Study on phototherapeutic keratotomy for bacterial corneal lesions in rabbit
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    Abstract:

    AIM: To study the effect of phototherapeutic keratectomy(PTK)on rabbit bacterial corneal ulcer model and explore the clinical potential of this method.

    METHODS: Totally 48 eyes from all the 24 New Zealand rabbits were inoculated with Staphylococcus aureus and bacterial corneal ulcer model was established successfully. At 1d after inoculation, 48 eyes were given levofloxacin eye drops when corneal ulcer was confirmed. Then slit lamp inspection and optical coherence tomography(OCT)were performed to measure the central corneal ulcer depth. All the rabbits right eyes were treated with PTK, as an observation group, left eyes were not treated as a control group. The eye section were observed by slit lamp and central thickness of corneal ulcer was measured by OCT at 3 and 7d after this operation. Rabbits were sacrificed and the cornea was removed for pathological section 7d later.

    RESULTS: The corneal ulcers in both groups had a tendency to heal, showing a decrease in ulcer area and smoothness of the surface. There was no significant difference in the depth of corneal ulcer between the observation group and the control group before PTK(t=0.706, P=0.484). The difference between the two groups of eyes at 3 and 7d after PTK was obviously(P<0.05).

    CONCLUSION: PTK can effectively cure rabbit Staphylococcus aureus corneal ulcer and promote ulcer wound healing, which may be used for clinical treatment of patients with bacterial corneal lesions.

    Reference
    1 Sher NA,Bowes RA,Zabel RW,et al. Clinical use of the 193 nm excimer laser in the treatment of corneal scars. Arch Ophthalmol 1991; 109(4):491-498
    2 Ayres BD,Rapuano CJ. Excimer laser phototherapeutic keratectomy. Ocul Surf 2006; 4(4):196-206
    3 Dethorey G,Daruich A,Hay A,et al. Severe bacterial keratitis referred to ophthalmology emergency departments:a retrospective study of 268 cases. J Fr Ophtalmol 2013; 36(2):129-137
    4张阳,王智群,孙旭光.2006至2015年我国北方地区细菌性角膜炎病原学及药物敏感性分析.中华眼科杂志2017; 9(53):662-667
    5 Lindbohm N, Moilanen JA, Vesaluoma MH, et al. Acinetobacter and staphylococcus aureus ulcerative keratitis after laser in situ keratomileusis treated with antibiotics and phototherapeutic keratectomy. J Refract Surg 2005; 21(4):404-406
    6 Wang Z,Chen J,Yang B. Posterior corneal surface topographic changes after laser in situ keratomileusis are related to residual corneal bed thickness. Ophthalmology 1999; 106(2):406-409
    7 Guirao A. Theoretical elastic response of the cornea to refractive surgery:risk factors for kemtectasia. J Refract Surg 2005; 21(2):176-185
    8 Izatt JA,Hee MR,Swanson EA,et al. Micrometer-scale resolution imaging of the anterior eye in vivo with optical coherence tomography. Arch Ophthalmol 1994; 112(12):1584-1589
    9 Rush SW, Han DY, Rush RB. Optical coherence tomography-guided transepithelial phototherapeutic keratectomy for the treatment of anteriorcorneal scarring. Am J Ophthalmol 2013; 156(6):1088-1094
    10 Keales RH, Drago PC, Rothchild EJ. Effect of excimer laser on microbiological organisms. Ophthalmic Surg 1988; 19(10):715-718
    11 Lakimenko S, Buznyk O, Shchypun S, et al. Healing of alkali burned rabbit corneas with persistent superficial ulceration after excimer laser phototherapeutic keratectomy. Clinical and electron microscopic findings. Klin Oczna 2010; 112(7-9):195-200
    12 Li LM,Zhao LQ,Qu LH,et al. Excimer laser phototherapeutic keratectomy for the treatment of clinically presumed fungal keratitis. J Ophthalmol 2014; 2014(2014):963287
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Xin Zhou, Dong-Yi Yu, Da-Wei He. ,/et al.Study on phototherapeutic keratotomy for bacterial corneal lesions in rabbit. Guoji Yanke Zazhi( Int Eye Sci) 2018;18(5):807-810

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Publication History
  • Received:November 27,2017
  • Revised:April 11,2018
  • Online: April 24,2018