Toxic effects of manganese ion eyedrops to ocular anterior segment

Authors: Lei Miao,  Zhu Yu,  Liang Shenzhi
DOI: 10.3760/cma.j.issn.2095-0160.2016.06.008
Published 2016-06-10
Cite as Chin J Exp Ophthalmol, 2016,34(6): 510-515.

Abstract                              [Download PDF] [Read Full Text]

Background

A preliminary study determined an application of manganese ion eyedrops in tracing observation of visual system in vivo, but whether manganese ion has toxic effects on ocular anterior segment tissues is still unclear.

Objective

This study was to investigate the toxic effects of different concentrations of manganese ion eyedrops on ocular anterior segment tissues.

Methods

Thirty-two clean New-Zealand white rabbits were divided into 1.00 mol/L MnCl2 group, 0.50 mol/L MnCl2 group, 0.25 mol/L MnCl2 group and normal control group according to random number table.The experimental eye was randomly chosen from each rabbit for eyedrops application.The manganese ion eyedrops at concentration of 1.00 mol/L, 0.50 mol/L or 0.25 mol/L was topically administered in any lateral eye of each rabbit in the 1.00 mol/L MnCl2 group, 0.50 mol/L MnCl2 group, 0.25 mol/L MnCl2 group, and normal saline solution was used in the same way in the normal control group.In 2 hours, 1 day and 3, 7, 14, 21, 28 days after eyedrops application, the irritative response of ocular surface was examined under the slit lamp microscope, and corneal damage was evaluated by corneal fluorescence staining, and corneal endothelial cell density (ECD) and corneal thickness were assessed using corneal specular microscope.The eyeball samples were prepared in 3, 7, 14 and 28 days after eyedrops application and hematoxylin and eosin staining was performed for histopathological examination of conjunctiva, cornea, trabecular meshwork and ciliary body tissue.The use and care of experimental animals complied with the Statement of ARVO.

Results

Severe hyperemia and edema in palpebral conjunctiva appeared in the 1.00 mol/L MnCl2 group and 0.50 mol/L MnCl2 group, and the symptoms reached a maximum level 1 day after eyedrop application and disappeared 7 days after eyedrops application in the 1.00 mol/L MnCl2 group.These symptoms were milder in the 0.50 mol/L MnCl2 group in comparison with the 1.00 mol/L MnCl2 group.There were no ocular irritative response in the 0.25 mol/L MnCl2 group.Significant differences were found in the corneal fluorescence scores among the groups 2 hours, 1 day, 3 and 7 days after eyedrop application (χ2=17.350, 19.200, 12.200, 10.140, all at P<0.05), with the highest score in the 1.00 mol/L MnCl2 group.The ECD was not significantly different among the groups and different time points (Fgroup=0.38, P>0.05; Ftime=1.79, P>0.05). The corneal thickness value was significantly different among the groups and different time points (Fgroup=18.22, P<0.05; Ftime=116.75, P<0.05). The corneal thickness value was elevated during 2 hours to 3 days after administration of eyedrops in the 1.00 mol/L MnCl2group and closed to normal from 7 days to 28 days.The corneal thickness value was higher from 2 hours to 14 days than that in 28 days after administration of eyedrops in the 1.00 mol/L MnCl2group, and the corneal thickness value was higher in 2 hours to 1 day than that in 28 days after administration of eyedrops in the 0.50 mol/L MnCl2group (all at P<0.05). Inflammatory cell infiltration and stromal edema were exhibited in conjunctival, trabecular meshwork and ciliary body tissue in the 1.00 mol/L MnCl2 group 3 days and 7 days after eyedrops application, and only inflammatory cell infiltration in conjunctival tissue in the 0.50 mol/L MnCl2 group 3 days after eyedrops application.No obvious abnormity was seen in the 0.25 mol/L MnCl2 group.

Conclusions

1.00 mol/L manganese ion eyedrops has a remarkable toxic effect on ocular anterior segment tissue in rabbit.With the lowing of drug concentrations, the toxic effects were reduced.The manganese-enhanced MRI using 0.25 mol/L manganese ion eyedrops is feasibility bacause of its non-toxicity to ocular tissues.

Key words:

Manganese compounds/administration & dosage; Eye drops; Administration, topical; Ocular surface; Anterior segment; Toxicity; Rabbits

Contributor Information

Lei Miao
Department of Ophthalmology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
Zhu Yu
Liang Shenzhi
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Updated: February 22, 2023 — 8:45 am