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ASCRS 2010, Boston, MA. Topical Interleukin-1 receptor antagonist therapy and corneal healing after photorefractive keratectomy in New Zealand White rabbits Brett Davies, Capt, USAF, MC; Vasudha Panday, Maj, USAF, MC; Charles Reilly, Lt Col, USAF, MC ; Matthew Caldwell, Maj, USAF, MC - PowerPoint PPT Presentation
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Topical Interleukin-1 receptor antagonist therapy and corneal healing after photorefractive
keratectomy in New Zealand White rabbits
Brett Davies, Capt, USAF, MC; Vasudha Panday, Maj, USAF, MC; Charles Reilly, Lt Col, USAF, MC ; Matthew Caldwell, Maj,
USAF, MCWilford Hall Air Force Medical Center
San Antonio, TXThe authors have no financial interest to discloseTopical IL-1ra provided by TheraKine, Inc.The conclusions do not necessarily reflect the views of the USAF or the DOD
ASCRS 2010, Boston, MA
Purpose This is a randomized, blinded study designed to compare topical
Interleukin-1 antagonist (IL-1ra) against standard steroid treatment following photorefractive keratectomy (PRK).
Vs
SteroidsGlaucomaCataractsSecondary infectionDelayed wound healing
Interleukin-1
Methods
48 eyes
18 (OD)IL-1ra
Vigamox
6OD 2.5mg
6 OD1.25 mg
6 OD0.75mg
6 (OD)Flurometh
0.1%, Vigamox
24 OS Vigamox, Systane
Outcome Measures Time to re-epithelization
Weekly slit lamp exam for haze
Pentacam evaluation prior to and at weeks 1,2,3, and 7
Histologic exam at week 7
Results
No difference in epithelial healing time
Time to re-epithelization:
Results- Slit lamp exam
Week 3 Week 4 Week 5 Week 60
0.5
1
1.5
2
2.5
3
3.5
SteroidIL-1raControl
p=0.392
p<0.005 p<0.005
p=0.536
Subj
ectiv
e H
aze
Results- Pentacam Haze
Week 1 Week 2 Week 3 Week 740
50
60
70
80
90
100
0.25mg1.25mg2.5mg
Den
sity
p<0.0001
Results-HistologySteroids 2.5mg 1.25mg 0.25mg
Central Foam Layer
p = 0.725
Thickest Foam Layer
p = 0.997
Conclusions
Against For
Further studies needed to determine side effects of IL-1ra as well as response in human cornea
IL-1ra does not increase epithelial healing timeNo difference in foam layer between treatment groupsSteroids significantly better than other groups on subjective haze analysis at weeks 4 and 5IL1-ra reduced objective haze (Pentacam) similar to steroids at 1 month post op
Lower doses of IL1-ra reduced objective haze more than higher dose
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