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WO2010011119A1 - Solution ophtalmique pour épaissir les cornées - Google Patents

Solution ophtalmique pour épaissir les cornées Download PDF

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Publication number
WO2010011119A1
WO2010011119A1 PCT/MX2008/000095 MX2008000095W WO2010011119A1 WO 2010011119 A1 WO2010011119 A1 WO 2010011119A1 MX 2008000095 W MX2008000095 W MX 2008000095W WO 2010011119 A1 WO2010011119 A1 WO 2010011119A1
Authority
WO
WIPO (PCT)
Prior art keywords
ophthalmic solution
corneas
corneal
riboflavin
solution
Prior art date
Application number
PCT/MX2008/000095
Other languages
English (en)
Spanish (es)
Inventor
Andrés Abelino CHOZA REMERO
Laura Elena Choza Romero
Original Assignee
Choza Remero Andres Abelino
Laura Elena Choza Romero
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Choza Remero Andres Abelino, Laura Elena Choza Romero filed Critical Choza Remero Andres Abelino
Priority to PCT/MX2008/000095 priority Critical patent/WO2010011119A1/fr
Publication of WO2010011119A1 publication Critical patent/WO2010011119A1/fr

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • A61K31/525Isoalloxazines, e.g. riboflavins, vitamin B2
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • A61K47/38Cellulose; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/42Proteins; Polypeptides; Degradation products thereof; Derivatives thereof, e.g. albumin, gelatin or zein
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0048Eye, e.g. artificial tears
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • A61P27/02Ophthalmic agents

Definitions

  • the present invention relates to the Science of Medicine, more specifically in Ophthalmology, since it provides an ophthalmological solution for thickening of the corneas, without the need to use ultraviolet light.
  • keratoconus is formed by two other words of Greek origin: kerato, which means cornea and konos that means cone, is an uncommon condition where the cornea is affected by the thinning and protrusion of the same, this condition makes the Perception of images by the human eye is altered, causing poor vision progressively.
  • keratoconus so far remains unknown;
  • various surgical treatments mainly for the control of keratoconus, such as: corneal transplantation, the application of intrastromal rings, the application of radiofrequency pulses in certain places of the cornea to correct astigmatism generated by keratoconus, and application of riboflavin by ultraviolet light (corneal crosslinking) to favor the binding of the collagen fibers of the corneal stroma.
  • a method for treating ophthalmic disorders of the cornea where there is lysis of the collagen by the action of collagenous enzymes; said method comprises Ia oral aministr ⁇ construación to a patient, once or four times a day, of a composition comprising: a compound selected from the group consisting of Cistine and Cysteine, from 200 to 1000 mg; and Pyridoxine (vitamin B ⁇ ) in the form of a base or salt, from 50 to 300 mg.
  • ophthalmological disorders can be, keratoconus, corneal damage, corneal herpes, among others.
  • the composition can be administered in tablets, so it is obvious the use of acceptable pharmaceutical excipients, such as sugars, carboxymethyl cellulose, talc, etc. In this case, the results are obtained in the long term, because the composition is administered orally.
  • the "crosslinking" method consists in saturating Riboflavin eye tissue (vitamin B2) to sensitize the collagen and stimulate the creation of new bridges or junctions between the long collagen chains; and with the irradiation of a special wavelength of ultraviolet light, for 30 min and at a certain distance.
  • Vitamin B2 Riboflavin eye tissue
  • the disadvantages that this method presents, is that the epithelium of the cornea must be removed, exposing the patient's eye to ultra violet light; Because the patient is uncomfortable, it causes pain, vision is temporarily affected, it can cause photophobia and epiphora, and there is a risk of damage, when the amount of ultraviolet light to be applied is not well calibrated.
  • intrastromal rings to stabilize the keratoconus
  • it is also a method that requires corneal incisions, and then makes semi-moons in order to apply pmma rings and correct astigmatism caused by the keratoconus, the recovery being taken and may have complications ranging from infections to corneal perforation. Therefore, to counteract the aforementioned drawbacks, an ophthalmic solution for corneal greasing was developed, which simply consists of the combination of Riboflavin and methylcellulose, without the application of ultraviolet light, which I describe below.
  • the present invention aims to provide an ophthalmic solution for thickening corneas, which comprises a combination of Riboflavin Sodium Phosphate; Powdered collagen and 5% methyl cellulose.
  • the present invention also provides a method for preparing an ophthalmic solution for thickening corneas, which comprises a combination of Riboflavin Sodium Phosphate; Powdered collagen and 5% methyl cellulose
  • the invention also provides the use of a combination of Riboflavin, Powdered Collagen and 5% Methyl Cellulose, to develop an ophthalmic solution, to thicken the corneas of a patient suffering from keratoconus, Post Lasik Ectasia, corneal ulcers or corneal thinning of any etiology.
  • Figure 1 is a graph where the topography of a cornea of a patient suffering from keratoconus is illustrated.
  • Figure 2 illustrates the topography of the cornea of Figure 1, but with 10 days of treatment with the ophthalmic solution of the present invention.
  • Figure 3 illustrates the topography of the cornea shown in Figures 1 and
  • Figure 4 shows the topography of a cornea with thinning caused by the application of laser beams to correct myopic astigmatism (Ectasia Post-Lasik).
  • Figure 5 shows the cornea referenced in Figure 4 with 34 days of treatment with the ophthalmic solution of the present invention.
  • Figure 6 the greasing of the cornea of Figures 4 and 5 is observed, with 4 months of treatment with the solution of this invention.
  • Figure 7 illustrates the topography of a thinned cornea of a patient.
  • Figure 8 illustrates the improvement of the cornea of Figure 7, with 35 days of application of the ophthalmic solution of the present invention.
  • the present invention proposes an ophthalmic solution for thickening corneas, which is constituted of: Riboflavin phosphate Sodium; Powdered collagen; 5% methyl cellulose; Balanced saline solution; bidistilled water; And a conservative.
  • One of the modalities of the ophthalmic solution of the present invention is that the ingredients that constitute it are in the following amounts: Riboflavin phosphate Sodium in 0.05%; 0.05% powdered collagen; 5% methylcellulose in 39.96%; The saline solution balanced by 19.98%; bi-distilled water by 29.97%; and the conservative at 9.99%.
  • the amount of Riboflavin can be increased up to 0.1%, when the patient has severe keratoconus problems and the Saline Solution can vary from 9.99 to 19.98%.
  • the stroma covers approximately 90% of the thickness of the cornea, hence it has a direct relationship with the origin of the keratoconus. Since the stroma of the cornea is mainly formed by collagen fibers, keratocytes and fundamental substance, we think of the direct and non-aggressive application of the nutrients generating these elements ophthalmic route. So that Riboflavin stimulates, through sunlight, the generation of new collagen fibers; The cellulose to nourish the Fundamental Substance and the hydrolyzed Collagen to nourish the stromal cell that is the keratocyte.
  • the saline solution used in this formulation is the conventional ones, where its function is to irrigate the eye.
  • the way to prepare the ophthalmic solution is the following: To prepare 10.01 mL of ophthalmic solution, we dilute 5 mg of collagen spray in 2 mL of the balanced saline solution and 2 mL of double-distilled water. Said dilution is made with the help of a thermo-agitator, for 15 min at 40 0 C, until homogenization of the mixture is achieved and allowed to cool from 20 to 22 0 C. On the other hand, we mix 5 mg of Riboflavin Sodium Phosphate, in 1 mL of double distilled water and 4 mL of 5% methylcellulose. The mixture was stirred at 9000 rpm for 20 min; then we filter in a conventional manner; and we stirred it again at 9000 rpm for 10 more minutes.
  • the ophthalmic solution of the present invention actually greases the corneas that suffered from thinning caused by any factor.
  • Example! Treatment of a patient with corneas suffering from keratoconus.
  • a corneal topography was done with a device called ORSCAN to measure the thickness of its corneas (Figure 1), where it can be seen that the cornea had very thin areas, from 245 microns and 335 microns in the center of said cornea, this worn area is the one that has the red color in Figure 1. From that day, a drop was applied on the cornea, a drop every 4 h, of the ophthalmic solution to thicken corneas, of the present invention and after 10 days of continuous application, a second corneal topography was taken (Figure 2), where it was observed that the thin areas of the comet increased in thickness to 373 and 494, respectively.
  • Example 2 Treatment of a patient with corneas affected by Ectasia Post-Lasik.
  • Example 3 Treatment of a patient with thinning of corneas, of any etiology.
  • Figure 7 shows a topography of a cornea that suffers a thinning of any etiology, where the center has a thickness of 498 microns, starting the treatment already described, for 35 days, when a second corneal topography was made ( Figure 8) , where it is appreciated that the central area of said cornea increased its thickness to 564 microns.

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Public Health (AREA)
  • Medicinal Chemistry (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Epidemiology (AREA)
  • Inorganic Chemistry (AREA)
  • Ophthalmology & Optometry (AREA)
  • Engineering & Computer Science (AREA)
  • Organic Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)

Abstract

La présente invention concerne une solution ophtalmique permettant d'épaissir les cornées, laquelle est constituée d'une combinaison de Riboflavine, de Colagène, de méthyle-cellulose, d'une solution saline équilibrée, d'eau bi-distillée et d'un conservateur. Cette solution ophtalmique est conçue pour une application topique directement dans l'oeil d'un patient présentant des problèmes de keratoconus, des patients souffrant d'Ectasie Post Lasik, d'ulcères cornéens, d'amincissement de la cornée d'origines diverses.
PCT/MX2008/000095 2008-07-22 2008-07-22 Solution ophtalmique pour épaissir les cornées WO2010011119A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PCT/MX2008/000095 WO2010011119A1 (fr) 2008-07-22 2008-07-22 Solution ophtalmique pour épaissir les cornées

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/MX2008/000095 WO2010011119A1 (fr) 2008-07-22 2008-07-22 Solution ophtalmique pour épaissir les cornées

Publications (1)

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Cited By (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8366689B2 (en) 2008-09-30 2013-02-05 Avedro, Inc. Method for making structural changes in corneal fibrils
US8545487B2 (en) 2007-12-05 2013-10-01 Avedro Inc. Eye therapy system
US8870934B2 (en) 2009-10-21 2014-10-28 Avedro, Inc. Eye therapy system
US9020580B2 (en) 2011-06-02 2015-04-28 Avedro, Inc. Systems and methods for monitoring time based photo active agent delivery or photo active marker presence
US9044308B2 (en) 2011-05-24 2015-06-02 Avedro, Inc. Systems and methods for reshaping an eye feature
US9498114B2 (en) 2013-06-18 2016-11-22 Avedro, Inc. Systems and methods for determining biomechanical properties of the eye for applying treatment
US9498122B2 (en) 2013-06-18 2016-11-22 Avedro, Inc. Systems and methods for determining biomechanical properties of the eye for applying treatment
US9707126B2 (en) 2009-10-21 2017-07-18 Avedro, Inc. Systems and methods for corneal cross-linking with pulsed light
RU2633083C1 (ru) * 2016-07-27 2017-10-11 Государственное бюджетное учреждение "Уфимский научно-исследовательский институт глазных болезней Академии наук Республики Башкортостан" Средство офтальмологическое для диагностики травм и заболеваний роговой оболочки глаза
US10028657B2 (en) 2015-05-22 2018-07-24 Avedro, Inc. Systems and methods for monitoring cross-linking activity for corneal treatments
US10114205B2 (en) 2014-11-13 2018-10-30 Avedro, Inc. Multipass virtually imaged phased array etalon
US10258809B2 (en) 2015-04-24 2019-04-16 Avedro, Inc. Systems and methods for photoactivating a photosensitizer applied to an eye
US10350111B2 (en) 2014-10-27 2019-07-16 Avedro, Inc. Systems and methods for cross-linking treatments of an eye
US10729716B2 (en) 2012-03-29 2020-08-04 Cxl Ophthalmics, Llc Compositions and methods for treating or preventing diseases associated with oxidative stress
US11033429B2 (en) 2010-09-30 2021-06-15 Cxl Ophthalmics, Llc Ophthalmic treatment device, system, and method of use
US11179576B2 (en) 2010-03-19 2021-11-23 Avedro, Inc. Systems and methods for applying and monitoring eye therapy
US11207410B2 (en) 2015-07-21 2021-12-28 Avedro, Inc. Systems and methods for treatments of an eye with a photosensitizer
US11642244B2 (en) 2019-08-06 2023-05-09 Avedro, Inc. Photoactivation systems and methods for corneal cross-linking treatments
US11766356B2 (en) 2018-03-08 2023-09-26 Avedro, Inc. Micro-devices for treatment of an eye
US11931291B2 (en) 2012-03-29 2024-03-19 Epion Therapeutics, Inc. Ophthalmic treatment solution delivery devices and delivery augmentation methods
US12016794B2 (en) 2018-10-09 2024-06-25 Avedro, Inc. Photoactivation systems and methods for corneal cross-linking treatments
US12042433B2 (en) 2018-03-05 2024-07-23 Avedro, Inc. Systems and methods for eye tracking during eye treatment
US12144546B2 (en) 2018-09-19 2024-11-19 Avedro, Inc. Systems and methods for eye tracking during eye treatment
US12171691B2 (en) 2019-02-26 2024-12-24 Avedro, Inc. Systems and methods for cross-linking treatments of an eye
US12293513B2 (en) 2021-03-08 2025-05-06 Avedro, Inc. Systems and methods for generating patient-specific corneal cross-linking treatment patterns

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Cited By (34)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8545487B2 (en) 2007-12-05 2013-10-01 Avedro Inc. Eye therapy system
US8366689B2 (en) 2008-09-30 2013-02-05 Avedro, Inc. Method for making structural changes in corneal fibrils
US9498642B2 (en) 2009-10-21 2016-11-22 Avedro, Inc. Eye therapy system
US8870934B2 (en) 2009-10-21 2014-10-28 Avedro, Inc. Eye therapy system
US9707126B2 (en) 2009-10-21 2017-07-18 Avedro, Inc. Systems and methods for corneal cross-linking with pulsed light
US11179576B2 (en) 2010-03-19 2021-11-23 Avedro, Inc. Systems and methods for applying and monitoring eye therapy
US11033429B2 (en) 2010-09-30 2021-06-15 Cxl Ophthalmics, Llc Ophthalmic treatment device, system, and method of use
US12156834B2 (en) 2010-09-30 2024-12-03 Cxl Ophthalmics, Llc Ophthalmic treatment device, system, and method of use
US11135090B2 (en) 2010-09-30 2021-10-05 Cxl Ophthalmics, Llc Ophthalmic treatment device, system, and method of use
US9044308B2 (en) 2011-05-24 2015-06-02 Avedro, Inc. Systems and methods for reshaping an eye feature
US10137239B2 (en) 2011-06-02 2018-11-27 Avedro, Inc. Systems and methods for monitoring time based photo active agent delivery or photo active marker presence
US9020580B2 (en) 2011-06-02 2015-04-28 Avedro, Inc. Systems and methods for monitoring time based photo active agent delivery or photo active marker presence
US11931291B2 (en) 2012-03-29 2024-03-19 Epion Therapeutics, Inc. Ophthalmic treatment solution delivery devices and delivery augmentation methods
US10729716B2 (en) 2012-03-29 2020-08-04 Cxl Ophthalmics, Llc Compositions and methods for treating or preventing diseases associated with oxidative stress
US11497766B2 (en) 2012-03-29 2022-11-15 Cxl Ophthalmics, Llc Compositions and methods for treating or preventing diseases associated with oxidative stress
US9498114B2 (en) 2013-06-18 2016-11-22 Avedro, Inc. Systems and methods for determining biomechanical properties of the eye for applying treatment
US9498122B2 (en) 2013-06-18 2016-11-22 Avedro, Inc. Systems and methods for determining biomechanical properties of the eye for applying treatment
US11219553B2 (en) 2014-10-27 2022-01-11 Avedro, Inc. Systems and methods for cross-linking treatments of an eye
US10350111B2 (en) 2014-10-27 2019-07-16 Avedro, Inc. Systems and methods for cross-linking treatments of an eye
US10114205B2 (en) 2014-11-13 2018-10-30 Avedro, Inc. Multipass virtually imaged phased array etalon
US12070618B2 (en) 2015-04-24 2024-08-27 Avedro, Inc. Systems and methods for photoactivating a photosensitizer applied to an eye
US11167149B2 (en) 2015-04-24 2021-11-09 Avedro, Inc. Systems and methods for photoactivating a photosensitizer applied to an eye
US10258809B2 (en) 2015-04-24 2019-04-16 Avedro, Inc. Systems and methods for photoactivating a photosensitizer applied to an eye
US10028657B2 (en) 2015-05-22 2018-07-24 Avedro, Inc. Systems and methods for monitoring cross-linking activity for corneal treatments
US11207410B2 (en) 2015-07-21 2021-12-28 Avedro, Inc. Systems and methods for treatments of an eye with a photosensitizer
US12214039B2 (en) 2015-07-21 2025-02-04 Advero, Inc. Systems and methods for treatments of an eye with a photosensitizer
RU2633083C1 (ru) * 2016-07-27 2017-10-11 Государственное бюджетное учреждение "Уфимский научно-исследовательский институт глазных болезней Академии наук Республики Башкортостан" Средство офтальмологическое для диагностики травм и заболеваний роговой оболочки глаза
US12042433B2 (en) 2018-03-05 2024-07-23 Avedro, Inc. Systems and methods for eye tracking during eye treatment
US11766356B2 (en) 2018-03-08 2023-09-26 Avedro, Inc. Micro-devices for treatment of an eye
US12144546B2 (en) 2018-09-19 2024-11-19 Avedro, Inc. Systems and methods for eye tracking during eye treatment
US12016794B2 (en) 2018-10-09 2024-06-25 Avedro, Inc. Photoactivation systems and methods for corneal cross-linking treatments
US12171691B2 (en) 2019-02-26 2024-12-24 Avedro, Inc. Systems and methods for cross-linking treatments of an eye
US11642244B2 (en) 2019-08-06 2023-05-09 Avedro, Inc. Photoactivation systems and methods for corneal cross-linking treatments
US12293513B2 (en) 2021-03-08 2025-05-06 Avedro, Inc. Systems and methods for generating patient-specific corneal cross-linking treatment patterns

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