» Articles » PMID: 21760716

The Effect of Topical 0.05% Cyclosporine on Recurrence Following Pterygium Surgery

Overview
Journal Clin Ophthalmol
Publisher Dove Medical Press
Specialty Ophthalmology
Date 2011 Jul 16
PMID 21760716
Citations 12
Authors
Affiliations
Soon will be listed here.
Abstract

Purpose: To investigate the role of postoperative topical 0.05% cyclosporine A (CsA) eye drops (Restasis(®), Allergan Pharmaceutical) in the prevention of recurrence among patients with primary pterygium treated with bare-sclera technique.

Methods: In this prospective randomized controlled study, 36 eyes (34 patients) with primary pterygium were randomized into two groups: Group I comprised 18 eyes (18 patients), and Group II comprised 18 eyes (16 patients). Bare sclera technique was performed in both groups. In Group I, 0.05% CsA was administered postoperatively at 6-hour intervals for 6 months, and Group II did not receive any cyclosporine treatment. The patients were assessed for recurrence, side effects, and complications at postoperative 1 and 7 days as well as each month during the following year. Conjunctival advances which showed a limbus higher than 1 mm were recognized as recurrence.

Results: Recurrence occurred in four patients (22.2%) in Group I and in eight (44.4%) patients in Group II.

Conclusion: Postoperative application of low-dose CsA can be effective for preventing recurrences after primary pterygium surgery.

Citing Articles

Application of topical 2% cyclosporine A in inflammatory ocular surface diseases.

Asena L, Altinors D Int Ophthalmol. 2023; 43(11):3943-3952.

PMID: 37420126 DOI: 10.1007/s10792-023-02796-x.


Topical cyclosporine A and interferon alpha-2b as adjuvants to surgery to decrease pterygium recurrence.

Raina U, Pavitra B, Bhattacharya S, Ravinesh K, Goel R Oman J Ophthalmol. 2023; 16(1):30-34.

PMID: 37007236 PMC: 10062085. DOI: 10.4103/ojo.ojo_56_22.


Clinical Results of the Use of Amniotic Membrane Transplantation Alone or in Combination with Adjuvant Therapies in Conjunctival Fornix Reconstruction.

Aslan Katircioglu Y, Kaderli A, Ozdemir E, Ornek F Turk J Ophthalmol. 2022; 52(4):237-245.

PMID: 36016847 PMC: 9421934. DOI: 10.4274/tjo.galenos.2021.77019.


The Effect of Topical 0.05% Cyclosporine in the Prevention of Recurrence Following Pterygium Surgery.

Karadag A, Guler E Beyoglu Eye J. 2022; 6(3):185-190.

PMID: 35005514 PMC: 8697054. DOI: 10.14744/bej.2021.68442.


Pterygium: an update on pathophysiology, clinical features, and management.

Shahraki T, Arabi A, Feizi S Ther Adv Ophthalmol. 2021; 13:25158414211020152.

PMID: 34104871 PMC: 8170279. DOI: 10.1177/25158414211020152.


References
1.
Di Girolamo N, Chui J, Coroneo M, Wakefield D . Pathogenesis of pterygia: role of cytokines, growth factors, and matrix metalloproteinases. Prog Retin Eye Res. 2004; 23(2):195-228. DOI: 10.1016/j.preteyeres.2004.02.002. View

2.
Yoshida S, Ono M, Shono T, Izumi H, Ishibashi T, Suzuki H . Involvement of interleukin-8, vascular endothelial growth factor, and basic fibroblast growth factor in tumor necrosis factor alpha-dependent angiogenesis. Mol Cell Biol. 1997; 17(7):4015-23. PMC: 232254. DOI: 10.1128/MCB.17.7.4015. View

3.
Wang I, Lai W, Liou S, Chiu C, Hu F, Kao W . Impression cytology of pterygium. J Ocul Pharmacol Ther. 2001; 16(6):519-28. DOI: 10.1089/jop.2000.16.519. View

4.
Lee D, Cho H, Kim J, Choi J, Joo C . Expression of vascular endothelial growth factor and inducible nitric oxide synthase in pterygia. Cornea. 2001; 20(7):738-42. DOI: 10.1097/00003226-200110000-00013. View

5.
Di Girolamo N, Kumar R, Coroneo M, Wakefield D . UVB-mediated induction of interleukin-6 and -8 in pterygia and cultured human pterygium epithelial cells. Invest Ophthalmol Vis Sci. 2002; 43(11):3430-7. View