Change of tear lipid mediators in a post-trabeculectomy cohort.
Cohort study
Dry eye
Glaucoma surgery
Lipid mediators
Mass spectrometry
Ocular surface disease
Journal
The ocular surface
ISSN: 1937-5913
Titre abrégé: Ocul Surf
Pays: United States
ID NLM: 101156063
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
21
10
2019
revised:
02
02
2020
accepted:
06
06
2020
pubmed:
6
7
2020
medline:
13
5
2021
entrez:
6
7
2020
Statut:
ppublish
Résumé
Trabeculectomy surgery could affect ocular surface disease (OSD) in several ways, through cessation of long term glaucoma eyedrops, exposure to operative mitomycin C and post-operative eyedrops including corticosteroids and aminoglycosides and reduction in eyelid hygiene measures. Previously we showed the relevance of tear lipid mediators (also referred oxylipins) in OSD. Here, we aim to evaluate changes of these lipids in a post-trabeculectomy cohort. Patients undergoing trabeculectomy were prospectively evaluated and had tear collected using Schirmer's strips, preoperatively and postoperatively at 0.5, 1.0 and 3.0 years. Lipid mediators were analyzed using liquid chromatography mass spectrometry. The normalized concentrations of 40 lipid mediators were between 0.1 and 8.0 ng/mL, whereas docosahexaenoic acid (DHA), Arachidonic acid (AA) and eicosapentaenoic acid (EPA) ranged up to a few hundred ng/mL. The concentrations of lipid mediators, except DHA, EPA, and thromboxane (TXB An increase in the level of 2,3-dinor-8-isoPGF In this 3-years study, trabeculectomy reduced the tear level of pro-inflammatory lipid mediators. Patients who required needling of the bleb to maintain surgical success may have a chronic underlying inflammatory process associated with fibrosis.
Identifiants
pubmed: 32622916
pii: S1542-0124(20)30101-4
doi: 10.1016/j.jtos.2020.06.004
pii:
doi:
Substances chimiques
Ophthalmic Solutions
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
565-574Informations de copyright
Copyright © 2020 The Authors. Published by Elsevier Inc. All rights reserved.