Penetration of moxifloxacin through crosslinked corneas.

J Cataract Refract Surg

From the Ophthalmology Department (Litvin), Meir Medical Center, Kfar Saba, Harlan Biotech Israel (Ben Eliahu), the Ophthalmology Department (Rotenberg, Marcovich, Kleinmann), Kaplan Medical Center, the Weizmann Institute of Science (Marcovich), Rehovot, and the Ophthalmology Department (Zadok), Assaf Harofeh Medical Center, Rishon Lezion, Israel. Electronic address:

Published: July 2014

Purpose: To determine the ability of moxifloxacin to penetrate the rabbit eye after corneal collagen crosslinking (CXL) with riboflavin and ultraviolet-A light irradiation.

Setting: Harlan Biotech Israel, Rehovot, Israel.

Design: Experimental study.

Methods: One eye of 10 New Zealand white rabbits had CXL treatment. One month after treatment and 1 hour before an aqueous humor sample was obtained, 1 drop of 5 mg/mL moxifloxacin (Vigamox) was applied to both eyes of each rabbit every 15 minutes for a total of 4 drops. The aqueous humor samples were sent for high-performance liquid chromatography for antibiotic-concentration analysis. The eyes were enucleated and sent for histology analysis.

Results: Moxifloxacin levels were obtained and analyzed for all 20 eyes. The mean level of moxifloxacin was 2.26 μg/mL ± 0.89 (SD) (range 1.09 to 4.20 μg/mL) in the treated eyes and 2.43 ± 1.17 μg/mL (range 0.89 to 4.72 μg/mL) in the untreated eyes. The difference between the groups was not statistically significant. Of the 10 eye pairs, lower moxifloxacin aqueous humor concentrations were found in 6 treated eyes and 4 untreated eyes.

Conclusion: Penetration of moxifloxacin into the anterior chamber of rabbits was not influenced by previous CXL treatment.

Financial Disclosures: No author has a financial or proprietary interest in any material or method mentioned.

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http://dx.doi.org/10.1016/j.jcrs.2014.01.030DOI Listing

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