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Continuous Flow Perfusion of Gentamicin with a (Morgan Lens) Reduces Bacterial Colony Counts in Experimental Pseudomonas Keratitis

Author: Rootman DS, Krajden M

Publication: J Ocul Pharmacol 1993 Fall;9(3):271-6

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Abstract: We have previously shown the pharmacokinetic value of delivering gentamicin to the rabbit anterior segment using the Morgan Therapeutic Lens. The present study utilized an intrastromal injection model of Pseudomonas keratitis to test the therapeutic efficacy of continuous flow delivery of gentamicin with the Morgan Lens. All eyes (n = 52) received an intrastromal injection of approximately 1800 colony-forming units (CFU) of Pseudomonas aeruginosa. At 22 hours after injection, eyes were perfused for 6 hours with saline or gentamicin (1, 2.5 or 5 mg/ml), or received gentamicin drops (13.6 mg/ml) at 15 minutes for four doses, then hourly for 6 hours. Corneas were homogenized and plated to determine bacterial survival, and expressed as log colonies (CFU). Log CFU recovered were 7.37 +/- 0.04, 6.64 +/- 0.20, 5.64 +/- 0.31, and 3.56 +/- 0.50 log CFU for saline perfusion, 1, 2.5, 5 mg/ml gentamicin perfusion respectively. Following six hours of treatment with topical fortified gentamicin drops, 5.93 +/- 0.34 log CFU were recovered. Gentamicin perfusion (5 mg/ml) was significantly different from saline or the other treatment groups (P < 0.05). Continuous corneal perfusion with the Morgan Therapeutic Lens demonstrated an increasing dose response curve with increasing perfusate concentration. It was effective in the treatment of experimental Pseudomonas keratitis.

I just spent three hours in the ER.  The trip to the ER was precipitated by my getting a mixture of bleach, Mr. Clean and water in my left eye while scrubbing the soffits of the siding on my house.  Whilst in the ER, I had my eye irrigated twice with a 0.9% solution of NaCl using the Morgan Lens to facilitate the irrigation.  THANK YOU for creating the Morgan Lens.  My eye felt so much better after the second round of irrigation, and it did take two rounds before the pH level in my eye returned to normal.  I know companies always hear about the things that go wrong with their equipment.  I want you to know that your equipment did something wonderful, and I want you to know how very much I appreciate it.

Patient - Platteville, WI

MorTan Inc.

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Why Use The Morgan Lens?

The Morgan Lens is used in 90% of hospital emergency departments in the USA and can be inserted in less than 20 seconds. There simply is no other "hands-free" method of eye irrigation. Nothing else frees medical personnel to treat other injuries or to transport the patient while irrigation is underway. Nothing is more effective at treating ocular chemical, thermal, and actinic burns or removing non-embedded foreign bodies, even when the patient's eyes are closed tightly. Its design makes it simple and straightforward to use so minimal training is required.