Prolonged Duration Topical Corneal Anesthesia With the Cationic Lidocaine Derivative QX-314.

cornea drug toxicity/drug effect refractive surgery trauma wound healing

Journal

Translational vision science & technology
ISSN: 2164-2591
Titre abrégé: Transl Vis Sci Technol
Pays: United States
ID NLM: 101595919

Informations de publication

Date de publication:
Sep 2019
Historique:
received: 06 05 2019
accepted: 15 08 2019
entrez: 23 10 2019
pubmed: 23 10 2019
medline: 23 10 2019
Statut: epublish

Résumé

Topical corneal local anesthetics are short acting and may impair corneal healing. In this study we compared corneal anesthesia and toxicity of topically applied Various concentrations of QX-314 and 15 mM (0.5%) PPC were topically applied to rat corneas. Corneal anesthesia was assessed with a Cochet-Bonnet esthesiometer at predetermined time points. PC12 cells were exposed to the same solutions to assess cytotoxicity. Repeated topical corneal administration in rats was then used to assess for histologic evidence of toxicity. Finally, we created uniform corneal epithelial defects in rats and assessed the effect of repeated administration of these compounds on the defect healing rate. QX-314 (15 mM) and PPC (15 mM) caused similar total duration (114 ± 17 and 87 ± 16 minutes, respectively; Topical administration of QX-314 is effective for corneal anesthesia and demonstrates no histologic signs of local toxicity in a rodent model. In higher concentrations, QX-314 provides more than twofold the duration of anesthetic effect than does 0.5% PPC. Our study reveals a clinically relevant compound providing prolonged duration topical corneal anesthesia.

Identifiants

pubmed: 31637108
doi: 10.1167/tvst.8.5.28
pii: TVST-19-1608
pmc: PMC6798327
doi:

Types de publication

Journal Article

Langues

eng

Pagination

28

Informations de copyright

Copyright 2019 The Authors.

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Auteurs

Alan G Woodruff (AG)

Kohane Lab for Biomaterials and Drug Delivery, Department of Anesthesia, Perioperative and Pain Medicine, Division of Critical Care, Boston Children's Hospital, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.

Claudia M Santamaria (CM)

Kohane Lab for Biomaterials and Drug Delivery, Department of Anesthesia, Perioperative and Pain Medicine, Division of Critical Care, Boston Children's Hospital, Boston, MA, USA.

Manisha Mehta (M)

Kohane Lab for Biomaterials and Drug Delivery, Department of Anesthesia, Perioperative and Pain Medicine, Division of Critical Care, Boston Children's Hospital, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.

Grant L Pemberton (GL)

Kohane Lab for Biomaterials and Drug Delivery, Department of Anesthesia, Perioperative and Pain Medicine, Division of Critical Care, Boston Children's Hospital, Boston, MA, USA.

Kathleen Cullion (K)

Kohane Lab for Biomaterials and Drug Delivery, Department of Anesthesia, Perioperative and Pain Medicine, Division of Critical Care, Boston Children's Hospital, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.
Department of Medicine, Division of Medicine Critical Care, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.

Daniel S Kohane (DS)

Kohane Lab for Biomaterials and Drug Delivery, Department of Anesthesia, Perioperative and Pain Medicine, Division of Critical Care, Boston Children's Hospital, Boston, MA, USA.
Harvard Medical School, Boston, MA, USA.
David H. Koch Institute, Massachusetts Institute of Technology, Cambridge, MA, USA.

Classifications MeSH