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Published Online: 27 February 2006

Efficacy of Topical Cyclosporin 0.05% in the Treatment of Posterior Blepharitis

Publication: Journal of Ocular Pharmacology & Therapeutics
Volume 22, Issue Number 1

Abstract

We assessed the efficacy of topical cyclosporin 0.05% ophthalmic emulsion versus tobramycin 0.3%/dexamethasone 0.1% in patients with posterior blepharitis. Posterior blepharitis improved significantly from the initial study visit with both cyclosporin treatment and tobramycin/dexamethasone. Cyclosporin provided greater improvements in Schirmer's scores (P < 0.001) and tear break-up time (P =0.018) than tobramycin/dexamethasone after 12 weeks of treatment. Eyelid health also improved in both groups, but the mean improvement in meibomian gland secretion quality was significantly greater with cyclosporin than with tobramycin/dexamethasone (P = 0.015). Moreover, a higher percentage of patients in the cyclosporin treatment group had improvements in symptoms of blurred vision, burning, and itching and more cyclosporin-treated patients experienced resolution of lid telangiectasia. The findings in this prospective study suggest that posterior blepharitis can be more effectively treated with cyclosporin than with tobramycin/dexamethasone. These findings should be further evaluated in large-scale, controlled, clinical trials.

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cover image Journal of Ocular Pharmacology and Therapeutics
Journal of Ocular Pharmacology & Therapeutics
Volume 22Issue Number 1February 2006
Pages: 47 - 53
PubMed: 16503775

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Published online: 27 February 2006
Published in print: February 2006

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Michael Rubin
Department of Ophthalmology, University of Chicago, Chicago, IL.
Sanjay N. Rao
Department of Ophthalmology, University of Chicago, Chicago, IL.

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