Effect of Topically Administered Chitosan-N-acetylcysteine on Corneal Wound Healing in a Rabbit Model

Purpose. The present study was performed to investigate the effect of topically administered chitosan-N-acetylcysteine (C-NAC) on corneal wound healing in a rabbit model. Methods. A total of 20 New Zealand White rabbits were included in the randomized, masked, placebo-controlled experiment. A monocu...

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Main Authors: Corinna Fischak, Robert Klaus, René M. Werkmeister, Christine Hohenadl, Martin Prinz, Leopold Schmetterer, Gerhard Garhöfer
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2017/5192924
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author Corinna Fischak
Robert Klaus
René M. Werkmeister
Christine Hohenadl
Martin Prinz
Leopold Schmetterer
Gerhard Garhöfer
author_facet Corinna Fischak
Robert Klaus
René M. Werkmeister
Christine Hohenadl
Martin Prinz
Leopold Schmetterer
Gerhard Garhöfer
author_sort Corinna Fischak
collection DOAJ
description Purpose. The present study was performed to investigate the effect of topically administered chitosan-N-acetylcysteine (C-NAC) on corneal wound healing in a rabbit model. Methods. A total of 20 New Zealand White rabbits were included in the randomized, masked, placebo-controlled experiment. A monocular epithelial debridement was induced by manual scraping under general anesthesia. Animals were randomized to receive either C-NAC two times daily or placebo. Monitoring of corneal wound healing was performed with ultra-high-resolution optical coherence tomography (OCT) and epithelial fluorescein staining. Measurements were done immediately after and up to 72 hours after wound induction. Results. No difference in wound size was found immediately after surgical debridement between the C-NAC group and the placebo group. Wound healing was significantly faster in the C-NAC group compared to the placebo group (p<0.01 for both methods). A good correlation was found between the OCT technique and the epithelial fluorescein staining in terms of wound size (r=0.94). Conclusions. Administration of C-NAC containing eye drops twice daily leads to a faster corneal wound healing in a rabbit model of corneal debridement as compared to placebo. Ultra-high-resolution OCT is considered a noninvasive, dye-free alternative to conventional fluorescein staining in assessing corneal wound healing also in humans.
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institution Kabale University
issn 2090-004X
2090-0058
language English
publishDate 2017-01-01
publisher Wiley
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series Journal of Ophthalmology
spelling doaj-art-c293f80183cf45bd8fab99eddec9c4752025-02-03T05:52:13ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/51929245192924Effect of Topically Administered Chitosan-N-acetylcysteine on Corneal Wound Healing in a Rabbit ModelCorinna Fischak0Robert Klaus1René M. Werkmeister2Christine Hohenadl3Martin Prinz4Leopold Schmetterer5Gerhard Garhöfer6Center for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, AustriaCenter for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, AustriaCenter for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, AustriaCroma Pharma, Korneuburg, AustriaCroma Pharma, Korneuburg, AustriaCenter for Medical Physics and Biomedical Engineering, Medical University Vienna, Vienna, AustriaDepartment of Clinical Pharmacology, Medical University Vienna, Vienna, AustriaPurpose. The present study was performed to investigate the effect of topically administered chitosan-N-acetylcysteine (C-NAC) on corneal wound healing in a rabbit model. Methods. A total of 20 New Zealand White rabbits were included in the randomized, masked, placebo-controlled experiment. A monocular epithelial debridement was induced by manual scraping under general anesthesia. Animals were randomized to receive either C-NAC two times daily or placebo. Monitoring of corneal wound healing was performed with ultra-high-resolution optical coherence tomography (OCT) and epithelial fluorescein staining. Measurements were done immediately after and up to 72 hours after wound induction. Results. No difference in wound size was found immediately after surgical debridement between the C-NAC group and the placebo group. Wound healing was significantly faster in the C-NAC group compared to the placebo group (p<0.01 for both methods). A good correlation was found between the OCT technique and the epithelial fluorescein staining in terms of wound size (r=0.94). Conclusions. Administration of C-NAC containing eye drops twice daily leads to a faster corneal wound healing in a rabbit model of corneal debridement as compared to placebo. Ultra-high-resolution OCT is considered a noninvasive, dye-free alternative to conventional fluorescein staining in assessing corneal wound healing also in humans.http://dx.doi.org/10.1155/2017/5192924
spellingShingle Corinna Fischak
Robert Klaus
René M. Werkmeister
Christine Hohenadl
Martin Prinz
Leopold Schmetterer
Gerhard Garhöfer
Effect of Topically Administered Chitosan-N-acetylcysteine on Corneal Wound Healing in a Rabbit Model
Journal of Ophthalmology
title Effect of Topically Administered Chitosan-N-acetylcysteine on Corneal Wound Healing in a Rabbit Model
title_full Effect of Topically Administered Chitosan-N-acetylcysteine on Corneal Wound Healing in a Rabbit Model
title_fullStr Effect of Topically Administered Chitosan-N-acetylcysteine on Corneal Wound Healing in a Rabbit Model
title_full_unstemmed Effect of Topically Administered Chitosan-N-acetylcysteine on Corneal Wound Healing in a Rabbit Model
title_short Effect of Topically Administered Chitosan-N-acetylcysteine on Corneal Wound Healing in a Rabbit Model
title_sort effect of topically administered chitosan n acetylcysteine on corneal wound healing in a rabbit model
url http://dx.doi.org/10.1155/2017/5192924
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