Department of Ophthalmology, University of Minnesota, Minneapolis 55455.
Source
Cornea, 1993 Sep, 12:5, 413-9
Abstract
Topical cyclosporin A was used in the management of 43 patients with a variety of
anterior segment inflammatory disorders that had failed corticosteroid treatment.
Treatment with topical cyclosporin A ranged from 1 week to 43 months, with a mean
treatment period of 13 months. Thirty-five patients (81%) with disorders including
high-risk keratoplasty, atopic and vernal keratoconjunctivitis, ligneous conjunctivitis,
ulcerative keratitis, and Mooren's ulcer had a beneficial result, with resolution,
reduction, or prevention of inflammation. Six patients (14%) with scleritis, ocular
cicatricial pemphigoid, or endothelitis showed no clinical improvement. Two patients (5%)
had significant ocular discomfort, and the drug had to be discontinued in them. None of
the other patients developed local side effects. Twenty-seven of these patients were
followed with serial cyclosporin A blood levels and serum creatinine. None of these
patients developed measurable drug blood levels or renal toxicity.