Determining correlations between the grade of lens opacity and tear levels of total antioxidant activity and lipid peroxidation products in patients having both cataract and bacterial keratitis

Purpose: To determine correlations between the grade of lens opacity and tear levels of total antioxidant activity (TAA) and lipid peroxidation (LPO) products in patients having both cataract and bacterial keratitis treated versus not treated with methyl-ethyl pyridinol hydrochloride (MH). Method...

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Main Authors: V. Ia. Usov, Abou Tarboush, S. G. Kolomiichuk
Format: Article
Language:English
Published: Ukrainian Society of Ophthalmologists 2025-06-01
Series:Journal of Ophthalmology
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Online Access:https://ua.ozhurnal.com/index.php/files/article/view/285
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author V. Ia. Usov
Abou Tarboush
S. G. Kolomiichuk
author_facet V. Ia. Usov
Abou Tarboush
S. G. Kolomiichuk
author_sort V. Ia. Usov
collection DOAJ
description Purpose: To determine correlations between the grade of lens opacity and tear levels of total antioxidant activity (TAA) and lipid peroxidation (LPO) products in patients having both cataract and bacterial keratitis treated versus not treated with methyl-ethyl pyridinol hydrochloride (MH). Methods: Patients of the study group had both senile cataract and bacterial stromal keratitis; they received MH (nine four-week cycles of daily treatment with MH separated by four-week breaks) as an adjunct to the conventional antibacterial treatment. Patients that received the conventional antibacterial treatment only were used as controls. The development of senile cataract in patients with keratitis was followed up for 18 months. Severity of lens opacity was assessed by slit lamp biomicroscopy and scored on a scale of 0 to 5. Tear levels of TAA, malondialdehyde (MDA) and diene conjugate (DC) were determined in patients with keratitis only and those having both keratitis and cataract. Spearman’s rank correlation was used to determine associations between the grade of lens opacity and tear levels of metabolic characteristics. Results: Correlations between the grade of lens opacity and tear levels of TAA, MDA and DC were higher for patients having both cataract and keratitis and treated with MH than for patients with keratitis only. There were correlations of the grade of lens opacity with tear levels of TAA, MDA and DC (R=-0.85, R=0.80 and R=0.65, respectively) and of the tear level of TAA with tear levels of MDA and DC (R=-0.84 and R=-0.72, respectively) for patients having both cataract and bacterial keratitis and treated with MH. Conclusion: Our findings of apparent correlations of the grade of lens opacity with the parameters of the oxidative-antioxidatiove system in the tear fluid of patients indicate a pathogenetic role of bacterial keratitis in the development of cataract. MH has antioxidative properties and may be used for correcting metabolic abnormalities and preventing structural and functional changes in the lens in cataractogenesis with corneal inflammation.
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spelling doaj-art-089410533b1d41d8ae2daaf57349dcd32025-08-20T02:44:23ZengUkrainian Society of OphthalmologistsJournal of Ophthalmology2412-87402025-06-0131519https://doi.org/10.31288/oftalmolzh202531519Determining correlations between the grade of lens opacity and tear levels of total antioxidant activity and lipid peroxidation products in patients having both cataract and bacterial keratitisV. Ia. Usov0Abou Tarboush1S. G. Kolomiichuk 2Petro Mohyla Black Sea National University, Mykolaiv, UkraineSI «The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine»SI «The Filatov Institute of Eye Diseases and Tissue Therapy of the NAMS of Ukraine»Purpose: To determine correlations between the grade of lens opacity and tear levels of total antioxidant activity (TAA) and lipid peroxidation (LPO) products in patients having both cataract and bacterial keratitis treated versus not treated with methyl-ethyl pyridinol hydrochloride (MH). Methods: Patients of the study group had both senile cataract and bacterial stromal keratitis; they received MH (nine four-week cycles of daily treatment with MH separated by four-week breaks) as an adjunct to the conventional antibacterial treatment. Patients that received the conventional antibacterial treatment only were used as controls. The development of senile cataract in patients with keratitis was followed up for 18 months. Severity of lens opacity was assessed by slit lamp biomicroscopy and scored on a scale of 0 to 5. Tear levels of TAA, malondialdehyde (MDA) and diene conjugate (DC) were determined in patients with keratitis only and those having both keratitis and cataract. Spearman’s rank correlation was used to determine associations between the grade of lens opacity and tear levels of metabolic characteristics. Results: Correlations between the grade of lens opacity and tear levels of TAA, MDA and DC were higher for patients having both cataract and keratitis and treated with MH than for patients with keratitis only. There were correlations of the grade of lens opacity with tear levels of TAA, MDA and DC (R=-0.85, R=0.80 and R=0.65, respectively) and of the tear level of TAA with tear levels of MDA and DC (R=-0.84 and R=-0.72, respectively) for patients having both cataract and bacterial keratitis and treated with MH. Conclusion: Our findings of apparent correlations of the grade of lens opacity with the parameters of the oxidative-antioxidatiove system in the tear fluid of patients indicate a pathogenetic role of bacterial keratitis in the development of cataract. MH has antioxidative properties and may be used for correcting metabolic abnormalities and preventing structural and functional changes in the lens in cataractogenesis with corneal inflammation.https://ua.ozhurnal.com/index.php/files/article/view/285cataractkeratitislipid peroxidationtotal antioxidant activityantioxidant enzymesmethyl-ethyl pyridinol hydrochloridelenscorneatear fluid
spellingShingle V. Ia. Usov
Abou Tarboush
S. G. Kolomiichuk
Determining correlations between the grade of lens opacity and tear levels of total antioxidant activity and lipid peroxidation products in patients having both cataract and bacterial keratitis
Journal of Ophthalmology
cataract
keratitis
lipid peroxidation
total antioxidant activity
antioxidant enzymes
methyl-ethyl pyridinol hydrochloride
lens
cornea
tear fluid
title Determining correlations between the grade of lens opacity and tear levels of total antioxidant activity and lipid peroxidation products in patients having both cataract and bacterial keratitis
title_full Determining correlations between the grade of lens opacity and tear levels of total antioxidant activity and lipid peroxidation products in patients having both cataract and bacterial keratitis
title_fullStr Determining correlations between the grade of lens opacity and tear levels of total antioxidant activity and lipid peroxidation products in patients having both cataract and bacterial keratitis
title_full_unstemmed Determining correlations between the grade of lens opacity and tear levels of total antioxidant activity and lipid peroxidation products in patients having both cataract and bacterial keratitis
title_short Determining correlations between the grade of lens opacity and tear levels of total antioxidant activity and lipid peroxidation products in patients having both cataract and bacterial keratitis
title_sort determining correlations between the grade of lens opacity and tear levels of total antioxidant activity and lipid peroxidation products in patients having both cataract and bacterial keratitis
topic cataract
keratitis
lipid peroxidation
total antioxidant activity
antioxidant enzymes
methyl-ethyl pyridinol hydrochloride
lens
cornea
tear fluid
url https://ua.ozhurnal.com/index.php/files/article/view/285
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