[Immunosuppression after corneal transplantation : Clinical standards and novel approaches]

Ophthalmologe. 2016 May;113(5):432-4. doi: 10.1007/s00347-016-0268-y.
[Article in German]

Abstract

Corticosteroid eye drops are the mainstay of immunosuppressive therapy after routine lamellar and perforating corneal transplantation. Commonly occurring side effects are cataract formation and increased intraocular pressure. Alternative immunosuppressive agents could allow the dosage of glucocorticoids to be reduced. The antibiotic azithromycin is a candidate drug that showed anti-inflammatory properties in cell cultures and animal models and has positive effects on transplant rejection.

Keywords: Anti-inflammatory agents; Azithromycin; Corneal transplantation; Glucocorticoids; Graft rejection.

MeSH terms

  • Corneal Transplantation / adverse effects*
  • Corneal Transplantation / standards*
  • Evidence-Based Medicine
  • Germany
  • Glucocorticoids / administration & dosage
  • Graft Rejection / etiology
  • Graft Rejection / prevention & control*
  • Humans
  • Immunosuppression Therapy / standards*
  • Immunosuppressive Agents / administration & dosage*
  • Keratitis / etiology
  • Keratitis / prevention & control*
  • Practice Guidelines as Topic
  • Treatment Outcome

Substances

  • Glucocorticoids
  • Immunosuppressive Agents