PMID- 12752058 OWN - NLM STAT- MEDLINE DCOM- 20030729 LR - 20190922 IS - 1395-3907 (Print) IS - 1395-3907 (Linking) VI - 81 IP - 2 DP - 2003 Apr TI - Effects of topical vitamin E on corneal superoxide dismutase, glutathione peroxidase activities and polymorphonuclear leucocyte infiltration after photorefractive keratectomy. PG - 177-80 AB - PURPOSE: Photorefractive keratectomy (PRK) induces free radical formation and polymorphonuclear (PMN) cell infiltration in the cornea. Vitamin E is a free radical scavenger and protects the cells from reactive oxygen species. We investigated the effects of topical vitamin E on corneal PMN cell infiltration and corneal antioxidant enzyme activities after PRK. METHODS: We studied four groups, each consisting of seven eyes. Group 1 were control eyes. In group 2 the corneal epithelium was removed by a blunt spatula (epithelial scrape). In group 3, corneal photoablation (59 micro m, 5 dioptres) was performed after epithelial removal (traditional PRK). In group 4 we tested the effects of topical Vitamin E after traditional PRK. Corneal tissues were removed and studied with enzymatic analysis (measurement of corneal superoxide dismutase and glutathione peroxidase activities) and histologically. RESULTS: Stromal PMN leucocyte counts were significantly higher after mechanical epithelial removal and traditional PRK (p < 0.05). Corneal superoxide dismutase and glutathione peroxidase activities decreased significantly after mechanical epithelial removal and traditional PRK (p < 0.05). In group 4, treated with vitamin E, corneal superoxide dismutase activity did not differ significantly from that in the medically non-treated groups, nor did corneal PMN cell infiltration after traditional PRK. The reduction of corneal glutathione peroxidase activity after PRK was reduced significantly after topical vitamin E treatment. CONCLUSIONS: Topical vitamin E treatment may be useful for reducing the harmful effects of reactive oxygen radical after epithelial scraping and PRK in that it increases corneal glutathione peroxidase activity. FAU - Bilgihan, Ayse AU - Bilgihan A AD - Department of Biochemistry, Gazi University Medical School, Ankara, Turkey. ayseb@med.gazi.edu.tr FAU - Bilgihan, Kamil AU - Bilgihan K FAU - Yis, Ozgur AU - Yis O FAU - Sezer, Cem AU - Sezer C FAU - Akyol, Gulen AU - Akyol G FAU - Hasanreisoglu, Berati AU - Hasanreisoglu B LA - eng PT - Journal Article PL - Denmark TA - Acta Ophthalmol Scand JT - Acta ophthalmologica Scandinavica JID - 9507578 RN - 0 (Antioxidants) RN - 1406-18-4 (Vitamin E) RN - EC 1.11.1.9 (Glutathione Peroxidase) RN - EC 1.15.1.1 (Superoxide Dismutase) SB - IM MH - Administration, Topical MH - Animals MH - Antioxidants/*administration & dosage MH - Cornea/drug effects/*enzymology/pathology MH - Glutathione Peroxidase/*metabolism MH - Lasers, Excimer MH - Leukocyte Count MH - Neutrophil Infiltration/*drug effects MH - Neutrophils/pathology MH - *Photorefractive Keratectomy MH - *Postoperative Care MH - Rabbits MH - Superoxide Dismutase/*metabolism MH - Vitamin E/*administration & dosage EDAT- 2003/05/20 05:00 MHDA- 2003/07/30 05:00 CRDT- 2003/05/20 05:00 PHST- 2003/05/20 05:00 [pubmed] PHST- 2003/07/30 05:00 [medline] PHST- 2003/05/20 05:00 [entrez] AID - 042 [pii] AID - 10.1034/j.1600-0420.2003.00042.x [doi] PST - ppublish SO - Acta Ophthalmol Scand. 2003 Apr;81(2):177-80. doi: 10.1034/j.1600-0420.2003.00042.x.