Perioperative Use of Rho-Kinase Inhibitors has Beneficial Effect on Corneal Endothelium after Phacoemulsification

Middle East Afr J Ophthalmol. 2020 Jan 29;26(4):246-249. doi: 10.4103/meajo.MEAJO_27_19. eCollection 2019 Oct-Dec.

Abstract

Purpose: Does perioperative use of Rho-Kinase (ROCK) inhibitors have beneficial effect on corneal endothelial cells after phacoemulsification? SETTING: This study was conducted at King Abdulaziz University Hospital in Riyadh.

Design: This was a prospective study assessing the effect of ROCK inhibitors on corneal endothelium after phacoemulsification.

Methodology: Three patients have used ROCK inhibitor 1 day before and 1 week after phacoemulsification surgery, and specular microscopy and Pentacam were done preoperatively and 3 months postoperatively.

Results: Endothelial cell density decreased to 11.3%, 9.45%, and 4.09% in eyes with ROCK inhibitors and 23.9% in one eye without ROCK inhibitor.

Conclusion: Perioperative ROCK inhibitor use has a possible protective effect on corneal endothelium.

Keywords: Corneal endothelium; phacoemulsification; rho-kinase inhibitors.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cell Count
  • Corneal Endothelial Cell Loss / prevention & control*
  • Endothelial Cells / drug effects
  • Endothelium, Corneal / drug effects*
  • Humans
  • Isoquinolines / pharmacology
  • Isoquinolines / therapeutic use*
  • Male
  • Middle Aged
  • Phacoemulsification / methods*
  • Prospective Studies
  • Protein Kinase Inhibitors / pharmacology
  • Protein Kinase Inhibitors / therapeutic use*
  • Sulfonamides / pharmacology
  • Sulfonamides / therapeutic use*
  • rho-Associated Kinases / antagonists & inhibitors*

Substances

  • Isoquinolines
  • K-115
  • Protein Kinase Inhibitors
  • Sulfonamides
  • rho-Associated Kinases