Ciliary body toxicities of systemic oxcarbazepine and valproic acid treatments: electron microscopic study

Abstract

Ciliary body is responsible for humour aqueous production in posterior chamber. Valproic acid (VPA) has been widely used for the treatment of epilepsy and other neuropsychiatric diseases such as bipolar disease and major depression. Oxcarbazepine (OXC) is a new anti-epileptic agent that has been used recently for childhood epilepsies such as VPA. In this study, we aimed to investigate the effects of VPA and OXC treatments used as antiepileptic in ciliary body by electron microscopy. In our study, 40 Wistar rats (21 days old) were divided equally into four groups which were applied saline (group 1), VPA (group 2), OXC (group 3) and VPA + OXC (group 4). The as-prepared ocular tissues were characterized by transmission electron microscopy (TEM) technique in scanning and transmission electron microscopy (SEM-TEM) (Carl Zeiss EVO LS10). The results confirmed that VPA caused dense ciliary body degeneration. Additionally, ciliary body degeneration in group 4 was supposed to be due to VPA treatment. Ciliary body damage and secondary outcomes should be considered in patients with long-term VPA therapy.

• Ciliary body
• electron microscopy
• oxcarbazepine
• valproic acid

Declartion of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.

Notes

* This study was performed in the Gazi University Faculty of Medicine and presented at the 21st National Congress on Electron Microscopy with International Participation, May 28 to 31, 2013, Mersin, Turkey.