EFFECTS OF AUTOLOGOUS SERUM EYE DROPS FOR TREATMENT OF KERATOCONJUNCTIVITIS SICCA IN DOGS

Han-Syuan Lin, Shiun-Long Lin, F. Chang
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引用次数: 1

Abstract

In humans, autologous serum (AS) eye drops has been applied for the treatment of refractory keratoconjunctivitis sicca (KCS) for several decades. However, there are few researches to investigate the AS eye drops in dogs with KCS. The objective of this study was to evaluate the effects of AS eye drops on treatment of KCS in dogs. Eighteen eyes of ten client-owned dogs with refractory KCS were used in this study. Schirmer tear test (STT), tear film breakup time (TBUT), fluorescein (FL) staining score, and Rose Bengal (RB) staining score were used to measure the status of cornea prospectively at baseline and 1–3 months after treatment. Additionally, the results were further stratified by their STT value, sex, and age. The results indicated that the mean TBUT, FL staining score, and RB staining score were significantly improved after treatment except STT. In 18 eyes, 77.8% eyes had decreased mucopurulent ocular discharge and 38.9% eyes got wet. Besides, both TBUT and RB staining score were significantly improved in a subgroup of dogs with age less than 9 years old. As far as we know, this study is the first trial to determine the efficacy and safety of 20% AS eye drops for cKCS. In conclusion, AS eye drops seemed to be effective and safe for dogs with KCS, and it could improve tear film stability, ocular surface health, and subjective clinical symptoms, especially in dogs younger than 9 years old.
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自体血清滴眼液治疗犬镰状角膜结膜炎的疗效观察
自体血清(AS)滴眼液用于治疗难治性干燥性角膜结膜炎(KCS)已有几十年的历史。然而,对AS滴眼液在KCS犬中的应用研究较少。本研究的目的是评价AS滴眼液治疗犬KCS的效果。本研究使用10只难治性KCS患者的18只眼。采用Schirmer撕裂试验(STT)、泪膜破裂时间(TBUT)、荧光素(FL)染色评分和Rose Bengal (RB)染色评分前瞻性地测量基线和治疗后1-3个月的角膜状况。此外,根据STT值、性别和年龄对结果进行进一步分层。结果显示,除STT外,治疗后各组TBUT、FL染色评分、RB染色评分均有显著提高。18只眼77.8%的眼粘液化脓性分泌物减少,38.9%的眼湿润。此外,年龄小于9岁的狗亚组TBUT和RB染色评分均有显著改善。据我们所知,本研究是首次确定20% As滴眼液治疗cKCS的有效性和安全性的试验。综上所述,AS滴眼液对KCS犬是安全有效的,可以改善泪膜稳定性、眼表健康和主观临床症状,特别是对9岁以下的犬。
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