Acta Scientific Ophthalmology (ISSN: 2582-3191)

Research Article Volume 4 Issue 1

Long-term Effects of Eyewash Solution Use on the Conjunctival Bacterial Flora

Takafumi Saeki1*, Miho Tanaka1, Manabu Nozaki1, Hiroko Yano1, Hiroyuki Yazu2 and Hiroshi Fujishima2

1Research and Development Department, Healthcare Division, Kobayashi Pharmaceutical Co., Ltd., Osaka, Japan
2Department of Ophthalmology, Tsurumi University School of Dental Medicine, Kanagawa, Japan

*Corresponding Author: Takafumi Saeki, Research and Development Department, Healthcare Division, Kobayashi Pharmaceutical Co., Ltd., Osaka, Japan.

Received: December 15, 2020; Published: December 29, 2020

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Abstract

Purpose: Commercial eyewash solutions are widely used in Japan for the removal of foreign bodies from the ocular surface and relief from unpleasant symptoms, and many individuals use them daily. However, the effects of habitual eye washing on the conjunctival bacterial flora have not been investigated yet. In this study, the bacterial flora in healthy eyes was evaluated after one month of continuous use of a commercial eyewash solution.

Methods: In total, 29 participants with healthy eyes were recruited. Eyebon® W, a commercial eyewash solution available in Japan, was used as the test eyewash. The eyes were randomly designated as treatment (group 1) and no treatment (group 2). The eyes in group 1 were washed twice daily with Eyebon® W for one month. The eyes in group 2 were not treated with any eyewashes or eye drops. Samples were collected from the inferior palpebral conjunctiva. Ultimately, a sufficient amount of cDNA for analysis was obtained from 11 individuals (22 eyes). The viable bacterial count was determined and the bacterial flora was analyzed using next-generation sequencing of 16S rRNA amplicons.

Results: In both groups, the bacterial flora was mainly composed of 6–7 genera. There were no statistically significant differences in the average rates for each genus in the conjunctival bacterial flora, regardless of the eyewash condition (P > 0.05).

Conclusion: Our findings suggest that washing eyes twice a day using eyewash is unlikely to have a significant impact on the conjunctival bacterial flora.

Conclusion: Eyebon®; Eyewash; Ocular Surface; Microbial Flora; Safety; Long Time-use

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References

  1. Welfare Science Council Disease Control Committee (Japan), Rheumatism and Allergy Countermeasure Committee. Rheumatism and Allergy Countermeasures Committee Report (2011).
  2. Mimura T. “Influence of PM2.5 and Asian dust on allergic conjunctivitis”. The Allergy in Practice 35 (2015): 35-38.
  3. Yazu H., et al. “Efficacy and safety of an eye wash solution in allergic conjunctivitis after conjunctival allergen challenge”. Annals of Allergy, Asthma and Immunology 117 (2016): 565-566.
  4. Watanabe K. “Effect of eyewash on corneal epithelium”. Folia Ophthalmologica Japonica 51 (2000): 32-36.
  5. Iwashita M., et al. “Effect of eyewash solution (commercial washing solution) on the corneal epithelium adverse effects of benzalkonium chloride on the eye surface”. Journal of Clinical and Experimental Ophthalmology 7 (2016): 3.
  6. Yazu H., et al. “The effect of long-term use of an eyewash solution on the ocular surface mucin layer”. International Journal of Molecular Sciences 20 (2019): 5078-5089.
  7. Inoue Y. “Guidelines for the clinical management of infectious keratitis”. Journal of Japanese Ophthalmological Society 117 (2013): 467-468.
  8. Shin H., et al. “Changes in the eye microbiota associated with contact lens wearing”. mBio 7 (2016): e00198-16.
  9. Graham JE., et al. “Ocular pathogen or commensal: A PCR-based study of surface bacterial flora in normal and dry eyes”. Investigative Ophthalmology and Visual Science 48 (2007): 5616-5623.
  10. Wen X., et al. “The influence of age and sex on ocular surface microbiota in healthy adults”. Investigative Ophthalmology and Visual Science 58 (2017): 6030-6037.
  11. Mimura T., et al. “Efficacy of eye washing for ocular symptoms of allergic conjunctivitis”. Ganka 61 (2019): 1437-1449.
  12. Takahashi S., et al. “Development of a prokaryotic universal primer for simultaneous analysis of bacteria and archaea using next-generation sequencing”. PLoS One 9 (2014): e105592.
  13. Muyzer G., et al. “Profiling of complex microbial populations by denaturing gradient gel electrophoresis analysis of polymerase chain reaction-Amplified genes coding for 16S rRNA”. Applied and Environmental Microbiology 59 (1993): 695-700.
  14. Caporaso JG., et al. “Global patterns of 16S rRNA diversity at a depth of millions of sequences per sample”. Proceedings of the National Academy of Sciences of the United States of America 108 (2011): 4516-4522.
  15. Hisada T., et al. “Inter‑ and intra‑individual variations in seasonal and daily stabilities of the human gut microbiota in Japanese”. Archives of Microbiology 197 (2015): 919-934.
  16. Study group of national surveillance of infectious keratitis in Japan. “National surveillance of infectious keratitis in Japan: Current status of isolates, patient backgrounds, and treatment”. Nippon Ganka Gakkai Zasshi 110 (2006): 961-972.
  17. Dong Q., et al. “Diversity of bacteria at healthy human conjunctiva”. Investigative Ophthalmology and Visual Science 52 (2011): 5408-5413.
  18. Uno T. “Ocular mycosis”. Japanese Journal of Medical Mycology 49 (2008): 175-179.
  19. Takamura E., al. “Japanese guideline for allergic conjunctival diseases”. Allergology International 60 (2011): 191-203.
  20. Kobayashi Pharmaceutical Co., Ltd. Eyebon® W attached instruction (2020).
  21. Inoue Y., et al. “Preoperative disinfection of the conjunctival sac with antibiotics and iodine compounds: A prospective randomized multicenter study”. Japanese Journal of Ophthalmology 52 (2008): 151-161.
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Citation

Citation: Takafumi Saeki., et al. “Long-term Effects of Eyewash Solution Use on the Conjunctival Bacterial Flora”.Acta Scientific Ophthalmology 4.1 (2021): 27-42.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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