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Erschienen in: International Ophthalmology 11/2023

07.07.2023 | Original Paper

Application of topical 2% cyclosporine A in inflammatory ocular surface diseases

verfasst von: Leyla Asena, Dilek Dursun Altınörs

Erschienen in: International Ophthalmology | Ausgabe 11/2023

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Abstract

Purpose

To report our experience with the 2% cyclosporin A (CsA) in a series of challenging inflammatory ocular surface diseases due to different etiologies.

Methods

The records of patients who received topical 2% CsA for different indications were reviewed retrospectively. Demographic characteristics, indications for treatment, patient symptoms and clinical findings were recorded.

Results

Fifty-two eyes of 52 patients were included. Mean age was 43.2 ± 14.3 (11–66) years with a F/M ratio of 34/18. Indications included pediatric acne rosacea (n = 4), adenoviral corneal subepithelial infiltrates (n = 12), filamentary keratitis (n = 14), pterygium recurrence (n = 15), herpetic marginal keratitis (n = 2) and graft versus host disease (n = 5 patients). Mean duration of treatment was 7.3 ± 2.8 (3–10) months. Forty-three (83%) patients reported favorable outcome with improvement in symptoms after a mean time of 4.4 ± 2.7 (2–6) months.

Conclusions

Topical 2% CsA may address the needs of different cases with ocular surface inflammation, as a safe option for long-term therapy.
Literatur
2.
Zurück zum Zitat Donnenfeld E, Pflugfelder SC (2009) Topical ophthalmic cyclosporine: pharmacology and clinical uses. Surv Ophthalmol 54:321–338CrossRefPubMed Donnenfeld E, Pflugfelder SC (2009) Topical ophthalmic cyclosporine: pharmacology and clinical uses. Surv Ophthalmol 54:321–338CrossRefPubMed
3.
Zurück zum Zitat Boboridis KG, Konstas AGP (2018) Evaluating the novel application of cyclosporine 0.1% in ocular surface disease. Expert Opin Pharmacother 19:1027–1039CrossRefPubMed Boboridis KG, Konstas AGP (2018) Evaluating the novel application of cyclosporine 0.1% in ocular surface disease. Expert Opin Pharmacother 19:1027–1039CrossRefPubMed
4.
Zurück zum Zitat Leonardi A, Van Setten G, Amrane M, Amrane M, Ismail D, Garrigue JS et al (2016) Efficacy and safety of 0.1% cyclosporine A cationic emulsion in the treatment of severe dry eye disease: a multicenter randomized trial. Eur J Ophthalmol 26:287–296CrossRefPubMed Leonardi A, Van Setten G, Amrane M, Amrane M, Ismail D, Garrigue JS et al (2016) Efficacy and safety of 0.1% cyclosporine A cationic emulsion in the treatment of severe dry eye disease: a multicenter randomized trial. Eur J Ophthalmol 26:287–296CrossRefPubMed
5.
Zurück zum Zitat Malta JB, Soong HK, Shtein RM, Musch DC, Rhoades W, Sugar A et al (2010) Treatment of ocular graft-versus-host disease with topical cyclosporine 0.05%. Cornea 29:1392–6CrossRefPubMed Malta JB, Soong HK, Shtein RM, Musch DC, Rhoades W, Sugar A et al (2010) Treatment of ocular graft-versus-host disease with topical cyclosporine 0.05%. Cornea 29:1392–6CrossRefPubMed
6.
Zurück zum Zitat Rao SN (2006) Treatment of herpes simplex virus stromal keratitis unresponsive to topical prednisolone 1% with topical cyclosporine 0.05%. Am J Ophthalmol 141:771–2CrossRefPubMed Rao SN (2006) Treatment of herpes simplex virus stromal keratitis unresponsive to topical prednisolone 1% with topical cyclosporine 0.05%. Am J Ophthalmol 141:771–2CrossRefPubMed
7.
Zurück zum Zitat Foulks GN (2006) Topical cyclosporine for treatment of ocular surface disease. Int Ophthalmol Clin 46:105–122CrossRefPubMed Foulks GN (2006) Topical cyclosporine for treatment of ocular surface disease. Int Ophthalmol Clin 46:105–122CrossRefPubMed
8.
Zurück zum Zitat Sacchetti M, Mantelli F, Lambiase A (2014) Systematic review of randomized clinical trials on topical cyclosporine A for the treatment of dry eye disease. Br J Ophthalmol 98:1016–1022CrossRefPubMed Sacchetti M, Mantelli F, Lambiase A (2014) Systematic review of randomized clinical trials on topical cyclosporine A for the treatment of dry eye disease. Br J Ophthalmol 98:1016–1022CrossRefPubMed
9.
Zurück zum Zitat Baudouin C, Figueiredo FC, Messmer EM, Ismail D, Amrane M, Garrigue JS et al (2017) A randomized study of the efficacy and safety of 0.1% cyclosporine A cationic emulsion in treatment of moderate to severe dry eye. Eur J Ophthalmol 27:520–530CrossRefPubMedPubMedCentral Baudouin C, Figueiredo FC, Messmer EM, Ismail D, Amrane M, Garrigue JS et al (2017) A randomized study of the efficacy and safety of 0.1% cyclosporine A cationic emulsion in treatment of moderate to severe dry eye. Eur J Ophthalmol 27:520–530CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Doan S, Gabison E, Gatinel D, Duong MH, Abitbol O, Hoang-Xuan T (2006) Topical cyclosporine A in severe steroid-dependent childhood phlyctenular keratoconjunctivitis. Am J Ophthalmol 141:62–66CrossRefPubMed Doan S, Gabison E, Gatinel D, Duong MH, Abitbol O, Hoang-Xuan T (2006) Topical cyclosporine A in severe steroid-dependent childhood phlyctenular keratoconjunctivitis. Am J Ophthalmol 141:62–66CrossRefPubMed
11.
Zurück zum Zitat Heiligenhaus A, Steuhl KP (1999) Treatment of HSV-1 stromal keratitis with topical cyclosporin A: a pilot study. Graefes Arch Clin Exp Ophthalmol 237:435–438CrossRefPubMed Heiligenhaus A, Steuhl KP (1999) Treatment of HSV-1 stromal keratitis with topical cyclosporin A: a pilot study. Graefes Arch Clin Exp Ophthalmol 237:435–438CrossRefPubMed
12.
Zurück zum Zitat Reinhard T, Sundmacher R (1999) Topical cyclosporin A in Thygeson’s superficial punctate keratitis. Graefes Arch Clin Exp Ophthalmol 237:109–112CrossRefPubMed Reinhard T, Sundmacher R (1999) Topical cyclosporin A in Thygeson’s superficial punctate keratitis. Graefes Arch Clin Exp Ophthalmol 237:109–112CrossRefPubMed
13.
Zurück zum Zitat Hingorani M, Moodaley L, Calder VL, Buckley RJ, Lightman S (1998) A randomized, placebo-controlled trial of topical cyclosporin A in steroid dependent atopic keratoconjunctivitis. Ophthalmology 105:1715–1720CrossRefPubMed Hingorani M, Moodaley L, Calder VL, Buckley RJ, Lightman S (1998) A randomized, placebo-controlled trial of topical cyclosporin A in steroid dependent atopic keratoconjunctivitis. Ophthalmology 105:1715–1720CrossRefPubMed
14.
Zurück zum Zitat Pucci N, Novembre E, Cianferoni A, Lombardi E, Bernardini R, Caputo R et al (2002) Efficacy and safety of cyclosporine eyedrops in vernal keratoconjunctivitis. Ann Allergy Asthma Immunol 89:298–303CrossRefPubMed Pucci N, Novembre E, Cianferoni A, Lombardi E, Bernardini R, Caputo R et al (2002) Efficacy and safety of cyclosporine eyedrops in vernal keratoconjunctivitis. Ann Allergy Asthma Immunol 89:298–303CrossRefPubMed
15.
Zurück zum Zitat Cetinkaya A, Akova YA, Dursun D, Pelit A (2004) Topical cyclosporine in the management of shield ulcers. Cornea 23:194–200CrossRefPubMed Cetinkaya A, Akova YA, Dursun D, Pelit A (2004) Topical cyclosporine in the management of shield ulcers. Cornea 23:194–200CrossRefPubMed
16.
Zurück zum Zitat Deshmukh R, Ting DSJ, Elsahn A, Mohammed I, Said DG, Dua HS (2022) Real-world experience of using ciclosporin-A 0.1% in the management of ocular surface inflammatory diseases. Br J Ophthalmol. 106(8):1087–1092PubMed Deshmukh R, Ting DSJ, Elsahn A, Mohammed I, Said DG, Dua HS (2022) Real-world experience of using ciclosporin-A 0.1% in the management of ocular surface inflammatory diseases. Br J Ophthalmol. 106(8):1087–1092PubMed
17.
18.
Zurück zum Zitat Kashani S, Mearza AA (2008) Uses and safety profile of cyclosporin in ophthalmology. Expert Opin Drug Saf 7:79–89CrossRefPubMed Kashani S, Mearza AA (2008) Uses and safety profile of cyclosporin in ophthalmology. Expert Opin Drug Saf 7:79–89CrossRefPubMed
19.
Zurück zum Zitat Aragona P (2014) Topical cyclosporine: are all indications justified? Br J Ophthalmol 98(8):1001–1002CrossRefPubMed Aragona P (2014) Topical cyclosporine: are all indications justified? Br J Ophthalmol 98(8):1001–1002CrossRefPubMed
20.
Zurück zum Zitat Perry HD, Doshi-Carnevale S, Donnenfeld ED, Solomon R, Biser SA, Bloom AH (2006) Efficacy of commercially available topical cyclosporine A 0.05% in the treatment of meibomian gland dysfunction. Cornea 25:171–175CrossRefPubMed Perry HD, Doshi-Carnevale S, Donnenfeld ED, Solomon R, Biser SA, Bloom AH (2006) Efficacy of commercially available topical cyclosporine A 0.05% in the treatment of meibomian gland dysfunction. Cornea 25:171–175CrossRefPubMed
21.
Zurück zum Zitat Rubin M, Rao SN (2006) Efficacy of topical cyclosporin 0.05% in the treatment of posterior blepharitis. J Ocul Pharmacol Ther 22:47–53CrossRefPubMed Rubin M, Rao SN (2006) Efficacy of topical cyclosporin 0.05% in the treatment of posterior blepharitis. J Ocul Pharmacol Ther 22:47–53CrossRefPubMed
22.
Zurück zum Zitat Schechter BA, Katz RS, Friedman LS (2009) Efficacy of topical cyclosporine for the treatment of ocular rosacea. Adv Ther 26:651–659CrossRefPubMed Schechter BA, Katz RS, Friedman LS (2009) Efficacy of topical cyclosporine for the treatment of ocular rosacea. Adv Ther 26:651–659CrossRefPubMed
23.
Zurück zum Zitat van Zuuren EJ, Kramer S, Carter B, Graber MA, Fedorowicz Z (2011) Interventions for rosacea. Cochrane Database Syst Rev 3:Cd003262 van Zuuren EJ, Kramer S, Carter B, Graber MA, Fedorowicz Z (2011) Interventions for rosacea. Cochrane Database Syst Rev 3:Cd003262
24.
Zurück zum Zitat Rousta ST (2017) Pediatric blepharokeratoconjunctivitis: is there a “right” treatment? Curr Opin Ophthalmol 28:449–453CrossRefPubMed Rousta ST (2017) Pediatric blepharokeratoconjunctivitis: is there a “right” treatment? Curr Opin Ophthalmol 28:449–453CrossRefPubMed
25.
Zurück zum Zitat Albietz J, Sanfilippo P, Troutbeck R, Lenton LM (2003) Management of filamentary keratitis associated with aqueous-deficient dry eye. Optom Vis Sci 80:420–430CrossRefPubMed Albietz J, Sanfilippo P, Troutbeck R, Lenton LM (2003) Management of filamentary keratitis associated with aqueous-deficient dry eye. Optom Vis Sci 80:420–430CrossRefPubMed
26.
Zurück zum Zitat Marsh P, Pflugfelder SC (1999) Topical nonpreserved methylprednisolone therapy for keratoconjunctivitis sicca in Sjogren syndrome. Ophthalmology 106:811–816CrossRefPubMed Marsh P, Pflugfelder SC (1999) Topical nonpreserved methylprednisolone therapy for keratoconjunctivitis sicca in Sjogren syndrome. Ophthalmology 106:811–816CrossRefPubMed
27.
Zurück zum Zitat Grinbaum A, Yassur I, Avni I (2001) The beneficial effect of diclofenac sodium in the treatment of filamentary keratitis. Arch Ophthalmol 119:926–927PubMed Grinbaum A, Yassur I, Avni I (2001) The beneficial effect of diclofenac sodium in the treatment of filamentary keratitis. Arch Ophthalmol 119:926–927PubMed
28.
Zurück zum Zitat Perry HD, Doshi-Carnevale S, Donnenfeld ED, Kornstein HS (2003) Topical cyclosporine A 0.5% as a possible new treatment for superior limbic keratoconjunctivitis. Ophthalmology 110:1578–1581CrossRefPubMed Perry HD, Doshi-Carnevale S, Donnenfeld ED, Kornstein HS (2003) Topical cyclosporine A 0.5% as a possible new treatment for superior limbic keratoconjunctivitis. Ophthalmology 110:1578–1581CrossRefPubMed
29.
Zurück zum Zitat Jhanji V, Chan TC, Li EY, Agarwal K, Vajpayee RB (2015) Adenoviral keratoconjunctivitis. Surv Ophthalmol 60:435–443CrossRefPubMed Jhanji V, Chan TC, Li EY, Agarwal K, Vajpayee RB (2015) Adenoviral keratoconjunctivitis. Surv Ophthalmol 60:435–443CrossRefPubMed
30.
Zurück zum Zitat Levinger E, Slomovic A, Sansanayudh W, Bahar I, Slomovic AR (2010) Topical treatment with 1% cyclosporine for subepithelial infiltrates secondary to adenoviral keratoconjunctivitis. Cornea 29:638–640CrossRefPubMed Levinger E, Slomovic A, Sansanayudh W, Bahar I, Slomovic AR (2010) Topical treatment with 1% cyclosporine for subepithelial infiltrates secondary to adenoviral keratoconjunctivitis. Cornea 29:638–640CrossRefPubMed
31.
Zurück zum Zitat Okumus S, Coskun E, Tatar MG, Kaydu E, Yayuspayi R, Comez A et al (2012) Cyclosporine a 0.05% eye drops for the treatment of subepithelial infiltrates after epidemic keratoconjunctivitis. BMC Ophthalmol 18:12–42 Okumus S, Coskun E, Tatar MG, Kaydu E, Yayuspayi R, Comez A et al (2012) Cyclosporine a 0.05% eye drops for the treatment of subepithelial infiltrates after epidemic keratoconjunctivitis. BMC Ophthalmol 18:12–42
32.
Zurück zum Zitat Asena L, Şıngar Özdemir E, Burcu A, Ercan E, Çolak M, Altınörs DD (2017) Comparison of clinical outcome with different treatment regimens in acute adenoviral keratoconjunctivitis. Eye 31(5):781–787CrossRefPubMedPubMedCentral Asena L, Şıngar Özdemir E, Burcu A, Ercan E, Çolak M, Altınörs DD (2017) Comparison of clinical outcome with different treatment regimens in acute adenoviral keratoconjunctivitis. Eye 31(5):781–787CrossRefPubMedPubMedCentral
34.
Zurück zum Zitat Turan-Vural E, Torun-Acar B, Kivanc SA, Acar S (2011) The effect of topical 0.05% cyclosporine on recurrence following pterygium surgery. Clin Ophthalmol 5:881–5CrossRefPubMedPubMedCentral Turan-Vural E, Torun-Acar B, Kivanc SA, Acar S (2011) The effect of topical 0.05% cyclosporine on recurrence following pterygium surgery. Clin Ophthalmol 5:881–5CrossRefPubMedPubMedCentral
35.
Zurück zum Zitat Özülken K, Koç M, Ayar O, Hasiripi H (2012) Topical cyclosporine A administration after pterygium surgery. Eur J Ophthalmol 22(Suppl 7):5–10CrossRef Özülken K, Koç M, Ayar O, Hasiripi H (2012) Topical cyclosporine A administration after pterygium surgery. Eur J Ophthalmol 22(Suppl 7):5–10CrossRef
36.
Zurück zum Zitat Gunduz K, Ozdemir O (1997) Topical cyclosporin as an adjunct to topical acyclovir treatment in herpetic stromal keratitis. Ophthalmic Res 29:405–408CrossRefPubMed Gunduz K, Ozdemir O (1997) Topical cyclosporin as an adjunct to topical acyclovir treatment in herpetic stromal keratitis. Ophthalmic Res 29:405–408CrossRefPubMed
Metadaten
Titel
Application of topical 2% cyclosporine A in inflammatory ocular surface diseases
verfasst von
Leyla Asena
Dilek Dursun Altınörs
Publikationsdatum
07.07.2023
Verlag
Springer Netherlands
Erschienen in
International Ophthalmology / Ausgabe 11/2023
Print ISSN: 0165-5701
Elektronische ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-023-02796-x

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