Neurodegenerative Diseases Clinical Trial
Official title:
Evaluation of Citicoline Concentration in Human Vitreous After Topical Administration: a Cross-sectional Study
Elegible patients were included in the study and underwent treatment with a solution of citicoline 1% eye-drops, 0.2% high molecular weight hyaluronic acid and 0.01% benzalkonium chloride prior to surgery. The vitreous samples were taken at the beginning of the surgery and analyzed for qualitative/quantitative determination of vitreous concentration of citicoline and its metabolites by means of high performance liquid chromatography.
At the visit all patients underwent comprehensive ophthalmological examination including best
corrected visual acuity assessment, slit lamp evaluation, IOP measurement using Goldmann
applanation tonometry, and fundus dilated indirect ophthalmoscopy.
Additionally, all patients had central retinal thickness measurements with spectral-domain
optical coherence tomography associated with central corneal thickness (CCT) and corneal
endothelial cells density (ECD) evaluations.
Patients started the treatment with 1 drop of a solution of citicoline 1% eye-drops, 0.2%
hyaluronic acid and 0.01% benzalkonium chloride for 3 times/day over a total time of 14 days
before surgery and 1 drop 2 hours prior to the surgery.
Five patients served as controls and received a vehicle solution without citicoline.
The primary aim of the study was to evaluate the presence and concentration of citicoline and
its metabolites (choline, cytidine and uridine) in the vitreous body in vivo in human eyes
after topical eye-drops administration by means of high performance liquid chromatography.
Secondary aims were the comparison of citicoline and its metabolites concentration in the
vitreous of treated phakic and pseudophakic eyes and the correlations with age and ocular
biometric parameters including CCT and ECD.
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