Effects of topical autologous serum on the ocular surface in patients with toxic corneal epitheliopathy induced by anti-glaucoma drugs

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Abstract

Purpose: To investigate the effects of topical autologous serum application on the ocular surface in patients with toxic corneal epitheliopathy induced by anti-glaucoma drugs. Methods: The patients who had corneal epitheliopathy because of preservative-containing anti-glaucoma eye drops were prospectively enrolled. The epitheliopathy was refractory to preservative-free artificial tear treatment. The patients topically applied 20% autologous serum to the eye eight times per day for 1 month. Baseline and one-month change in symptoms and signs were assessed by the Ocular Surface Disease Index (OSDI) questionnaire, tear film break-up time (TFBUT), Schirmer I values, corneoconjunctival staining scores, corneal sensitivity, InflammaDry® tear immunoassay, and tear cytokine profiles using a bead-based multiplex assay. Results: A total of ten consecutive patients were enrolled between January and August 2018 and evaluated after one-month treatment with 20% autologous serum eye drops. Significant improvement was observed in symptoms (OSDI scores from 25.5 ± 20.9 to 10.5 ± 12.0; P =.039), TFBUT (from 3.1 ± 1.8 s to 5.4 ± 2.3 s; P =.025), corneoconjunctival staining scores (from 7.7 ± 1.8 to 1.8 ± 1.9 NEI scale; P =.005), corneal sensitivity (from 4.6 ±.9 cm to 5.8 ±.5 cm; P =.013), and metalloproteinase-9 levels (P =.013). There were no significant changes in Schirmer I values and tear cytokine levels on multiplex assays. Treatment-related side effects were not detected. Conclusions: Topical instillation of 20% autologous serum is an effective treatment for toxic corneal epitheliopathy associated with anti-glaucoma eye drops. Trial registration number: KCT0003827.

Original languageEnglish
Pages (from-to)547-552
Number of pages6
JournalInternational Ophthalmology
Volume40
Issue number3
DOIs
StatePublished - 1 Mar 2020

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Keywords

  • Anti-glaucoma drug
  • Autologous serum
  • Benzalkonium chloride
  • Cornea
  • Ocular surface
  • Toxicity

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