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Erschienen in: International Ophthalmology 9/2020

09.05.2020 | Original Paper

Effect of neuroprotective citicoline eye drops on macular microcirculation

verfasst von: Esat Cinar, Berna Yuce, Fatih Aslan, Gökhan Erbakan

Erschienen in: International Ophthalmology | Ausgabe 9/2020

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Abstract

Background and objective

To use optical coherence tomography (OCTA) examination of the retinal microvascular structures to evaluate the effect of neuroprotective eye drops (citicoline, OMK1®) administered for laser in situ keratomileusis (LASIK) surgery.

Patients and methods

This prospective study included 45 patients treated with citicoline after LASIK and 48 patients not treated with citicoline after LASIK as a control group. In both groups, the foveal avascular zone (FAZ), retinal superficial vascular density (SVD), and deep vascular density (DVD) in the foveal and parafoveal areas were measured preoperatively and at 1 and 3 months postoperatively using OCTA.

Results

No significant difference was detected between the groups in terms of preoperative SVD or DVD in the foveal and parafoveal zones and all quadrants (superior, inferior, temporal, and nasal) (P > 0.05). Similarly, no significant difference was detected between the citicoline group and control group in terms of SVD or DVD in the foveal and parafoveal zones at 1 and 3 months after LASIK (P > 0.05).

Conclusions

Despite their neuroprotective effect, topical citicoline drops had no significant effect on the superficial and deep microvascular structures of the retina or choriocapillaris.
Literatur
1.
Zurück zum Zitat Grieb P, Rejdak RJ (2002) Pharmacodynamics of citicoline relevant to the treatment of glaucoma. Neurosci Res 67:143–148CrossRef Grieb P, Rejdak RJ (2002) Pharmacodynamics of citicoline relevant to the treatment of glaucoma. Neurosci Res 67:143–148CrossRef
2.
Zurück zum Zitat Michel V, Yuan Z, Ramsubir S, Bakovic M (2006) Choline transport for phospholipid synthesis. Exp Biol Med (Maywood) 231:490–504CrossRef Michel V, Yuan Z, Ramsubir S, Bakovic M (2006) Choline transport for phospholipid synthesis. Exp Biol Med (Maywood) 231:490–504CrossRef
3.
Zurück zum Zitat Parisi V, Centofanti M, Ziccardi L et al (2015) Treatment with citicoline eye drops enhances retinal function and neural conduction along the visual pathways in open angle glaucoma. Graefes Arch Clin Exp Ophthalmol 253:1327–1340PubMedCrossRef Parisi V, Centofanti M, Ziccardi L et al (2015) Treatment with citicoline eye drops enhances retinal function and neural conduction along the visual pathways in open angle glaucoma. Graefes Arch Clin Exp Ophthalmol 253:1327–1340PubMedCrossRef
4.
Zurück zum Zitat Roberti G, Tanga L, Parisi V, Sampalmieri M, Centofanti M, Manni G (2014) A preliminary study of the neuroprotective role of citicoline eye drops in glaucomatous optic neuropathy. Indian J Ophthalmol 62:549–553PubMedPubMedCentralCrossRef Roberti G, Tanga L, Parisi V, Sampalmieri M, Centofanti M, Manni G (2014) A preliminary study of the neuroprotective role of citicoline eye drops in glaucomatous optic neuropathy. Indian J Ophthalmol 62:549–553PubMedPubMedCentralCrossRef
5.
Zurück zum Zitat Cacabelos R, Caamaño J, Gómez MJ, Fernández-Novoa L, Franco-Maside A, Alvarez XA (1996) Therapeutic effects of CDP-choline in Alzheimer’s disease. Cognition, brain mapping, cerebrovascular hemodynamics, and immune factors. Ann N Y Acad Sci 777:399–403PubMedCrossRef Cacabelos R, Caamaño J, Gómez MJ, Fernández-Novoa L, Franco-Maside A, Alvarez XA (1996) Therapeutic effects of CDP-choline in Alzheimer’s disease. Cognition, brain mapping, cerebrovascular hemodynamics, and immune factors. Ann N Y Acad Sci 777:399–403PubMedCrossRef
6.
Zurück zum Zitat Dávalos A, Alvarez-Sabín J, Castillo J et al (2012) Citicoline in the treatment of acute ischaemic stroke: an international, randomised, multicentre, placebo-controlled study (ICTUS trial). Lancet 380:349–357PubMedCrossRef Dávalos A, Alvarez-Sabín J, Castillo J et al (2012) Citicoline in the treatment of acute ischaemic stroke: an international, randomised, multicentre, placebo-controlled study (ICTUS trial). Lancet 380:349–357PubMedCrossRef
7.
Zurück zum Zitat Eberhardt R, Birbamer G, Gerstenbrand F, Rainer E, Traegner H (1990) Citicoline in the treatment of Parkinson’s disease. Clin Ther 12:489–495PubMed Eberhardt R, Birbamer G, Gerstenbrand F, Rainer E, Traegner H (1990) Citicoline in the treatment of Parkinson’s disease. Clin Ther 12:489–495PubMed
8.
Zurück zum Zitat Campos M, Hertzog L, Garbus JJ, Mc Donnell PJ (1992) Corneal sensitivity after photorefractive keratectomy. Am J Ophthalmol 114:51–54PubMedCrossRef Campos M, Hertzog L, Garbus JJ, Mc Donnell PJ (1992) Corneal sensitivity after photorefractive keratectomy. Am J Ophthalmol 114:51–54PubMedCrossRef
9.
Zurück zum Zitat Lee KW, Joo CK (2003) Clinical results of laser in situ keratomileusis with superior and nasal hinges. J Cataract Refract Surg 29:457–461PubMedCrossRef Lee KW, Joo CK (2003) Clinical results of laser in situ keratomileusis with superior and nasal hinges. J Cataract Refract Surg 29:457–461PubMedCrossRef
10.
Zurück zum Zitat Cinar E, Yuce B, Aslan F, Erbakan G (2019) Neuroprotective effect of citicoline eye drops on corneal sensitivity after LASIK. J Refract Surg 35(12):764–770PubMedCrossRef Cinar E, Yuce B, Aslan F, Erbakan G (2019) Neuroprotective effect of citicoline eye drops on corneal sensitivity after LASIK. J Refract Surg 35(12):764–770PubMedCrossRef
11.
Zurück zum Zitat Parisi V, Coppola G, Ziccardi L, Gallinaro G, Falsini B (2008) Cytidine-5′-diphosphocholine (Citicoline): a pilot study in patients with non-arteritic ischaemic optic neuropathy. Eur J Neurol 15:465–474PubMedCrossRef Parisi V, Coppola G, Ziccardi L, Gallinaro G, Falsini B (2008) Cytidine-5′-diphosphocholine (Citicoline): a pilot study in patients with non-arteritic ischaemic optic neuropathy. Eur J Neurol 15:465–474PubMedCrossRef
12.
Zurück zum Zitat Campos EC, Bolzani R, Schiavi C, Baldi A, Porciatti V. (1996-1997). Cytidin-51-diphosphocholine enhances the effect of part-time occlusion in amblyopia. Doc Ophthalmol 93:247–263 Campos EC, Bolzani R, Schiavi C, Baldi A, Porciatti V. (1996-1997). Cytidin-51-diphosphocholine enhances the effect of part-time occlusion in amblyopia. Doc Ophthalmol 93:247–263
13.
Zurück zum Zitat Linna TU, Pérez-Santonja JJ, Tervo KM et al (1998) Recovery of corneal nerve morphology following laser in situ keratomileusis. Exp Eye Res 66:755–763PubMedCrossRef Linna TU, Pérez-Santonja JJ, Tervo KM et al (1998) Recovery of corneal nerve morphology following laser in situ keratomileusis. Exp Eye Res 66:755–763PubMedCrossRef
14.
Zurück zum Zitat Secades JJ, Frontera G (1995) CDP-choline: pharmacological and clinical review. Methods Find Exp Clin Pharmacol 17:1–54PubMed Secades JJ, Frontera G (1995) CDP-choline: pharmacological and clinical review. Methods Find Exp Clin Pharmacol 17:1–54PubMed
15.
Zurück zum Zitat Schuettauf F, Rejdak R, Thaler S et al (2006) Citicoline and lithium rescue retinal ganglion cells following partial optic nerve crush in the rat. Exp Eye Res 83:1128–1134PubMedCrossRef Schuettauf F, Rejdak R, Thaler S et al (2006) Citicoline and lithium rescue retinal ganglion cells following partial optic nerve crush in the rat. Exp Eye Res 83:1128–1134PubMedCrossRef
16.
Zurück zum Zitat Oshitari T, Fujimoto N, Adachi-Usami E (2002) Citicoline has a protective eff ect on damaged retinal ganglion cells in mouse culture retina. Neuro Rep 13:2109–2111 Oshitari T, Fujimoto N, Adachi-Usami E (2002) Citicoline has a protective eff ect on damaged retinal ganglion cells in mouse culture retina. Neuro Rep 13:2109–2111
17.
Zurück zum Zitat Yen CL, Mar MH, Zeisel SH (1999) Choline deficiency-induced apoptosis in PC12 cells is associated with diminished membrane phosphatidylcholine and sphingomyelin, accumulation of ceramide and diacylglycerol, and activation of a caspase. FASEB J 13:135–142PubMedCrossRef Yen CL, Mar MH, Zeisel SH (1999) Choline deficiency-induced apoptosis in PC12 cells is associated with diminished membrane phosphatidylcholine and sphingomyelin, accumulation of ceramide and diacylglycerol, and activation of a caspase. FASEB J 13:135–142PubMedCrossRef
18.
Zurück zum Zitat Zerbini G, Bandello F, Lattanzio R et al (2015) In vivo evaluation of retinal and choroidal structure in a mouse model of long-lasting diabetes. Effect of topical treatment with citicoline. J Ocul Dis Ther 3:1–8CrossRef Zerbini G, Bandello F, Lattanzio R et al (2015) In vivo evaluation of retinal and choroidal structure in a mouse model of long-lasting diabetes. Effect of topical treatment with citicoline. J Ocul Dis Ther 3:1–8CrossRef
19.
Zurück zum Zitat Boismare F, Le Poncin M, Lefrancois J, Lecordier JC (1978) Action of cytidine diphosphocholine on functional and hemodynamie effects of cerebral ischemia in cats. Pharmacology 17:15–24PubMedCrossRef Boismare F, Le Poncin M, Lefrancois J, Lecordier JC (1978) Action of cytidine diphosphocholine on functional and hemodynamie effects of cerebral ischemia in cats. Pharmacology 17:15–24PubMedCrossRef
20.
Zurück zum Zitat Krupinski J, Abudawood M, Matou-Nasri S et al (2012) Citicoline induces angiogenesis improving survival of vascular/human brain microvessel endothelial cells through pathways involving ERK1/2 and insulin receptor substrate-1. Vasc Cell 4(1):20PubMedPubMedCentralCrossRef Krupinski J, Abudawood M, Matou-Nasri S et al (2012) Citicoline induces angiogenesis improving survival of vascular/human brain microvessel endothelial cells through pathways involving ERK1/2 and insulin receptor substrate-1. Vasc Cell 4(1):20PubMedPubMedCentralCrossRef
21.
Zurück zum Zitat Neo HY, Neelam K, Yip CC, Quah HM, Au Eong KG (2013) Choroidal neovascularization following laser in situ keratomileusis for high myopia: a case series. Int Ophthalmol 33(1):27–34PubMedCrossRef Neo HY, Neelam K, Yip CC, Quah HM, Au Eong KG (2013) Choroidal neovascularization following laser in situ keratomileusis for high myopia: a case series. Int Ophthalmol 33(1):27–34PubMedCrossRef
22.
Zurück zum Zitat Peponis VG, Chalkiadakis SE, Nikas SD, Makris NK, Ladas ID, Karagiannis DA (2011) Bilateral central serous retinopathy following laser in situ keratomileusis for myopia. J Cataract Refract Surg 37(4):778–780PubMedCrossRef Peponis VG, Chalkiadakis SE, Nikas SD, Makris NK, Ladas ID, Karagiannis DA (2011) Bilateral central serous retinopathy following laser in situ keratomileusis for myopia. J Cataract Refract Surg 37(4):778–780PubMedCrossRef
23.
Zurück zum Zitat Park CH, Kim YS, Noh HS et al (2005) Neuroprotective effect of citicoline against KA-induced neurotoxicity in the rat retina. Exp Eye Res 81:350–358PubMedCrossRef Park CH, Kim YS, Noh HS et al (2005) Neuroprotective effect of citicoline against KA-induced neurotoxicity in the rat retina. Exp Eye Res 81:350–358PubMedCrossRef
24.
Zurück zum Zitat Oshitari T, Yoshida-Hata N, Yamamoto S (2010) Effect of neurotrophic factors on neuronal apoptosis and neurite regeneration in cultured rat retinas exposed to high glucose. Brain Res 1346:43–51PubMedCrossRef Oshitari T, Yoshida-Hata N, Yamamoto S (2010) Effect of neurotrophic factors on neuronal apoptosis and neurite regeneration in cultured rat retinas exposed to high glucose. Brain Res 1346:43–51PubMedCrossRef
25.
Zurück zum Zitat Rao AM, Hatcher JF, Dempsey RJ (2001) Does CDP-choline modulate phospholipase activities aftertransient forebrain ischemia? Brain Res 893:268–272PubMedCrossRef Rao AM, Hatcher JF, Dempsey RJ (2001) Does CDP-choline modulate phospholipase activities aftertransient forebrain ischemia? Brain Res 893:268–272PubMedCrossRef
26.
Zurück zum Zitat Martinet M, Fonlupt P, Pacheco H (1979) Effects of cytidine-51-diphosphocholine on norepinephrine, dopamine and serotonin synthesis in various regions of the rat brain. Arch Int Pharmacodyn Ther 239:52–61PubMed Martinet M, Fonlupt P, Pacheco H (1979) Effects of cytidine-51-diphosphocholine on norepinephrine, dopamine and serotonin synthesis in various regions of the rat brain. Arch Int Pharmacodyn Ther 239:52–61PubMed
Metadaten
Titel
Effect of neuroprotective citicoline eye drops on macular microcirculation
verfasst von
Esat Cinar
Berna Yuce
Fatih Aslan
Gökhan Erbakan
Publikationsdatum
09.05.2020
Verlag
Springer Netherlands
Erschienen in
International Ophthalmology / Ausgabe 9/2020
Print ISSN: 0165-5701
Elektronische ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-020-01404-6

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