Efficacy of cyclosporine eyedrop 0.1% in the treatment of dry eye in primary sjogren's syndrome: A prospective Indian study

Objectives: The objective of this study was to evaluate the efficacy and safety of 0.1% cyclosporine A (CsA) eyedrop in patients having primary Sjogren's syndrome (SS) in India. Methods: A prospective consecutive case series of total 20 patients with moderate-to-severe dry eyes were treated wit...

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Main Authors: Swapnali Sabhapandit, Madhuri Radhakrishna, Shireesha Anumula, Arifa Shaik, Solomon Perumalla, Sahithi Venapally
Format: Article
Language:English
Published: SAGE Publishing 2023-01-01
Series:Indian Journal of Rheumatology
Subjects:
Online Access:http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2023;volume=18;issue=1;spage=74;epage=77;aulast=Sabhapandit
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author Swapnali Sabhapandit
Madhuri Radhakrishna
Shireesha Anumula
Arifa Shaik
Solomon Perumalla
Sahithi Venapally
author_facet Swapnali Sabhapandit
Madhuri Radhakrishna
Shireesha Anumula
Arifa Shaik
Solomon Perumalla
Sahithi Venapally
author_sort Swapnali Sabhapandit
collection DOAJ
description Objectives: The objective of this study was to evaluate the efficacy and safety of 0.1% cyclosporine A (CsA) eyedrop in patients having primary Sjogren's syndrome (SS) in India. Methods: A prospective consecutive case series of total 20 patients with moderate-to-severe dry eyes were treated with 0.1% CsA eyedrop twice daily along with lubricating eyedrop for 3 months. Efficacy measures included ocular staining score (OSS), van Bijsterveld score (VBS), and Schirmer's score of each eye based on the 2016 ACR-EULAR classification. Subjective improvement was also recorded at the final visit. Any adverse effects were noted. Results: Treatment with 0.1% CsA eyedrop showed a statistically significant improvement at 3 months for both OSS and VBS in each eye of study patients. A similar improvement in Schirmer's score was noted in each eye of the subjects. Subjective improvement of ocular sicca symptoms was also demonstrated. There was excellent compliance to therapy. The 0.1% CsA formulation did not show any topical or systemic side effects in any patient. Conclusion: The 0.1% ophthalmic preparation of CsA is safe and effective in the management of moderate-to-severe dry eyes in patients with primary SS in this pilot study in Indian patients.
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spelling doaj-art-d34a048155724492b3d9316276a2b9c82025-02-03T01:13:27ZengSAGE PublishingIndian Journal of Rheumatology0973-36980973-37012023-01-01181747710.4103/injr.injr_49_22Efficacy of cyclosporine eyedrop 0.1% in the treatment of dry eye in primary sjogren's syndrome: A prospective Indian studySwapnali SabhapanditMadhuri RadhakrishnaShireesha AnumulaArifa ShaikSolomon PerumallaSahithi VenapallyObjectives: The objective of this study was to evaluate the efficacy and safety of 0.1% cyclosporine A (CsA) eyedrop in patients having primary Sjogren's syndrome (SS) in India. Methods: A prospective consecutive case series of total 20 patients with moderate-to-severe dry eyes were treated with 0.1% CsA eyedrop twice daily along with lubricating eyedrop for 3 months. Efficacy measures included ocular staining score (OSS), van Bijsterveld score (VBS), and Schirmer's score of each eye based on the 2016 ACR-EULAR classification. Subjective improvement was also recorded at the final visit. Any adverse effects were noted. Results: Treatment with 0.1% CsA eyedrop showed a statistically significant improvement at 3 months for both OSS and VBS in each eye of study patients. A similar improvement in Schirmer's score was noted in each eye of the subjects. Subjective improvement of ocular sicca symptoms was also demonstrated. There was excellent compliance to therapy. The 0.1% CsA formulation did not show any topical or systemic side effects in any patient. Conclusion: The 0.1% ophthalmic preparation of CsA is safe and effective in the management of moderate-to-severe dry eyes in patients with primary SS in this pilot study in Indian patients.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2023;volume=18;issue=1;spage=74;epage=77;aulast=Sabhapanditdry eyesschirmer'socular staining scorecyclosporine 0.1%
spellingShingle Swapnali Sabhapandit
Madhuri Radhakrishna
Shireesha Anumula
Arifa Shaik
Solomon Perumalla
Sahithi Venapally
Efficacy of cyclosporine eyedrop 0.1% in the treatment of dry eye in primary sjogren's syndrome: A prospective Indian study
Indian Journal of Rheumatology
dry eyes
schirmer's
ocular staining score
cyclosporine 0.1%
title Efficacy of cyclosporine eyedrop 0.1% in the treatment of dry eye in primary sjogren's syndrome: A prospective Indian study
title_full Efficacy of cyclosporine eyedrop 0.1% in the treatment of dry eye in primary sjogren's syndrome: A prospective Indian study
title_fullStr Efficacy of cyclosporine eyedrop 0.1% in the treatment of dry eye in primary sjogren's syndrome: A prospective Indian study
title_full_unstemmed Efficacy of cyclosporine eyedrop 0.1% in the treatment of dry eye in primary sjogren's syndrome: A prospective Indian study
title_short Efficacy of cyclosporine eyedrop 0.1% in the treatment of dry eye in primary sjogren's syndrome: A prospective Indian study
title_sort efficacy of cyclosporine eyedrop 0 1 in the treatment of dry eye in primary sjogren s syndrome a prospective indian study
topic dry eyes
schirmer's
ocular staining score
cyclosporine 0.1%
url http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2023;volume=18;issue=1;spage=74;epage=77;aulast=Sabhapandit
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AT madhuriradhakrishna efficacyofcyclosporineeyedrop01inthetreatmentofdryeyeinprimarysjogrenssyndromeaprospectiveindianstudy
AT shireeshaanumula efficacyofcyclosporineeyedrop01inthetreatmentofdryeyeinprimarysjogrenssyndromeaprospectiveindianstudy
AT arifashaik efficacyofcyclosporineeyedrop01inthetreatmentofdryeyeinprimarysjogrenssyndromeaprospectiveindianstudy
AT solomonperumalla efficacyofcyclosporineeyedrop01inthetreatmentofdryeyeinprimarysjogrenssyndromeaprospectiveindianstudy
AT sahithivenapally efficacyofcyclosporineeyedrop01inthetreatmentofdryeyeinprimarysjogrenssyndromeaprospectiveindianstudy