Investigation of corneal effect of different types of artificial tears in a simulated dry eye condition using a novel porcine dry eye model (pDEM)

Emily Pik Yin Choy, Hie Hua Wong, Iris Frances Forster Benzie, Camus Kar Man Choy

Research output: Journal article publicationJournal articleAcademic researchpeer-review

20 Citations (Scopus)

Abstract

PURPOSE: To use a novel porcine dry eye model (pDEM) to study the effect of various artificial tears on corneal abrasion and epithelial cell death under severe "dry eye" conditions. METHODS: A 60-second lacrimation-blink interval, which simulates a severe dry eye condition, was set up with our novel pDEM. The corneal protective effect of lubricating the eye for 4 hours with Dulbecco phosphate-buffered saline (DPBS, as control; n = 20) and with 3 types of commercially available artificial tears (n = 17 for each) that contained different lubricating agents was studied. Effect was determined in terms of the change in fluorescein staining grade (on a 0-4 point scale with 0.5 increments) of the cornea and the number of dead cells (by trypan blue staining) on the corneal surface. RESULTS: Median increase in fluorescein grading (median) in corneas treated for 4 hours with artificial tears containing sodium hyaluronate or hydroxypropyl methylcellulose was significantly (P < 0.002) smaller than with artificial tears containing balanced saline with an unknown demulcent or the DPBS control. The numbers of dead epithelial cells in the central corneas lubricated with artificial tears containing sodium hyaluronate or hydroxypropyl methylcellulose (229 ± 71 and 221 ± 65 [SD], respectively) were also significantly (P < 0.005) smaller than those in the corneas of eyes lubricated with artificial tears containing balanced saline with an unknown demulcent or DPBS alone (328 ± 106 and 341 ± 113, respectively). CONCLUSION: Results show that artificial tears containing sodium hyaluronate or hydroxypropyl methylcellulose as lubricating agents give enhanced corneal protection against desiccation and show the use of this novel pDEM model in evaluating corneal protection from desiccation.
Original languageEnglish
Pages (from-to)1200-1204
Number of pages5
JournalCornea
Volume25
Issue number10
DOIs
Publication statusPublished - 1 Dec 2006

Keywords

  • Artificial tears
  • Cornea
  • Desiccation
  • Dry eye model
  • Porcine

ASJC Scopus subject areas

  • Ophthalmology

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