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Abstract To date, there has been no well-documented description of effective therapy for any "true" viral disease, although the Chlamydozoaceae, the very large viruses, are sensitive to ordinary broad-spectrum antibiotics. To be sure, many agents, such as specific antibody or interferon, prevent the appearance of viral disease in vitro and in vivo. None of these, however, has cured or improved viral disease once it was present. Present therapy of herpes simplex keratitis with debriding agents, though helpful, is by no means uniformly satisfactory and does not eliminate virus.1 This communication will report the use of a drug, 5-iodo-2'-deoxyuridine (IDU), a viral antibiotic which cures or ameliorates experimental herpes simplex keratitis,2 even after the keratitis is extensive and severe. Methods and Materials The corneas of albino rabbits were traumatized by 3 interlocking circles in the central cornea made with a 5 mm. trephine set to a depth of 0.05 mm. References 1. Powder was obtained from Nutritional Biochemical Corporation. Drops are now made by Smith, Kline & French Laboratories, 1500 Spring Garden St., Philadelphia. 2. Kaufman, H. E., and Howard G. M.: Therapy of Experimental Herpes Simplex Keratitis, Invest. Ophthal., to be published. 3. Kaufman, H. E.: Clinical Cure of Herpes Simplex Keratitis by 5-Iodo-2'-Deoxyuridine, Proc. Soc. Exp. Biol. Med., to be published. 4. Kaufman, H. E., and Maloney, E. D.: Experimental Herpes Simplex Keratitis: Effect of Corticosteroids and Epithelial Curettage , Arch. Ophthal. 66:99, 1961.Crossref 5. Tamm, I.: Symposium on the Experimental Pharmacology and Clinical Use of Antimetabolites: III. Metabolic Antagonists and Selective Virus Inhibition , Clin. Pharmacol. Therap. 1:777, 1960. 6. Herrmann, E. C., Jr.: Plaque Inhibition Test for Detection of Specific Inhibitors of DNA Containing Viruses , Proc. Soc. Exp. Biol. Med. 107:142, 1961.Crossref 7. Stocker, M. G. P.: Growth Studies with Herpes Virus , in Virus Growth and Variation: A Symposium , edited by Isaacs, A., and Lacey, B. W., London, Cambridge University Press, 1959. 8. Howard, G. M., and Kaufman, H. E.: Review of Herpes Simplex Keratitis , Arch. Ophthal. 67: 373, 1962.Crossref 9. Gundersen, T.: Herpes Corneae: With Special References to Its Treatment with Strong Solution of Iodine , Arch. Ophthal. 15:225, 1936.Crossref 10. Welch, A. D., and Prusoff, W. H.: Synopsis of Recent Investigations of 5-Iodo-2'-Deoxyuridine, Cancer Chemother. (Rep. 6) p. 29, 1960. 11. Goodman, L., and Gilman, A.: Pharmacological Basis of Therapeutics , New York, The Macmillan Company, 1955, pp. 1276-1317. 12. Goodman, L., and Gilman, A.,10 pp. 1394-1399. 13. Goodman, L., and Gilman, A.,10 pp. 1324-1357. 14. Goodman, L., and Gilman, A.,10 pp. 1182-1183. 15. Kaufman, H. E.; Martola, E-L., and Dohlman, C-H.: The Use of a New Viral Antibiotic in the Treatment of Herpes Simplex Keratitis, in preparation.
Archives of Ophthalmology – American Medical Association
Published: May 1, 1962
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