Effect of autologous platelet-rich plasma on persistent corneal epithelial defect after infectious keratitis

Kyoung Min Kim1, Yong-Tae Shin, Hong Kyun Kim

  • 1Nune Eye Hospital, Daegu, South Korea.

Insights

Platelet-rich plasma (PRP) eyedrops effectively treat persistent epithelial defects (PEDs) by promoting corneal healing. This novel therapy shows promise for chronic ocular surface diseases due to high growth factor concentrations.

Area of Science:

  • Ophthalmology
  • Regenerative Medicine
  • Wound Healing

Background:

  • Platelet-rich plasma (PRP) is rich in growth factors crucial for wound healing.
  • Persistent epithelial defects (PEDs) are challenging ocular conditions requiring effective treatments.

Purpose of the Study:

  • To evaluate the efficacy of autologous Platelet-rich Plasma (PRP) eyedrops in treating persistent epithelial defects (PEDs).

Main Methods:

  • Autologous PRP and autologous serum (AS) were prepared and analyzed for growth factor content (TGF-β1, TGF-β2, EGF, vitamin A, fibronectin).
  • Corneal epithelial healing was compared between PRP and AS treatments in patients with post-infectious PEDs.

Main Results:

  • PRP showed significantly higher concentrations of epidermal growth factor (EGF) compared to AS.
  • PRP eyedrops demonstrated significantly higher corneal epithelial healing rates than AS.
  • A total of 28 patients were included, with 11 treated with PRP and 17 with AS.

Conclusions:

  • PRP eyedrops are effective in treating persistent epithelial defects (PEDs).
  • The therapeutic effect of PRP is likely due to its high concentration of growth factors, particularly EGF.
  • PRP represents a promising new treatment for chronic ocular surface diseases.
Abstract

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