INHIBITION OF POSTERIOR CAPSULE OPACIFICATION - THE EFFECT OF COLCHICINE IN A SUSTAINED DRUG-DELIVERY SYSTEM

被引:73
作者
LEGLER, UFC [1 ]
APPLE, DJ [1 ]
ASSIA, EI [1 ]
BLUESTEIN, EC [1 ]
CASTANEDA, VE [1 ]
MOWBRAY, SL [1 ]
机构
[1] MED UNIV S CAROLINA,DEPT OPHTHALMOL,INST STORM EYE,CTR INTRAOCULAR LENS RES,CHARLESTON,SC 29425
关键词
COLCHICINE; INHIBITION; POSTERIOR CAPSULE OPACIFICATION; SUSTAINED DRUG DELIVERY SYSTEM;
D O I
10.1016/S0886-3350(13)80609-8
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
We investigated the effect of colchicine in a sustained drug delivery system on posterior capsule opacification (PCO) in rabbit eyes. A polymer matrix wafer, which diffused colchicine at a steady rate, was implanted in the capsular bag of 34 eyes after the lens material was removed by endocapsular phacoemulsification. Three different drug concentrations were used in the rabbit eyes, which were compared with control eyes containing the polymer matrix wafer without colchicine. The mean PCO score was highest in the control group without colchicine and increased steadily over 12 weeks. The rate of PCO formation in all eyes treated with colchicine was significantly lower than in the control group. There was no statistically significant improvement in PCO inhibition with the higher colchicine dosages. Side effects included inflammatory anterior chamber reaction and corneal and retinal complications and were most notable with the highest drug concentration. Slow release of colchicine reduces PCO formation in the rabbit. The optimal biocompatible dosage must be carefully determined and warrants further investigation.
引用
收藏
页码:462 / 470
页数:9
相关论文
共 87 条
[71]  
Bath PE, Fankhauser F, Long-term results of Nd:YAG laser posterior capsulotomy with the Swiss laser, J Cataract Refract Surg, 12, pp. 150-153, (1986)
[72]  
Blancharski PA, Newsome DA, Bilateral macular holes after Nd:YAG laser posterior capsulotomy [letter], American Journal of Ophthalmology, 105, pp. 417-418, (1988)
[73]  
Carlson AN, Koch DD, Endophthalmitis following Nd: YAG laser posterior capsulotomy, Ophthalmic Surg, 19, pp. 168-170, (1988)
[74]  
Nirankari VS, Richards RD, Complications associated with the use of the neodymium:YAG laser, Ophthalmology, 92, pp. 1371-1375, (1985)
[75]  
Ober RR, Wilkinson CP, Fiore JV, Maggiano JM, Rhegmatogenous retinal detachment after neodymiumYAG laser capsulotomy in phakic and pseudophakic eyes, Am J Ophthalmol, 101, pp. 81-89, (1986)
[76]  
Terry AC, Stark WJ, Maumenee AE, Fagadau W, Neodymium-YAG laser for posterior capsulotomy, Am J Ophthalmol, 96, pp. 716-720, (1983)
[77]  
Winslow RL, Taylor BC, Retinal complications following YAG laser capsulotomy, Ophthalmology, 92, pp. 785-789, (1985)
[78]  
Tarsio JF, Emery JM, Kelleher PJ, Et al., Cytotoxic effects of a monoclonal antibody-ricin a immunotoxin on human lens epithelial cells in culture. ARVO Abstracts, Invest Ophthalmol Vis Sci, 31, (1990)
[79]  
Greite JH, Kaden P, Kreiner CF, Et al., “Osmolavage” zur Nachstarverhütung, 3. Kongress der Deutschen Gesellschaft für Intrao kularlinsen-Implantation
[80]  
2. bis 4. März 1989, Wien, pp. 197-207, (1990)