title: Clinical efficacy of a Ginkgo biloba extract in the topical treatment of allergic conjunctivitis.
abstract: OBJECTIVE
  To investigate the clinical efficacy of a Ginkgo biloba extract associated with hyaluronic acid ophthalmic solution (GB-HA, Trium, SOOFT, Italy), compared to hyaluronic acid ophthalmic solution (HA) alone, in seasonal allergic conjunctivitis (AC).
  
  
  METHODS
  A total of 60 patients with symptomatic AC were enrolled and randomly assigned to the two treatment regimens. After a washout period of 15 days, the treatment with GB-HA eyedrops or HA ophthalmic solution alone was initiated and continued for 1 month. The clinical symptoms such as conjunctival hyperemia, conjunctival discharge, and chemosis, and subjective signs as itching, photophobia, stinging, and lacrimation, were evaluated before and after the treatment. A 0-4 score was used by an independent clinical observer to quantify the above parameters.
  
  
  RESULTS
  Patients treated with GB-HA, compared to patients treated with HA alone, showed a significant decrease in the appearance of conjunctival hyperemia, conjunctival discharge, and chemosis. Furthermore, all patients treated with GB-HA showed a significant improvement of subjective symptoms, compared to HA patients. Compared to their baseline values, patients treated with HA alone showed a small but not significant improvement in only some of the clinical and subjective symptoms.
  
  
  CONCLUSIONS
  The results suggest that Ginkgo biloba extract may exert therapeutic activity in the treatment of seasonal allergic conjunctivitis. Hyaluronic acid did not exert any valuable effect on this pathology.
authors.affiliation: Ophthalmological Clinic, University of Foggia Medical School, Foggia - Italy. virus66@alice.it
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Russo
authors.forename: Andrea
authors.initials: A
authors.lastname: Stella
authors.forename: Loredana
authors.initials: L
authors.lastname: Appezzati
authors.forename: Antonio
authors.initials: A
authors.lastname: Barone
authors.forename: Edoardo
authors.initials: E
authors.lastname: Stagni
authors.forename: Anna
authors.initials: A
authors.lastname: Roszkowska
authors.forename: Nicola
authors.initials: N
authors.lastname: Delle Noci
mesh_terms: D000293:Adolescent; D003233:Conjunctivitis, Allergic / Q000175:diagnosis / Q000188:drug therapy* / Q000503:physiopathology; D004359:Drug Therapy, Combination; D005260:Female; D020441:Ginkgo biloba; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D008297:Male; D009883:Ophthalmic Solutions / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D010936:Plant Extracts / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D016896:Treatment Outcome; D000096983:Ginkgo Extract
chemical_list: D006820:Hyaluronic Acid; D009883:Ophthalmic Solutions; D010936:Plant Extracts; C063170:Ginkgo biloba extract; D000096983:Ginkgo Extract