Comparison of topical cyclosporine alone and topical loteprednol with cyclosporine in moderate dry eye in Indian population: A prospective study

PURPOSE: The purpose of this study is to compare the efficacy of topical cyclosporine (Cs) 0.05% alone and topical Cs 0.05% with loteprednol 0.5% in patients with moderate dry eye. STUDY DESIGN: This was a comparative, prospective, interventional study. PATIENTS AND METHODS: A total of 140 patients...

Full description

Bibliographic Details
Main Authors: Shaveta Singla, Lopamudra Sarkar, Mukesh Joshi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Taiwan Journal of Ophthalmology
Subjects:
Online Access:http://www.e-tjo.org/article.asp?issn=2211-5056;year=2019;volume=9;issue=3;spage=173;epage=178;aulast=Singla
_version_ 1818873958200508416
author Shaveta Singla
Lopamudra Sarkar
Mukesh Joshi
author_facet Shaveta Singla
Lopamudra Sarkar
Mukesh Joshi
author_sort Shaveta Singla
collection DOAJ
description PURPOSE: The purpose of this study is to compare the efficacy of topical cyclosporine (Cs) 0.05% alone and topical Cs 0.05% with loteprednol 0.5% in patients with moderate dry eye. STUDY DESIGN: This was a comparative, prospective, interventional study. PATIENTS AND METHODS: A total of 140 patients diagnosed with moderate dry eyes were randomly divided into two groups. Group A patients received treatment with topical loteprednol 0.5% started as QID dosage for 2 weeks and tapered to BID dosage over the next 6 weeks, topical Cs 0.05% BID and artificial tears. Group B patients received treatment with topical Cs 0.05% BID and artificial tears. All patients were followed over a period of 6 months with ocular surface disease index (OSDI) questionnaire, tear film break up time (TBUT), corneal fluorescein, and lissamine green staining scores. RESULTS: There was a significant difference in the symptoms and signs of dry eye in the group receiving combination of loteprednol 0.5% and Cs 0.05% as compared to the group receiving Cs alone evident by greater reduction in OSDI score, corneal staining, and improvement in TBUT and Schirmer's test values over a follow-up of 6 months. CONCLUSION: Combination therapy with topical loteprednol and Cs is significantly better than topical Cs alone on alleviating symptoms and signs in moderate dry eye patients.
first_indexed 2024-12-19T13:02:58Z
format Article
id doaj.art-0893fcff70fd4dc98ee4eb6274b9a05d
institution Directory Open Access Journal
issn 2211-5056
2211-5072
language English
last_indexed 2024-12-19T13:02:58Z
publishDate 2019-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Taiwan Journal of Ophthalmology
spelling doaj.art-0893fcff70fd4dc98ee4eb6274b9a05d2022-12-21T20:20:10ZengWolters Kluwer Medknow PublicationsTaiwan Journal of Ophthalmology2211-50562211-50722019-01-019317317810.4103/tjo.tjo_15_18Comparison of topical cyclosporine alone and topical loteprednol with cyclosporine in moderate dry eye in Indian population: A prospective studyShaveta SinglaLopamudra SarkarMukesh JoshiPURPOSE: The purpose of this study is to compare the efficacy of topical cyclosporine (Cs) 0.05% alone and topical Cs 0.05% with loteprednol 0.5% in patients with moderate dry eye. STUDY DESIGN: This was a comparative, prospective, interventional study. PATIENTS AND METHODS: A total of 140 patients diagnosed with moderate dry eyes were randomly divided into two groups. Group A patients received treatment with topical loteprednol 0.5% started as QID dosage for 2 weeks and tapered to BID dosage over the next 6 weeks, topical Cs 0.05% BID and artificial tears. Group B patients received treatment with topical Cs 0.05% BID and artificial tears. All patients were followed over a period of 6 months with ocular surface disease index (OSDI) questionnaire, tear film break up time (TBUT), corneal fluorescein, and lissamine green staining scores. RESULTS: There was a significant difference in the symptoms and signs of dry eye in the group receiving combination of loteprednol 0.5% and Cs 0.05% as compared to the group receiving Cs alone evident by greater reduction in OSDI score, corneal staining, and improvement in TBUT and Schirmer's test values over a follow-up of 6 months. CONCLUSION: Combination therapy with topical loteprednol and Cs is significantly better than topical Cs alone on alleviating symptoms and signs in moderate dry eye patients.http://www.e-tjo.org/article.asp?issn=2211-5056;year=2019;volume=9;issue=3;spage=173;epage=178;aulast=SinglaCyclosporineloteprednolmoderate dry eyeocular surface disease index score
spellingShingle Shaveta Singla
Lopamudra Sarkar
Mukesh Joshi
Comparison of topical cyclosporine alone and topical loteprednol with cyclosporine in moderate dry eye in Indian population: A prospective study
Taiwan Journal of Ophthalmology
Cyclosporine
loteprednol
moderate dry eye
ocular surface disease index score
title Comparison of topical cyclosporine alone and topical loteprednol with cyclosporine in moderate dry eye in Indian population: A prospective study
title_full Comparison of topical cyclosporine alone and topical loteprednol with cyclosporine in moderate dry eye in Indian population: A prospective study
title_fullStr Comparison of topical cyclosporine alone and topical loteprednol with cyclosporine in moderate dry eye in Indian population: A prospective study
title_full_unstemmed Comparison of topical cyclosporine alone and topical loteprednol with cyclosporine in moderate dry eye in Indian population: A prospective study
title_short Comparison of topical cyclosporine alone and topical loteprednol with cyclosporine in moderate dry eye in Indian population: A prospective study
title_sort comparison of topical cyclosporine alone and topical loteprednol with cyclosporine in moderate dry eye in indian population a prospective study
topic Cyclosporine
loteprednol
moderate dry eye
ocular surface disease index score
url http://www.e-tjo.org/article.asp?issn=2211-5056;year=2019;volume=9;issue=3;spage=173;epage=178;aulast=Singla
work_keys_str_mv AT shavetasingla comparisonoftopicalcyclosporinealoneandtopicalloteprednolwithcyclosporineinmoderatedryeyeinindianpopulationaprospectivestudy
AT lopamudrasarkar comparisonoftopicalcyclosporinealoneandtopicalloteprednolwithcyclosporineinmoderatedryeyeinindianpopulationaprospectivestudy
AT mukeshjoshi comparisonoftopicalcyclosporinealoneandtopicalloteprednolwithcyclosporineinmoderatedryeyeinindianpopulationaprospectivestudy