
{"id":53943,"date":"2018-05-01T16:03:01","date_gmt":"2018-05-01T15:03:01","guid":{"rendered":"https:\/\/www.btitrainingcenter.com\/plasma-rich-in-growth-factors-eye-drops-to-treat-secondary-ocular-surface-disorders-in-patients-with-glaucoma\/"},"modified":"2026-09-15T17:18:04","modified_gmt":"2026-09-15T16:18:04","slug":"plasma-rich-in-growth-factors-eye-drops-to-treat-secondary-ocular-surface-disorders-in-patients-with-glaucoma","status":"publish","type":"post","link":"https:\/\/www.btitrainingcenter.com\/pt-pt\/plasma-rich-in-growth-factors-eye-drops-to-treat-secondary-ocular-surface-disorders-in-patients-with-glaucoma\/","title":{"rendered":"Plasma rich in growth factors eye drops to treat secondary ocular surface disorders in patients with glaucoma"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><p>[vc_row content_text_aligment=&#8221;left&#8221; row_background_lines=&#8221;no&#8221;][vc_column][vc_column_text]<\/p>\n<h3 class=\"title\">Abstract<\/h3>\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\n<div id=\"enc-abstract\" class=\"abstract-content selected\">\n<p><strong class=\"sub-title\">Purpose:\u00a0<\/strong>To evaluate the efficacy and safety of plasma rich in growth factors (PRGF) eye drops in patients with glaucoma with secondary ocular surface disorders (OSDs) due to surgeries and topical hypotensive drugs use.<\/p>\n<p><strong class=\"sub-title\">Materials and methods:\u00a0<\/strong>A retrospective case-series study design was used including six patients (eight eyes) diagnosed with glaucoma who received surgical (nonpenetrating deep sclerectomy and\/or trabeculectomy) and medical treatments (hypotensive eye drops) to control intraocular pressure (IOP) and who developed secondary OSDs, unresponsive to conventional treatments. Patients were treated with PRGF eye drops (four times a day). Outcome measures were ocular surface disease index (OSDI), best-corrected visual acuity (BCVA, in logarithm of the minimum angle of resolution), visual analog scale (VAS), frequency and severity of symptoms, and IOP. The safety of the treatment was also evaluated.<\/p>\n<p><strong class=\"sub-title\">Results:\u00a0<\/strong>Six patients (seven eyes with open-angle glaucoma and one eye with uveitic glaucoma) treated with PRGF eye drops were evaluated. Mean age was 71 years (SD=7.2, range 58-79 years). Five were female and one was male. The mean treatment time was 21.8 weeks (SD=9.0, range 12-36 weeks). The mean time to reach closure of the corneal ulcer was 14.5 (SD=5.5) weeks. A statistical significant reduction in OSDI scale (50.6%), VAS frequency (53.1%), VAS severity (42.0%), and a 41.8% improvement in BCVA were observed (p&lt;0.05). IOP also decreased by 16.6% (p=0.010). Only one of the six patients reported itching in both eyes as an adverse event (AE); however, the patient continued with the PRGF eye drops until the end of therapy; the remaining patients did not report any AEs during the follow-up period.<\/p>\n<p><strong class=\"sub-title\">Conclusions:\u00a0<\/strong>In patients with glaucoma and secondary OSDs refractive to conventional treatments, the treatment with PRGF eye drops could be considered a possible therapeutic option, because it demonstrates an improvement in the signs and symptoms of the ocular surface, as well as a better control of the IOP. This is an initial research work that can open doors for future research to confirm these findings.<\/p>\n<\/div>\n<p><strong class=\"sub-title\">Keywords:\u00a0<\/strong>PRGF; PRP; glaucoma; ocular surface disorders; plasma rich in growth factors; platelet-rich plasma.<\/p>\n<\/div>\n<p>[\/vc_column_text][vc_empty_space][vc_column_text]<\/p>\n<h3>Figures<\/h3>\n<p>[\/vc_column_text][vc_empty_space][\/vc_column][\/vc_row][vc_row content_text_aligment=&#8221;center&#8221;][vc_column]<div class=\"qodef-image-gallery qodef-grid-list qodef-disable-bottom-space  qodef-ig-grid-type qodef-four-columns qodef-tiny-space  qodef-image-behavior-lightbox\">\n\t<div class=\"qodef-ig-inner qodef-outer-space\">\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/imcrj-11-097Fig1.jpg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-542]\" title=\"&lt;strong&gt;Figure 1.&lt;\/strong&gt; Bar graphs showing the different outcome measures before and after treatment with PRGF (OSDI [A], BCVA [B], and VAS severity\u2013frequency of symptoms [C\u2013D]). Note: *p&lt;0.05. Abbreviations: BCVA, best-corrected visual acuity; OSDI, ocular surface disease index; PRGF, plasma rich in growth factors; VAS, visual analog scale.\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/imcrj-11-097Fig1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/imcrj-11-097Fig2.jpg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-542]\" title=\"&lt;strong&gt;Figure 2.&lt;\/strong&gt; Bar graph showing IOP before and after PRGF treatment. Note: *p&lt;0.05. Abbreviations: IOP, intraocular pressure; PRGF, plasma rich in growth factors.\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/imcrj-11-097Fig2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/imcrj-11-097Fig3.jpg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-542]\" title=\"&lt;strong&gt;Figure 3.&lt;\/strong&gt; Photographs showing one of the cases (patient #3) with an epithelial and stromal ulcer defect in the left eye. Notes: (A) Baseline situation before treatment with PRGF eye drops showing the corneal ulcer that reaches deep stroma, with consequent risk of corneal perforation. (B) During PRGF treatment, with a therapeutic contact lens 2 weeks after a second amniotic membrane transplant. (C) Final clinical situation 1 month after finishing PRGF treatment observing corneal defect closure and corneal regeneration in process. Abbreviation: PRGF, plasma rich in growth factors.\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/imcrj-11-097Fig3-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/imcrj-11-097Fig4.jpg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-542]\" title=\"&lt;strong&gt;Figure 4.&lt;\/strong&gt;A sequence of three photographs showing one of the treated cases (patient #4) with an epithelial and stromal defect in the left eye with new vessels, and an additional limbic insufficiency. Notes: (A, B) Baseline situation before initiating PRGF treatment with an important stromal defect and ocular surface inflammation and associated neovascularization. (C) Final clinical situation after PRGF treatment showing the favorable closure of the epithelial and stromal defect, inflammation reduction, and less vascularization. Abbreviation: PRGF, plasma rich in growth factors.\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/imcrj-11-097Fig4-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<div class=\"qodef-ig-image qodef-item-space\">\n\t\t\t\t<div class=\"qodef-ig-image-inner\">\n\t\t\t\t\t\t\t\t\t\t\t<a itemprop=\"image\" class=\"qodef-ig-lightbox\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/imcrj-11-097Fig5.jpg\" data-rel=\"prettyPhoto[image_gallery_pretty_photo-542]\" title=\"&lt;strong&gt;Figure 5.&lt;\/strong&gt; Photographs (patient # 5) with deep corneal ulcer, associated neovessels and risk of corneal perforation. Notes: (A) Basal situation: deep corneal ulcer, thick neovessels, and risk of perforation. (B) Four weeks of PRGF treatment: closure of corneal ulcer, minor inflammation, and decrease of neovessels. Corneal regeneration continues to progress. Abbreviation: PRGF, plasma rich in growth factors.\">\n\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/imcrj-11-097Fig5-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<\/div>\n<\/div>[vc_empty_space height=&#8221;50px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column]<a itemprop=\"url\" href=\"https:\/\/www.btitrainingcenter.com\/wp-content\/uploads\/2021\/08\/37.-imcrj-11-097.pdf\" target=\"_blank\"  class=\"qodef-btn qodef-btn-medium qodef-btn-solid btnWebRosa2\"  >\n    <span class=\"qodef-btn-text\">Descarregar artigo<\/span>\n    <\/a>[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p><strong>Int Med Case Rep J. 2018 May 1;11:97-103.<\/strong><br \/>\nTo evaluate the efficacy and safety of plasma rich in growth factors (PRGF) eye drops in patients with glaucoma with secondary ocular surface disorders (OSDs) due to surgeries and topical hypotensive drugs use.<\/p>\n","protected":false},"author":2002,"featured_media":53893,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[158],"tags":[],"class_list":["post-53943","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicina-regenerativa-pt-pt"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/posts\/53943","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/users\/2002"}],"replies":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/comments?post=53943"}],"version-history":[{"count":1,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/posts\/53943\/revisions"}],"predecessor-version":[{"id":53944,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/posts\/53943\/revisions\/53944"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/media\/53893"}],"wp:attachment":[{"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/media?parent=53943"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/categories?post=53943"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/pt-pt\/wp-json\/wp\/v2\/tags?post=53943"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}