The effect of topical ketamine administration on the corneal epithelium repair

Abstract The cornea is regarded as a sensitive organ to pain. Ketamine can effectively reduce postoperative neuropathic pain. We hypothesized that topical ketamine could mitigate postoperative corneal neuropathic pain. The aim of this study was to determine whether topical ketamine is safe for corne...

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Main Authors: Mehdi Sanatkar, Zohre Nozarian, Fatemeh Bazvand, Parisa Abdi
Format: Article
Language:English
Published: Nature Portfolio 2022-12-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-24639-y
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author Mehdi Sanatkar
Zohre Nozarian
Fatemeh Bazvand
Parisa Abdi
author_facet Mehdi Sanatkar
Zohre Nozarian
Fatemeh Bazvand
Parisa Abdi
author_sort Mehdi Sanatkar
collection DOAJ
description Abstract The cornea is regarded as a sensitive organ to pain. Ketamine can effectively reduce postoperative neuropathic pain. We hypothesized that topical ketamine could mitigate postoperative corneal neuropathic pain. The aim of this study was to determine whether topical ketamine is safe for cornea and evaluate its effect on the repair procedure the damaged corneal tissue. Our study was performed on only the right eyes of 15 male rats. All animals underwent general anesthesia and the whole corneal epithelium was removed. All subjects were divided into two groups: group 1 (n = 8), one drop of ketamine, and group 2 (n = 7), one drop of 0.9% sodium chloride administered topically on the scraped cornea every 6 h for 7 days. The rats’ s cornea was carefully monitored daily for the size of epithelial defects under a microscope and was photographed. On the eighth day, the eyes were sent for pathological examination. The eyes were examined for the amount of inflammation, neovascularization, keratinization, epithelial thickness and Descemet's membrane pathologies. The epithelial defect has healed completely on the sixth day in all rats in both groups. There was no significant difference in the speed of complete recovery between the two groups. No significant difference was observed between the two groups in terms of inflammation grade, neovascularization grade, and epithelial thickness. Our study showed that topical ketamine had no significant effect on corneal wound healing in a rat animal model and could be used safely for the management of postoperative chronic ocular pain.
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spelling doaj.art-2462dd7d1552422484af59ae9a93d8942022-12-22T03:01:57ZengNature PortfolioScientific Reports2045-23222022-12-011211710.1038/s41598-022-24639-yThe effect of topical ketamine administration on the corneal epithelium repairMehdi Sanatkar0Zohre Nozarian1Fatemeh Bazvand2Parisa Abdi3Anesthesiology, Critical Care and Pain Department, Farabi Eye Hospital, Tehran University of Medical SciencesPathology Department, Farabi Eye Hospital, Tehran University of Medical SciencesRetina Department, Farabi Eye Hospital, Tehran University of Medical SciencesCornea Department, Farabi Eye Hospital, Tehran University of Medical SciencesAbstract The cornea is regarded as a sensitive organ to pain. Ketamine can effectively reduce postoperative neuropathic pain. We hypothesized that topical ketamine could mitigate postoperative corneal neuropathic pain. The aim of this study was to determine whether topical ketamine is safe for cornea and evaluate its effect on the repair procedure the damaged corneal tissue. Our study was performed on only the right eyes of 15 male rats. All animals underwent general anesthesia and the whole corneal epithelium was removed. All subjects were divided into two groups: group 1 (n = 8), one drop of ketamine, and group 2 (n = 7), one drop of 0.9% sodium chloride administered topically on the scraped cornea every 6 h for 7 days. The rats’ s cornea was carefully monitored daily for the size of epithelial defects under a microscope and was photographed. On the eighth day, the eyes were sent for pathological examination. The eyes were examined for the amount of inflammation, neovascularization, keratinization, epithelial thickness and Descemet's membrane pathologies. The epithelial defect has healed completely on the sixth day in all rats in both groups. There was no significant difference in the speed of complete recovery between the two groups. No significant difference was observed between the two groups in terms of inflammation grade, neovascularization grade, and epithelial thickness. Our study showed that topical ketamine had no significant effect on corneal wound healing in a rat animal model and could be used safely for the management of postoperative chronic ocular pain.https://doi.org/10.1038/s41598-022-24639-y
spellingShingle Mehdi Sanatkar
Zohre Nozarian
Fatemeh Bazvand
Parisa Abdi
The effect of topical ketamine administration on the corneal epithelium repair
Scientific Reports
title The effect of topical ketamine administration on the corneal epithelium repair
title_full The effect of topical ketamine administration on the corneal epithelium repair
title_fullStr The effect of topical ketamine administration on the corneal epithelium repair
title_full_unstemmed The effect of topical ketamine administration on the corneal epithelium repair
title_short The effect of topical ketamine administration on the corneal epithelium repair
title_sort effect of topical ketamine administration on the corneal epithelium repair
url https://doi.org/10.1038/s41598-022-24639-y
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