS:Healing of the PED occurred in 3 out of the 11 eyes at 1, 2 and 4 weeks, respectively. At week 4, 2 eyes were almost healed (PED area ≤ 0.5 mm(2)). In 4 of the remaining 6 eyes, the PED area was reduced. Failure occurred in 1 case with end-stage ocular cicatricial pemphigoid and severe dry eye, and 1 patient withdrew due to a mild allergic reaction. There were no serious or irreversible side effects with TOSM. CONCLUSIONS:TOSM is a potential novel physiological therapy for PED that, unlike autologous serum, has the potential to be easily manufactured and widely available.

journal_name

Ophthalmic Res

journal_title

Ophthalmic research

authors

Watson SL,Geerling G,Dart JK

doi

10.1159/000355065

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

82-7

issue

2

eissn

0030-3747

issn

1423-0259

pii

000355065

journal_volume

51

pub_type

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