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The use of thiphenamil hydrochloride (Trocinate) to control wound contraction after radial keratotomy

Ophthalmic Surgery
|June 1, 1987
PubMed

Insights

Thiphenamil hydrochloride temporarily reduced ocular wound contraction after surgery in rabbits. This smooth muscle antagonist shows potential for managing eye scarring.

Area of Science:

  • Ophthalmology
  • Pharmacology
  • Wound Healing Research

Background:

  • Ocular wound healing involves complex processes, including smooth muscle contraction.
  • Cicatricial conditions can impair vision and ocular function.

Purpose of the Study:

  • To evaluate the efficacy of thiphenamil hydrochloride (Trocinate) as a topical smooth muscle antagonist in inhibiting ocular wound contraction.
  • To assess the duration and specificity of thiphenamil's effect on post-surgical wound healing.

Main Methods:

  • Standard eight-incision radial keratotomy (RK) was performed on 15 New Zealand white rabbits.
  • Eyes were randomized into treatment (thiphenamil hydrochloride) and control groups.
  • Efficacy was assessed using slit lamp corneal photography and ocular histology.

Main Results:

  • Thiphenamil hydrochloride demonstrated transient inhibition of wound contraction.
  • The inhibitory effect on wound contraction lasted approximately one week in treated eyes.
  • Histological and photographic evidence confirmed the temporary effect.

Conclusions:

  • Thiphenamil hydrochloride exhibits a temporary, specific effect in controlling wound contraction post-ocular surgery.
  • Topical smooth muscle antagonists may offer therapeutic potential for managing ocular cicatricial conditions.

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