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Jonathan H. Talamo, MD; Subba Gollamudi, MD; W. Richard Green, MD; Zenaida De La Cruz; Vadim Filatov, MD; Walter J. Stark, MD

Arch Ophthalmol. 1991;109(8):1141-1146.

Abstract
• A 193-nm excimer laser system was used to create deep stromal ablations in seven New Zealand white rabbits and shallow ablations in three. Eyes were randomized for treatment with topical mitomycin C, steroids, and erythromycin; topical steroids and erythromycin; or topical erythromycin only. All treatment regimens were instituted twice daily for 14 days. All eyes reepithelialized normally within 3 to 5 days. During 10 weeks of follow-up, all eyes developed moderate reticular subepithelial haze without significant differences among treatment groups. Results of light, fluorescence, and electron microscopic examination showed anterior stromal scarring and markedly reduced new subepithelial collagen formation in the group treated with mitomycin C, corticosteroids, and erythromycin. Focal abnormalities of Descemet's membrane and endothelial abnormalities were present in all treatment groups. Combination therapy with topical steroids, mitomycin C, and erythromycin to control the corneal wound healing response after refractive laser surgery appears promising and warrants further study.

Author Affiliations
From The Wilmer Ophthalmological Institute, The Johns Hopkins Hospital, Baltimore, Md.; Dr Filatov is now with the Department of Ophthalmology, Yale University, New Haven, Conn.

Footnotes
Accepted for publication March 1, 1991.

Presented in part before the Association for Research in Vision and Ophthalmology, Sarasota, Fla, May 1, 1990.

Reprint requests to Maumenee 427, The Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21205 (Dr Green).

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