Effect of Doxycycline on Postoperative Scarring After Trabeculectomy in an Experimental Rabbit Model

To investigate effectiveness of doxycycline after trabeculectomy in rabbits by evaluating bleb appearance, intraocular pressure, and levels of matrix metalloproteinase-1, -2, -3, and -9 and tissue inhibitors of metalloproteinase (TIMP)-1 and -2 in the subconjunctival (sc) area. Twenty-nine New Zeala...

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Veröffentlicht in:Journal of ocular pharmacology and therapeutics 2010-10, Vol.26 (5), p.399-406
Hauptverfasser: SEN, Emine, BALIKOGLU-YILMAZ, Melike, ÖZTÜRK, Faruk, BOZDAG-PEHLIVAN, Sibel, SUNGU, Nuran, AKSAKAL, Fatma Nur, ALTINOK, Ayse, TUNA, Tulay, UNLU, Nursen, USTUN, Huseyin, KOKLU, Gultekin
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container_end_page 406
container_issue 5
container_start_page 399
container_title Journal of ocular pharmacology and therapeutics
container_volume 26
creator SEN, Emine
BALIKOGLU-YILMAZ, Melike
ÖZTÜRK, Faruk
BOZDAG-PEHLIVAN, Sibel
SUNGU, Nuran
AKSAKAL, Fatma Nur
ALTINOK, Ayse
TUNA, Tulay
UNLU, Nursen
USTUN, Huseyin
KOKLU, Gultekin
description To investigate effectiveness of doxycycline after trabeculectomy in rabbits by evaluating bleb appearance, intraocular pressure, and levels of matrix metalloproteinase-1, -2, -3, and -9 and tissue inhibitors of metalloproteinase (TIMP)-1 and -2 in the subconjunctival (sc) area. Twenty-nine New Zealand White rabbits were assigned into 1 of 6 groups as follows: topical doxycycline (0.1%), postoperative sc injection of doxycycline (100 mg/2 mL), and intraoperative mitomycin-C (MMC) (0.2 mg/mL) and their respective control groups. There was significant difference between intraocular pressure in the case groups, but there was no significant difference in topical doxycycline and MMC groups during the follow up. In the topical doxycycline group, levels of TIMP-1 and perifericTIMP-1 were higher and levels of perifericMMP-2 and inflammation were lower than their controls. In the sc doxycycline group, peripheral inflammation was higher than in the corresponding control. Only peripheral inflammation was significantly different between case groups, with the highest level in sc and the lowest level in MMC groups. Further, topical doxycycline group showed no significant difference in bleb appearance or peripheral inflammation compared with MMC group. Conjunctival burn and corneal vascularization were detected only in the sc doxycycline group. Topical doxycycline is more effective than sc doxycycline but is similar to MMC, and it can be an alternative to MMC in trabeculectomy in rabbits.
doi_str_mv 10.1089/jop.2010.0064
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Twenty-nine New Zealand White rabbits were assigned into 1 of 6 groups as follows: topical doxycycline (0.1%), postoperative sc injection of doxycycline (100 mg/2 mL), and intraoperative mitomycin-C (MMC) (0.2 mg/mL) and their respective control groups. There was significant difference between intraocular pressure in the case groups, but there was no significant difference in topical doxycycline and MMC groups during the follow up. In the topical doxycycline group, levels of TIMP-1 and perifericTIMP-1 were higher and levels of perifericMMP-2 and inflammation were lower than their controls. In the sc doxycycline group, peripheral inflammation was higher than in the corresponding control. Only peripheral inflammation was significantly different between case groups, with the highest level in sc and the lowest level in MMC groups. Further, topical doxycycline group showed no significant difference in bleb appearance or peripheral inflammation compared with MMC group. Conjunctival burn and corneal vascularization were detected only in the sc doxycycline group. 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Conjunctival burn and corneal vascularization were detected only in the sc doxycycline group. 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Conjunctival burn and corneal vascularization were detected only in the sc doxycycline group. Topical doxycycline is more effective than sc doxycycline but is similar to MMC, and it can be an alternative to MMC in trabeculectomy in rabbits.</abstract><cop>Larchmont, NY</cop><pub>Liebert</pub><pmid>20874665</pmid><doi>10.1089/jop.2010.0064</doi><tpages>8</tpages></addata></record>
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subjects Animals
Anti-Bacterial Agents - pharmacology
Antibiotics, Antineoplastic - pharmacology
Biological and medical sciences
Blister - pathology
Blister - surgery
Cicatrix - complications
Cicatrix - pathology
Conjunctiva - drug effects
Conjunctiva - pathology
Conjunctiva - surgery
Doxycycline - pharmacology
Female
Glaucoma - drug therapy
Glaucoma - pathology
Glaucoma - surgery
Inflammation - metabolism
Intraocular Pressure - drug effects
Intraoperative Care
Medical sciences
Metalloproteases - pharmacology
Mitomycin - pharmacology
Models, Animal
Pharmacology. Drug treatments
Postoperative Period
Rabbits
Tissue Inhibitor of Metalloproteinases - pharmacology
Trabeculectomy
Wound Healing - drug effects
title Effect of Doxycycline on Postoperative Scarring After Trabeculectomy in an Experimental Rabbit Model
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