A comparison of the precorneal residence of an artificial tear preparation in patients with keratoconjunctivitis sicca and normal volunteer subjects using gamma scintigraphy.
The precorneal residence of an artificial tear preparation has been compared in twelve patients with keratoconjunctivitis sicca (KCS) and twelve normal healthy volunteers. The artificial tear solution was radiolabelled by the inclusion of 1 MBq technetium-99m diethylenetriaminepentaacetic acid (99Tcm-DTPA), and 25 microliters was instilled into one eye only. Deposition of the preparation was followed by gamma scintigraphy. Precorneal clearance of the solution was found to follow bi-exponential kinetics in all subjects with no significant differences in clearance rates between the two study populations. There was also no significant difference in the area under the time-activity profile for the two study groups. This suggests that the reduced reflex tearing and basal lacrimation in KCS patients, indicated by the Schirmer's test, are not important in the clearance of isotonic solutions from the eye surface.
Greaves
J L
JL
Department of Physiology & Pharmacology, Medical School, Queen's Medical Centre, Nottingham, Great Britain.
Wilson
C G
CG
Galloway
N R
NR
Birmingham
A T
AT
Olejnik
O
O
D000328:Adult; D000368:Aged; D003315:Cornea / Q000000981:diagnostic imaging / Q000378:metabolism*; D005260:Female; D006801:Humans; D007638:Keratoconjunctivitis Sicca / Q000000981:diagnostic imaging / Q000378:metabolism*; D008297:Male; D008875:Middle Aged; D009883:Ophthalmic Solutions / Q000493:pharmacokinetics*; D011877:Radionuclide Imaging; D013666:Tears; D016284:Technetium Tc 99m Pentetate
D009883:Ophthalmic Solutions; D016284:Technetium Tc 99m Pentetate