The Effect of Duration of Administration and Discontinuation of Fluorometholone Eye Drops on The Trabecular Meshwork

Background: The extracellular matrix (ECM) in the trabecular meshwork (TM) may play a role in the steroid-induced aqueous humor outflow resistance pathophysiology. Topical steroids such as fluorometholone can cause elevated intraocular pressure. Increased synthesis and accumulation of TM ECM protein...

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Main Authors: Muslim, Sandi (Author), Saubig, Arnila Novitasari (Author), Prihatningtias, Riski (Author), Sulakso, A. Kentar Arimadyo (Author), Rahmi, Fifin Luthfia (Author)
Format: EJournal Article
Published: Faculty of Medicine, Universitas Diponegoro, 2022-08-31.
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042 |a dc 
100 1 0 |a Muslim, Sandi  |e author 
700 1 0 |a Saubig, Arnila Novitasari  |e author 
700 1 0 |a Prihatningtias, Riski  |e author 
700 1 0 |a Sulakso, A. Kentar Arimadyo  |e author 
700 1 0 |a Rahmi, Fifin Luthfia  |e author 
245 0 0 |a The Effect of Duration of Administration and Discontinuation of Fluorometholone Eye Drops on The Trabecular Meshwork 
260 |b Faculty of Medicine, Universitas Diponegoro,   |c 2022-08-31. 
500 |a https://ejournal2.undip.ac.id/index.php/jbtr/article/view/13817 
520 |a Background: The extracellular matrix (ECM) in the trabecular meshwork (TM) may play a role in the steroid-induced aqueous humor outflow resistance pathophysiology. Topical steroids such as fluorometholone can cause elevated intraocular pressure. Increased synthesis and accumulation of TM ECM proteins due to steroids result in TM dysfunction and elevated intraocular pressure.Purpose: This study aims to analyze the effect of duration of administration and discontinuation of fluorometholone eye drops on the thickness of the TM ECM of Wistar rats.Methods: This study was an experimental study with a posttest-only control group design. The total sample of 25 rats was divided into 5 groups: Treatment 1 was given topical fluorometholone for 4 weeks and stopped for 4 weeks. Treatment 2 was given fluorometholone for 6 weeks and stopped for 4 weeks. Control 1 was given topical fluorometholone for 4 weeks, Control 2 was given topical fluorometholone for 6 weeks, and the negative control was used as a baseline. TM ECM examination was assessed using histopathological score grading. This study used the Mann-Whitney test and the Kruskal-Wallis comparative hypothesis test.Results: The difference in ECM thickness was not statistically significant either between treatment group 1 and treatment group 2 (p=1.000) or control group 1 (p=0,1000). There was a significant change in the thickness of the TM ECM in treatment group 1, treatment 2, control 1, control 2 compared to the negative control (p=0.003, p=0.003, p=0.003, p=0.004).Conclusion: TM ECM thickness did not return to normal thickness after administration of fluorometholone eye drops one drop 4 times a day for 4 weeks and 6 weeks followed by discontinuation of the drug for 4 weeks. The thickness of the TM ECM was thicker in experimental rats with a longer duration of administration of fluorometholone eye drops. 
540 |a Copyright (c) 2022 Journal of Biomedicine and Translational Research 
540 |a https://creativecommons.org/licenses/by-sa/4.0 
546 |a eng 
690 |a Extracellular matrix; Fluorometholone; Trabecular meshwork 
655 7 |a info:eu-repo/semantics/article  |2 local 
655 7 |a info:eu-repo/semantics/publishedVersion  |2 local 
655 7 |2 local 
786 0 |n Journal of Biomedicine and Translational Research; Vol 8, No 2 (2022): August 2022; 59-62 
786 0 |n 2503-2178 
786 0 |n 10.14710/jbtr.v8i2 
787 0 |n https://ejournal2.undip.ac.id/index.php/jbtr/article/view/13817/7913 
787 0 |n https://ejournal2.undip.ac.id/index.php/jbtr/article/downloadSuppFile/13817/3324 
787 0 |n https://ejournal2.undip.ac.id/index.php/jbtr/article/downloadSuppFile/13817/3393 
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856 4 1 |u https://ejournal2.undip.ac.id/index.php/jbtr/article/downloadSuppFile/13817/3324  |z Get Fulltext 
856 4 1 |u https://ejournal2.undip.ac.id/index.php/jbtr/article/downloadSuppFile/13817/3393  |z Get Fulltext