Egypt. J. Biophys. Biomed. Engng.Vol. 18 , pp. 46 -55 (2017)
ُ*Corresponding author :ayman_salah8@yahoo.com
DOI: 10.21608/EJBBE.2018.2840.1014
©2017 National Information and Documentation Centre (NIDOC)
The eye is a vital organ which gives us the sense
of sight, allowing us to learn more about the
surrounding world than we do with any of the
other four senses. Cornea is the outermost part of
the eye. It is clear with no blood vessels to nourish
it but it obtains its nourishments from the tear and
aqueous humor. It is an organized group of cells
and proteins arranged in fve layers
(1)
. It provides
two-thirds of the total ocular refractory power.
Corneal neovascularization (CNV) is considered
as one of the most common cause of blindness
worldwide
(2)
. Corneal neovascularization
(CNV) is a challenging condition, and because
corneal clarity and avascularity are critical for
maintaining vision, developing treatments for
corneal NV is crucial. Corneal NV occurs as a
result of disequilibrium between angiogenic and
T
HE AIM of the present work is to evaluate the effect of photodynamic therapy (PDT) by
using argon laser with rose bengal (Herbs) as a photosensitizer when compared to the Avastin
for treatment of corneal neovascularization (CNV) in rabbits. Thirty-Nine Newzealand male
rabbits aged 2.5 months and weighing 2.5-3 kg are selected from the animal house of research
institute of ophthalmology, Giza, Egypt. Three rabbits are considered as control, and thirty-six
rabbits are subjected to corneal neovascularization (CNV) induced by 3 silk sutures at mid-stromal
depth approximately 1 mm from the limbus. After four days, sutures are removed and slit lamp
examinations are performed to determine the area of CNV. Rabbits with CNV are divided into 3
groups: (1) The frst group left without any treatment (n=12); (2) The second group (n=12 rabbits)
were generally anesthetized and rose bengal (C20H4Cl4I4O5) with a dose of 50 mg/Kg was
administered by slow intravenous injection in the marginal ear vein. After 15 minutes, rabbit’s eyes
were exposed to argon laser (Quantel-Medical, Vitra, France) in a pulsed mode at 532 nm, spot
size of 50 μm, pulse duration of 0.2 ms and a power of 150-200 mW/cm 2.; (3) The third group has
been treated with subconjunctival injection of 25 mg Avastin (n=12). The rabbits were followed up
for 4 weeks and 3 rabbits are selected and sacrifced weekly from each group. The corneas have
been isolated for determination of protein content, SDS-poly acrylamide gel electrophoresis, total
antioxidant capacity (TAC) and total oxidative capacity (TOC). Final results show that avastin is
almost as effective as photodynamic therapy.
Keywords: Corneal neovascularization (CNV) , Photodynamic therapy (PDT), Argon laser ,
Avastin.
5
Effciency of Argon Laser and Bevacizumab (Avastin) in Treatment
of Corneal Neovascularization in Experimental Animal Models
Mohamed I. El Gohary
*
, Salwa A. Abdelkawi
**
, Aziza A. Hassan
***
, Ahmed TS
Saif
****
and Ayman S. El Shinawy
*
.
*
Physics Department, Biophysics Branch, Faculty of Science, Al-Azhar University
(Boys);
**
Department of Vision Science, Biophysics and Laser Science Unit, Research
Institute of Ophthalmology;
***
Ophthalmic Unit, National Institute for Laser Enhanced
Science, Cairo University,
****
Ophthalmology Department, Fayoum University, Egypt.
antiangiogenic stimuli
(3,4)
. Many different types of
treatment have been tried previously for corneal
neovascularization. The primary treatments
of these vessels are the topical corticosteroids
and non-steroids anti-inflammatory drugs.
However, if the vessels have been established
for an extended period, these treatments are ine-
ective
(5)
. In photodynamic therapy, systemically
administered porphyrin derivatives accumulate
in proliferating endothelial cells. Laser energy is
then used to activate the porphyrin derivatives
librating cytotoxic oxygen free radicals
(6)
. This
reactive oxygen species (ROS) facilitate the damage
of vascular endothelium by activates platelets,
leading to the formation of thrombus that occlude
the target vessels. Vascular endothelial growth
factor (VEGF) is a member of the platelet-