Saratov JOURNAL of Medical and Scientific Research

Efects of combined treatment for non-infectious uveitis with macular edema on cytokine composition of lacrimal fuid


Purpose: to study the efects of combined treatment for non-infectious uveitis with macular edema using platelet autoplasmin to estimate the cytokine content in lacrimal fuid. Material and Methods. 120 people aged 18 to 50 years with non-infectious uveitis and macular edema were examined: 46 men, 74 women. The patients were divided into 2 groups: main group (anti-infammatory treatment and the administration of platelet autoplasma); comparison group (anti-infammatory treatment). Patients underwent standard ophthalmological examination. To assess the activity of local infammatory process a study of cytokine content in the lacrimal fuid before and after treatment was conducted. Results. In patients with non- infectious uveitis the use of platelet autoplasma in the treatment of patients assigned to the main group lead to a statistically signifcant increase in the concentrations of IL-4, IL-6, IL-8, IL-17A in the lacrimal fuid. A statistically signifcant decrease in the concentrations of proinfammatory cytokines was observed when auto-plasma was used. Conclusion. The use of platelet autoplasma in the treatment of patients with non-infectious uveitis with macular edema is pathogenetically justifed, as it is associated with a pronounced decrease in the activity of the immuno-infammatory process, which is confrmed by the

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