Photothrombosis of corneal neovascularization by photodynamic therapy utilizing verteporfin and diode laser
Aziza Ahmed Hassan1, Dina Foad Ghoneim1, Amr Abdelraheem El-Dib1
1Ophthalmic Department, National Institute of Laser Enhanced Science, Cairo University, Egypt.
Introduction:
The aim of the present study was to evaluate the effect of photodynamic therapy in the treatment of experimental corneal neovascularization (NV) with benzoporphyrin derivative (BPD).
Methods:
One group was considered as control (n=6 eyes) then, corneal NV was induced in 30 New Zealand male rabbits (n=60 eyes) by placing 7.0 silk sutures at midstromal depth approximately1mm from the limbus. Fifteen rabbits with corneal NV were left without any treatment, and 15 rabbits were subjected to photodynamic therapy (PDT) by intravenous injection with Verteporfin at a dose of 1.5 mg /Kg. Diode laser (660 nm) was applied after 15 minutes for 5 minutes with a power of 50 mW/cm2. All rabbits were successively followed up by slit lamp examination for periods of 1 day, 1, 2, 3 and 4 weeks. Three rabbits were selected and sacrificed weekly (n=6 eyes each) and the corneas were isolated for histopathological examination.
Results:
The results of slit lamp examination indicated the gradual regression of the cornea neovascularization 4 weeks of PDT. Furthermore, regression of corneal neovascularization was documented clinically by decrease number and length of blood vessels and by histopathological examination.
Conclusion:
PDT with Verteporfin can provide efficacious treatment of corneal neovascularization.
Insights
Photodynamic therapy (PDT) using Verteporfin effectively treated experimental corneal neovascularization in rabbits. Clinical and histopathological results showed significant regression of new blood vessels after treatment.
Area of Science:
- Ophthalmology
- Photodynamic Therapy
- Vascular Biology
Background:
- Corneal neovascularization (NV) poses a significant challenge in ophthalmology.
- Benzoporphyrin derivative (BPD) has shown potential in therapeutic applications.
Purpose of the Study:
- To evaluate the efficacy of photodynamic therapy (PDT) using benzoporphyrin derivative (BPD) for experimental corneal neovascularization.
Main Methods:
- Corneal NV was induced in New Zealand male rabbits using silk sutures.
- Treatment involved intravenous injection of Verteporfin followed by diode laser (660 nm) application.
- Corneal changes were monitored via slit lamp examination and histopathological analysis over 4 weeks.
Main Results:
- Photodynamic therapy (PDT) demonstrated gradual regression of corneal neovascularization over 4 weeks.
- Clinical assessment revealed a decrease in the number and length of corneal blood vessels.
- Histopathological examination confirmed the regression of neovascularization.
Conclusions:
- Photodynamic therapy (PDT) with Verteporfin is an efficacious treatment for experimental corneal neovascularization.
- PDT offers a promising therapeutic strategy for managing corneal vascular disorders.
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