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British Journal of Ophthalmology 1995;79:1074-1077; doi:10.1136/bjo.79.12.1074
Copyright © 1995 by the BMJ Publishing Group Ltd.

Topical aldose reductase inhibitor for correcting corneal endothelial changes in diabetic patients.

N Ohguro, M Matsuda, Y Ohashi and M Fukuda

Department of Ophthalmology, Osaka University Medical School, Japan.

BACKGROUND--Marked variations in cell size (polymegethism) and shape (pleomorphism) are characteristic of the corneal endothelium in diabetic patients and animals. METHOD--Wide field specular microscopy was used to evaluate the clinical efficacy of treating the diabetic corneal endothelium with topical instillation of 0.5% aldose reductase inhibitor, CT-112. RESULTS--Morphological variations (polymegethism and pleomorphism) of the endothelium in eight eyes from eight patients receiving CT-112 resolved within 3 months after initiation of treatment. In contrast, no change in endothelial morphology was noted in five eyes from five patients who received placebo. CONCLUSION--These observations suggest that aldose reductase may be involved in the aetiology of corneal endothelial variations in diabetic patients.


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Topical aldose reductase inhibitor.
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Br. J. Ophthalmol. 1995 79: 1064-1065. [PDF]

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