Abstract: Objective: To investigate the effect of different concentrations of mouse nerve growth factor (mNGF) in eye drops on rabbits' central corneal nerve regeneration after laser in situ keratomileusis. Methods: In this experimental study, 39 New Zealand white rabbits were included and randomly assigned to 5 groups: normal saline group (normal saline, 7 rabbits, 14 eyes), hycosan group (0.1% hycosan, 8 rabbits, 16 eyes), NGF50 group (50 µg/mL, 8 rabbits, 16 eyes), NGF100 group (100 µg/mL, 8 rabbits, 16 eyes) and NGF200 group (200 µg/mL, 8 rabbits, 16 eyes). Central corneal subbasal nerve densities (SNDs) and superficial stroma nerve densities (SSNDs) were measured by confocal microscopy Ⅲ and were compared before surgery, 1 week, 1 month, 2 months and 3 months after surgery. Repeated measures and one-way analysis of variance were used for comparing the differences between different time points for these groups. Results: The differences in preoperative SNDs and SSNDs in the normal saline group, hycosan group, NGF50 group, NGF100 group and NGF200 group were not statistically significant (F=1.371, P=0.252; F=0.372, P=0.828). Compared with preoperative values, all nerve parameters of the 5 groups decreased at 1 week (all P<0.05) postoperatively, but the differences among the 5 groups were not statistically significant (F=1.905, P=0.119; F=0.923, P=0.455). SNDs in the NGF100 group and NGF200 group were significantly higher than in the other 3 groups at 1 month after surgery (all P<0.05); SNDs in the NGF200 group were significantly higher than in the other groups at 2 months and 3 months postoperatively (all P<0.05). SSNDs in the NGF200 group were significantly higher than in the other groups at 1 and 2 months after surgery (all P<0.05). At 3 months after surgery, SSNDs in the NGF200 group were significantly higher than those in the NGF50 group and the 2 nonNGF groups (all P<0.05). The NGF50 group and NGF100 group had higher densities than the 2 non-NGF groups (all P<0.05). Conclusions: mNGF eye drops have a significant effect on promoting corneal nerve repair in different periods following LASIK, and the effect is highest in the NGF200 group.
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