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Effect of topical vitamin E on ethanol-induced corneal epithelial apoptosis
Kamil Bilgihan1, Onur Konuk, Ahmet Hondur
1Department of Ophthalmology, Gazi University Medical School, Ankara, Turkey. bilgihan@gazi.edu.tr
Purpose:
Ethanol is used to loosen the corneal epithelium before photoablation in laser subepithelial keratomileusis (LASEK). In this study, the apoptotic index of corneal epithelium after ethanol exposure and the effects of topical vitamin E were evaluated.
Methods:
The study was performed on 28 rabbit eyes in four groups. Group 1 comprised the controls. In group 2, 20% ethanol was applied topically for 20 seconds. In group 3, topical vitamin E was applied following 20% ethanol application. In group 4, only topical vitamin E was applied. Apoptosis was evaluated with TUNEL assay and transmission electron microscopy.
Results:
Epithelial apoptosis was detected in all specimens in group 2. No apoptosis was detected in other groups except for one eye in group 1. The apoptotic index in group 2 was statistically higher than other groups (P < .001).
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