The Safety and Tolerability of a Single Scleral Treatment With a Cooling Device in Rabbits.

IF 2.6 3区 医学 Q2 OPHTHALMOLOGY
Anat Galor, Bonnie Henderson, Cristos Ifantides, James A Stefater, Tomasz P Stryjewski
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Abstract

Purpose: To evaluate the preclinical safety of a single treatment of a topical scleral cooling device.

Methods: Two Good Laboratory Practice prospective preclinical device safety studies were performed: study 1 in normal healthy rabbit eyes (n = 5) and study 2 in healthy rabbit eyes that underwent a surgically induced corneal epithelial defect (n = 3). Following sedation, eyes were treated for 10 minutes by applying the cooling device to the sclera. Key assessments for both studies included clinical observations, Schirmer's I and II tests, ophthalmic examinations, intraocular pressure (IOP) measurements, and histopathology. Study 1 assessments were performed on days -3, 7, 14, 21, 28, 42 (±2 days), and 56 (±2 days). In study 2, a 3-mm diameter corneal defect was created in both eyes of each animal 14 days after the cooling device application. Corneal fluorescein staining was monitored at 3, 6, 24, 30, 48, 54, and 72 hours after defect creation.

Results: Minimal changes in conjunctival redness, peripheral corneal haze, and fluorescein staining were observed, which completely self-resolved within 4 weeks after treatment. Schirmer's I and II and IOP results were within normal ranges in all animals. All epithelial defects in both groups had fully healed within 48 hours.

Conclusions: No adverse effects were observed within 8 weeks following a single scleral application of the topical cooling device in rabbit eyes.

Translational relevance: This article introduces a novel ocular cooling device for the treatment of chronic ocular surface pain, a condition with a considerable unmet need for more effective therapies.

兔单次巩膜冷却装置治疗的安全性和耐受性。
目的:评价局部巩膜冷却装置一次性治疗的临床前安全性。方法:进行了两项《良好实验室规范》前瞻性临床前器械安全性研究:研究1在正常健康兔眼(n = 5)中进行,研究2在手术诱导角膜上皮缺损的健康兔眼(n = 3)中进行。镇静后,将冷却装置应用于巩膜上治疗10分钟。两项研究的主要评估包括临床观察、Schirmer's I和II试验、眼科检查、眼内压(IOP)测量和组织病理学。研究1在第3、7、14、21、28、42(±2天)和56(±2天)进行评估。在研究2中,冷却装置应用14天后,每只动物的两只眼睛都出现了直径3毫米的角膜缺损。在缺损形成后3、6、24、30、48、54和72小时监测角膜荧光素染色。结果:结膜红肿、周围角膜混浊、荧光素染色变化极小,治疗后4周内自行消退。所有动物的Schirmer's I、II和IOP结果均在正常范围内。两组患者的上皮缺损均在48小时内完全愈合。结论:兔眼单次巩膜外用降温装置8周内未见不良反应。翻译相关性:本文介绍了一种用于治疗慢性眼表疼痛的新型眼部冷却装置,这是一种对更有效治疗方法有相当大需求的疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Translational Vision Science & Technology
Translational Vision Science & Technology Engineering-Biomedical Engineering
CiteScore
5.70
自引率
3.30%
发文量
346
审稿时长
25 weeks
期刊介绍: Translational Vision Science & Technology (TVST), an official journal of the Association for Research in Vision and Ophthalmology (ARVO), an international organization whose purpose is to advance research worldwide into understanding the visual system and preventing, treating and curing its disorders, is an online, open access, peer-reviewed journal emphasizing multidisciplinary research that bridges the gap between basic research and clinical care. A highly qualified and diverse group of Associate Editors and Editorial Board Members is led by Editor-in-Chief Marco Zarbin, MD, PhD, FARVO. The journal covers a broad spectrum of work, including but not limited to: Applications of stem cell technology for regenerative medicine, Development of new animal models of human diseases, Tissue bioengineering, Chemical engineering to improve virus-based gene delivery, Nanotechnology for drug delivery, Design and synthesis of artificial extracellular matrices, Development of a true microsurgical operating environment, Refining data analysis algorithms to improve in vivo imaging technology, Results of Phase 1 clinical trials, Reverse translational ("bedside to bench") research. TVST seeks manuscripts from scientists and clinicians with diverse backgrounds ranging from basic chemistry to ophthalmic surgery that will advance or change the way we understand and/or treat vision-threatening diseases. TVST encourages the use of color, multimedia, hyperlinks, program code and other digital enhancements.
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