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Effect of ketorolac on herpes simplex virus type one ocular infection in rabbits.

Abstract
Corticosteroids can exacerbate viral ocular infections. Ketorolac tromethamine is an effective nonsteroidal anti-inflammatory agent that may be a useful substitute for corticosteroids following ocular surgery. In this study, rabbits ocularly infected with herpes simplex virus type 1 (HSV-1) were treated topically four times daily with 0.5 percent ketorolac or 0.1 percent dexamethasone for 7 days after infection. Severity of the infection was determined by scoring corneal opacity and HSV-1 corneal ulcerations with the Draize scale as well as iritis and conjunctivitis. Ten days after treatment ended both the corneal opacity scores (1.5 out of 4) and HSV-1 corneal ulcerations (0.3 to 0.7 out of 4) were similar for ketorolac and the vehicle, indicating no exacerbation of the infection, whereas with dexamethasone these scores were increased (3.6/4 and 3.4/4, respectively). Furthermore, both iritis scores (0.5/2) and conjunctivitis scores (1.3 to 1.4/10) were also similar for ketorolac and the vehicle, while dexamethasone increased both iritis (1.8/2) and conjunctivitis (4.3/10) compared to vehicle. Thus, ketorolac appears to be an anti-inflammatory agent that does not worsen viral ocular infection.
AuthorsE B Fraser-Smith, T R Matthews
JournalJournal of ocular pharmacology (J Ocul Pharmacol) Vol. 4 Issue 4 Pg. 321-6 ( 1988) ISSN: 8756-3320 [Print] United States
PMID3246566 (Publication Type: Journal Article)
Chemical References
  • Drug Combinations
  • Pyrroles
  • Tromethamine
  • Ketorolac Tromethamine
  • Dexamethasone
  • Tolmetin
Topics
  • Administration, Topical
  • Animals
  • Conjunctivitis (pathology)
  • Corneal Opacity (pathology)
  • Corneal Ulcer (pathology)
  • Dexamethasone (therapeutic use)
  • Drug Combinations (therapeutic use)
  • Iritis (pathology)
  • Keratitis, Dendritic (drug therapy)
  • Ketorolac Tromethamine
  • Male
  • Pyrroles (therapeutic use)
  • Rabbits
  • Time Factors
  • Tolmetin (analogs & derivatives, therapeutic use)
  • Tromethamine (therapeutic use)

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