Journal of the Korean Ophthalmological Society 2005;46(12):2065-2070.
Published online December 31, 2005.
The Relationship Between Ascorbic Acid Concentration of Anterior Chamber and Complication in Alkali-Injured Rabbit Eyes.
Han Joo Cho, Jong Hyeok Lee
Department of Ophthalmology, Wonju Christian Hospital Yonsei University, Wonju College of Medicine, Wonju, Korea. jhlee@wonju.yonsei.ac.kr
가토 각막 알칼리 화상에서 전방내의 아스코르빈산 농도와 합병증 발생과의 관계
조한주,이종혁
Department of Ophthalmology, Wonju Christian Hospital Yonsei University, Wonju College of Medicine, Wonju, Korea
Correspondence:  Han-Joo Cho, M.D.
Abstract
PURPOSE
To study the relationship between the concentration of ascorbic acid in the anterior chamber and the complications of an experimental alkali burn in rabbit corneas. METHODS: Standardized corneal alkali wounds were induced in both eyes of 33 albino rabbits by applying a 5.5 mm-sized round filter paper, soaked in 1N NaOH for 20 seconds. Then, the control group (22 eyes) was given Tears Natural II(R) (Alcon), treated group A (22 eyes) was given ascorbic acid (10%) for 2 hours, and treated group B (22 eyes) was given ascorbic acid (10%) for 6 hours. The concentrations of ascorbic acid in the anterior chamber were measured using a microplate assay immediately post-injury, and at 5 days, 15 days, and 30 days post-injury. During the experiment, clinical observation was performed to detect complications such as corneal ulcer or perforation. RESULTS: The incidence of ulceration was significantly lower between control group and treated groups A and B (p<0.05). The incidence of perforation was significantly lower in treated group A compared to the control group B (p<0.05). In addition, a higher concentration of ascorbic acid in the anterior chamber and a lower severity of corneal injury was significant (sigma=-0.302, P<0.05). CONCLUSIONS: Higher concentrations of ascorbic acid in the anterior chamber were associated with fewer complications in experimental alkali burns in rabbit corneas.
Key Words: Alkali burn;Anterior chamber;Ascorbic acid


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