Ciclosporin A in ophthalmology: A systematic review

Aim: To systematically analyse data from randomized controlled trials of topical Ciclosporin with the aim of assessing the uses and effectiveness of Ciclosporin in different conditions, optimal dosage and adverse effect profile. Methods: 24 RCTs that had evaluated the uses and efficacy of Ciclospori...

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Main Author: Kaberi Biswas Feroze
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Kerala Journal of Ophthalmology
Subjects:
Online Access:http://www.kjophthal.com/article.asp?issn=0976-6677;year=2019;volume=31;issue=3;spage=182;epage=190;aulast=Feroze
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author Kaberi Biswas Feroze
author_facet Kaberi Biswas Feroze
author_sort Kaberi Biswas Feroze
collection DOAJ
description Aim: To systematically analyse data from randomized controlled trials of topical Ciclosporin with the aim of assessing the uses and effectiveness of Ciclosporin in different conditions, optimal dosage and adverse effect profile. Methods: 24 RCTs that had evaluated the uses and efficacy of Ciclosporin in different ocular conditions were selected and were used in this review. Articles published upto December 2018 were identified from the following sources- Medline, Scopus, Web of science and references from relevant articles. Results: The average JADAD score was 3.16. Symptomatic relief and objective improvement of ocular signs were noted in most cases of allergic eye disease, moderate to severe dry eye disease and lid margin inflammatory disease. It was also found to accelerate post surgical corneal nerve healing and recovery of corneal sensation. It was not effective in post keratoplasty graft rejection. Adverse effects reported were minimal and included symptoms like ocular stinging. Conclusions: Even though topical Ciclosporin A is an attractive treatment option in many ocular conditions, more structured RCTs are needed to standardize the dose and provide a detailed adverse effect profile.
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spelling doaj.art-8b07aca8801c4e71aea91f47b40ca88c2022-12-21T20:37:46ZengWolters Kluwer Medknow PublicationsKerala Journal of Ophthalmology0976-66772019-01-0131318219010.4103/kjo.kjo_80_19Ciclosporin A in ophthalmology: A systematic reviewKaberi Biswas FerozeAim: To systematically analyse data from randomized controlled trials of topical Ciclosporin with the aim of assessing the uses and effectiveness of Ciclosporin in different conditions, optimal dosage and adverse effect profile. Methods: 24 RCTs that had evaluated the uses and efficacy of Ciclosporin in different ocular conditions were selected and were used in this review. Articles published upto December 2018 were identified from the following sources- Medline, Scopus, Web of science and references from relevant articles. Results: The average JADAD score was 3.16. Symptomatic relief and objective improvement of ocular signs were noted in most cases of allergic eye disease, moderate to severe dry eye disease and lid margin inflammatory disease. It was also found to accelerate post surgical corneal nerve healing and recovery of corneal sensation. It was not effective in post keratoplasty graft rejection. Adverse effects reported were minimal and included symptoms like ocular stinging. Conclusions: Even though topical Ciclosporin A is an attractive treatment option in many ocular conditions, more structured RCTs are needed to standardize the dose and provide a detailed adverse effect profile.http://www.kjophthal.com/article.asp?issn=0976-6677;year=2019;volume=31;issue=3;spage=182;epage=190;aulast=Ferozeallergic eye diseaseciclosporindry eye disease
spellingShingle Kaberi Biswas Feroze
Ciclosporin A in ophthalmology: A systematic review
Kerala Journal of Ophthalmology
allergic eye disease
ciclosporin
dry eye disease
title Ciclosporin A in ophthalmology: A systematic review
title_full Ciclosporin A in ophthalmology: A systematic review
title_fullStr Ciclosporin A in ophthalmology: A systematic review
title_full_unstemmed Ciclosporin A in ophthalmology: A systematic review
title_short Ciclosporin A in ophthalmology: A systematic review
title_sort ciclosporin a in ophthalmology a systematic review
topic allergic eye disease
ciclosporin
dry eye disease
url http://www.kjophthal.com/article.asp?issn=0976-6677;year=2019;volume=31;issue=3;spage=182;epage=190;aulast=Feroze
work_keys_str_mv AT kaberibiswasferoze ciclosporinainophthalmologyasystematicreview