Safety of in vivo pharmacologic vitreolysis with recombinant microplasmin in rabbit eyes

Toshiro Sakuma1, Minoru Tanaka, Atsushi Mizota

  • 1Department of Ophthalmology, Juntendo University, Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba 279-0021, Japan.

Abstract

Insights

Intravitreal microplasmin safely induces posterior vitreous detachment (PVD) in rabbits without causing retinal damage. This suggests its potential use in vitreous surgery for pharmacologic vitreolysis.

Area of Science:

  • Ophthalmology
  • Pharmacology
  • Retinal Science

Background:

  • Posterior vitreous detachment (PVD) is a common condition in the aging population.
  • Current treatments for vitreous-related disorders often involve invasive surgical procedures.

Purpose of the Study:

  • To evaluate the safety and efficacy of intravitreal microplasmin for inducing PVD in a rabbit model.
  • To confirm previous findings regarding microplasmin's ability to cause PVD.

Main Methods:

  • Rabbits received intravitreal injections of varying microplasmin doses (12.5–250 µg) or balanced salt solution (BSS).
  • Ophthalmic examinations included slit-lamp biomicroscopy, funduscopy, ultrasonography, and electroretinography (ERG).
  • Retinal morphology was assessed using light, scanning electron microscopy (SEM), and transmission electron microscopy (TEM).

Main Results:

  • Microplasmin injections (≥125 µg) successfully induced complete PVD, characterized by an internal limiting membrane (ILM) free of vitreous collagen fibrils.
  • Lower doses (12.5 µg) resulted in partial PVD with residual fibrils.
  • Transient, mild inflammatory reactions and temporary ERG reductions were observed, with less impact at higher doses (<250 µg).

Conclusions:

  • Intravitreal microplasmin effectively induces PVD in rabbits without causing significant ERG or retinal ultrastructural abnormalities.
  • Pharmacologic vitreolysis using microplasmin shows promise as an adjunct to vitreous surgery.
  • Microplasmin may offer a non-surgical method for inducing PVD.

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