Latest Advances in the Diagnosis and Management of Ocular Surface Disorders

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Ophthalmology".

Deadline for manuscript submissions: closed (1 July 2022) | Viewed by 1988

Special Issue Editors


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Guest Editor
Centre for Ophthalmology and Visual Science, University of Western Australia, Perth, Australia
Interests: ophthalmology; ocular surface disease; limbal stem cell transplantation; ophthalmic genetics; retinitis pigmentosa; adaptive optics imaging; clinical trials

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Guest Editor
1. Department of Ophthalmology, University of South Florida, Tampa, FL, USA
2. Department of Ophthalmology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Interests: ophthalmology; cornea; ocular surface disease; dry eye disease; limbal stem cell transplantation; glaucoma

Special Issue Information

Dear Colleagues,

I am privileged to introduce this Special Issue on the “Latest Advances in the Diagnosis and Management of Ocular Surface Disorders”. The ocular surface plays a key role in maintaining corneal clarity, optimal vision, and ocular comfort. Alteration of the ocular surface integrity occurs in a wide range of entities and may lead to serious complications, including blindness. Dry eye disease (DED) is the most common cause of ocular complaints that not only causes visual disturbances, but also affects the quality of life and incurs a high economic burden. Limbal stem cell deficiency (LSCD), characterized by a corneal epithelial defect and vascularization, causes severe visual disability, and usually necessitates surgical intervention. Managing this can be challenging, especially in bilateral cases. Squamous neoplasia is relatively common in the ocular surface. Local/topical cytotoxic and immunomodulatory agents have been used successfully to manage ocular surface squamous neoplasia (OSSN), either as a sole treatment or as an adjuvant. The involvement of the ocular surface is common in immunologic disorders such as Stevens–Johnson syndrome (SJS) and mucus membrane pemphigoid (MMP). Both conditions result in a cicatrizing conjunctivitis that usually causes severe visual impairment.

The ocular surface field has evolved over the past few years. For instance, the pathogenesis and risk factors of DED have been investigated rigorously and several diagnostic methods and therapeutic strategies have been introduced. Bioengineered limbal and non-limbal stem cells have been used to treat LCSD and have shown promising outcomes. The use of immunomodulatory agents to treat OSSN has become popular, despite the controversies regarding the long-term outcome. Multiple immunosuppressive and immunomodulatory agents have been used to treat immunologic ocular surface disorders, with controversial results.

This Special Issue accepts reviews and original articles containing the latest advances in the diagnosis and management of ocular surface disorders, including, but not limited to, DED, meibomian gland dysfunction, blepharitis, ocular rosacea, LSCD, aniridia-associated keratopathy, ocular surface neoplasia, ocular surface immunologic disorders (including SJS, MMP, atopic, and allergic keratoconjunctivitis), recurrent corneal erosion, epithelial corneal dystrophies, and contact lens-related complications.

Dr. Danial Roshandel
Prof. Dr. Alireza Baradaran-Rafii
Guest Editors

Manuscript Submission Information

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Keywords

  • dry eye disease
  • meibomian gland dysfunction
  • blepharitis
  • limbal stem cell deficiency
  • ocular surface neoplasms
  • Stevens-Johnson syndrome
  • mucus membrane pemphigoid
  • atopic keratoconjunctivitis
  • allergic keratoconjunctivitis
  • recurrent corneal erosion

Published Papers (1 paper)

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Research

8 pages, 583 KiB  
Article
Aqueous Humour Ofloxacin Concentration after Topical Instillation in Patients with Dry Eye Disease
by Konstantinos Kagkelaris, Mohamed A. El Mubarak, Panagiotis Plotas, Dimitris Panaretos, George D. Panayiotakopoulos, Gregory B. Sivolapenko and Constantinos D. Georgakopoulos
Medicina 2022, 58(8), 1031; https://doi.org/10.3390/medicina58081031 - 1 Aug 2022
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Abstract
Background and Objectives: A prospective, randomized clinical trial was conducted to evaluate the concentration of ofloxacin in the aqueous humour (AqH) of patients suffering from dry eye disease (DED) after topical instillation. Materials and Methods: Ninety-one (91) cataract patients scheduled for [...] Read more.
Background and Objectives: A prospective, randomized clinical trial was conducted to evaluate the concentration of ofloxacin in the aqueous humour (AqH) of patients suffering from dry eye disease (DED) after topical instillation. Materials and Methods: Ninety-one (91) cataract patients scheduled for phacoemulsification were categorized into three groups according to DED severity. Group I (n = 17) was comprised of subjects without DED, patients in group II (n = 37) were evaluated as having non-severe DED, while group III (n = 37) consisted of patients suffering from severe DED. Preoperatively, patients received 4 drops of 0.3% of ofloxacin at 15 min intervals. One hour after the last instillation, aqueous samples were collected intraoperatively. Results: The median AqH concentration of ofloxacin in group I was 199.9 ng/mL (range 92.2–442.8 ng/mL), while in group II it was 530.5 ng/mL (range 283.7–1004.9 ng/mL), and 719.2 ng/mL (range 358.0–1512.4 ng/mL) in Group III, p < 0.001 (Kruskal-Wallis tests). Pairwise tests (two-tailed with Bonferroni corrections) between groups resulted in a p-value of 0.001 when group II was compared to group I and group III was compared to group I, and a p-value of 0.020 when group II was compared to group III. The severity of DED, across groups I, II, and III, and the levels of ofloxacin revealed a strong positive correlation (r = 0.639, p < 0.001). Conclusions: Ofloxacin concentration in the AqH after topical drop instillation may be affected by the degree of ocular surface inflammation in patients suffering from DED. Full article
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