Posterior blefaritli hastalarda topikal siklosporin A tedavisinin gözyaşı film instabilitesine etkisi

Amaç: Posterior blefaritli hastalarda topikal siklosporin A (CsA) tedavisinin etkinliğini değerlendirmek. Yöntemler: Posterior blefaritli 15 hasta çalışmaya dahil edildi. Hastalara 2 ay boyunca günde 2 kez topikal CsA %0.05 (Restasis, Allergan Pharmaceuticals) uygulandı. Hastalarda tedavi öncesi ve sonrası subjektif semptomlara ve gözyaşı kırılma zamanı (GKZ), Schirmer testi, konjonktival hiperemi, tarsal telenjiektazi ve meibomian bezi sekresyonuna bakıldı. Bulgular: 2 aylık takiplerde yanma, kaşıntı, konjonktival hiperemi semptomlarında azalma izlendi (Sırasıyla p

The effect of topical cyclosporine A on tear film instability in patients with posterior blepharitis

Objective: The aim of this study is to evaluate the efficacy of topical cyclosporine A (CsA) 0.05% (Restasis, Allergan Pharmaceuticals) in patients with posterior blepharitis. Methods: The study included 15 patients with posterior blepharitis. Topical CsA 0.05% (Restasis, Allergan Pharmaceuticals) was applied twice a daily for 2 months. They were evaluated at baseline and after treatment for subjective symptoms and objective signs including tear breakup time (BUT), Schirmer scores, conjunctival hyperemia, tarsal telangiectasis and Meibomian gland inclusions. Results: Fifteen patients completed the study. At the 2-month visit, the patients showed improvement in ocular symptom including burning, itching, conjunctival hyperemia (p<0.05; p<0.001; p<0.001, respectively).Topical administration of CsA provided improvement in Schirmer scores (p<0.001) Conclusion: Topical CsA was inducing an improvement in the ocular symptoms. Topical CsA 0.05% may be helpful in the treatment of posterior blepharitis. These findings should be further evaluated in large-scale.

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