Please use this identifier to cite or link to this item:
10.3390/jcm11051424
Title: | Opioids and Ocular Surface Pathology : A Literature Review of New Treatments Horizons |
Authors: | García-López, Celia Gómez-Huertas, Carmen Sánchez-González, José María Borroni, Davide Rodríguez-Calvo-de-mora, Marina Romano, Vito Rachwani-Anil, Rahul Ramos-López, Juan Francisco Ortiz-Pérez, Santiago Rocha-De-lossada, Carlos Department of Doctoral Studies |
Keywords: | Cornea;Neuropathic corneal pain;Ocular surface;Opioids;Wound healing;3.2 Clinical medicine;1.1. Scientific article indexed in Web of Science and/or Scopus database;General Medicine |
Issue Date: | 1-Mar-2022 |
Citation: | García-López , C , Gómez-Huertas , C , Sánchez-González , J M , Borroni , D , Rodríguez-Calvo-de-mora , M , Romano , V , Rachwani-Anil , R , Ramos-López , J F , Ortiz-Pérez , S & Rocha-De-lossada , C 2022 , ' Opioids and Ocular Surface Pathology : A Literature Review of New Treatments Horizons ' , Journal of clinical medicine , vol. 11 , no. 5 , 1424 , pp. 1-13 . https://doi.org/10.3390/jcm11051424 |
Abstract: | This review discusses the role of opioids in the corneal surface and the different pathways and therapeutic methods of management. A literature review was performed using PubMed database. For the database search, the main searching words “opioid” and “topical opioid treatment” were used with the descriptors “cornea”, “ocular surface”, “neuropathic corneal pain”, “corneal sensitivity” and “naltrexone”; original scientific articles and reviews were included to achieve the purpose of the review. The endogenous opioid system has relevant functions in the organism, and in daily use, opioids are used as painkillers. However, these drugs may be employed for other indications as opioid pathways have a wide spectrum. The corneal surface for topical treatment is easily accessible, hence sparing the side effects of systemic opioids. Instillation of opioid antagonist substances, such as naltrexone, increases corneal healing rates and stimulates the division of corneal epithelium cells without deleterious effects. The natural modulation of endogenous opioids controls different forms of pain, including inflammatory and neuropathic pain, both in the ocular surface and in the central nervous system. There are diverse methods in controlling pain using opioids, especially in refractory forms. This review attempts to collect the literature about corneal surface and opioid pathways to provide an overview image and a possible direction of the news treatments. |
Description: | Publisher Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland. |
DOI: | 10.3390/jcm11051424 |
ISSN: | 2077-0383 |
Appears in Collections: | Research outputs from Pure / Zinātniskās darbības rezultāti no ZDIS Pure |
Files in This Item:
File | Size | Format | |
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Opioids_and_Ocular_Surface_Pathology.pdf | 7.34 MB | Adobe PDF | View/Open |
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