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KMID : 0191120090240040701
Journal of Korean Medical Science
2009 Volume.24 No. 4 p.701 ~ p.707
Preliminary Effects of Oral Uridine on the Ocular Surface in Dry Eye Patients
Chang Ki-Cheol

Oh Joo-Youn
In Youn-Seok
Kim Mee-Kum
Shin Ki-Cheul
Wee Won-Ryang
Lee Jin-Hak
Park Myung-Gyu
Abstract
We designed a randomized, double blinded, 3-months controlled prospective clinical study to investigate effects of oral uridine on the ocular surface in dry eye patients. Twenty-seven patients who diagnosed as dry eye with lower than 5 mm of wetting in the Schirmer strip, with corneal epithelial erosion and who completely followed-up till 3 months were enrolled. Corneal-conjunctival fluorescein staining, non-anesthetic Schirmer test, impression cytology, and Ocular Surface Disease Index (OSDI) were evaluated in the experimental and placebo groups at the baseline, 1 and 3 months after start of medication in a double blinded manner. Fluorescein stain score of the cornea was markedly decreased in oral uridine group compared to the placebo group at 3 months after medication (P=0.032, Mann-Whitney U test). The Schirmer wetting score for the oral uridine group was significantly increased (P=0.001, Wilcoxon signed rank test) at 3 months and its difference between two groups was statistically significant (P=0.030, Mann-Whitney U test). OSDI scores were significantly decreased at 1 and 3 months in treatment group. Oral uridine is effective in treatment of dry eyes.
KEYWORD
Cornea, Dry Eye Syndromes, Uridine, OSDI
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