Long-Term Used of Benzalkonium Chloride Preservative Antiglaucoma Eye Drops (Studies on the Expression of Matrix-Metalloproteinase-1 and Tissue Inhibitor Matrix Metalloproteinase-1)

ABSTRACT: The aim of this study is to compare the mean expression of Matrix metalloproteinase-1 (MMP-1) and the mean expression of Tissue Inhibitor Matrix metalloproteinase-1 (TIMP-1) from conjunctiva of the long-term preservative antiglaucoma BAC eye drops user with the non-user of preservative antiglaucoma BAC. This cross-sectional study design was held in Dr. Sardjito General Hospital and Dr.Yap Eye Hospital Yogyakarta from November 2009 until August 2010. From the total 32 conjunctival tissue biopsies, 17 samples were derived from the preservative antiglaucoma BAC user group and 15 samples were derived from control conjunctival. The expression of MMP-1 and TIMP-1 in both groups were detected by immunohistochemistry with monoclonal antibody anti-human MMP-1 andanti-human TIMP-1. The mean expression of MMP-1 from the long terms preservative antiglaucoma eye drops BAC user group was 9.22 ± 8.11% and the expression of TIMP-1 was 2.75 ± 2.36%. In the expression control group, MMP-1 was 1.02 ± 0.71% and the expression of TIMP-1 was 0.46 ± 0.22%. There was a correlation between the number of antiglaucoma drugs used and TIMP-1 expression (r = –0.623) with significancy at 0,008. The expression of MMP-1 and TIMP-1 in the long term preservative antiglaucoma eye drops BAC user group is higher than the expression of the control group with significantly at p < 0.001.
Key words: Benzalkonium chloride, MMP-1 expression, TIMP-1 expression, conjunctival epithelium
Penulis: Muhammad Ali Faisal, Retno Ekantini, Siti Sundari
Kode Jurnal: jpkedokterandd100021

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