Abstract
Aims/Purpose: Fungal keratitis is serious ocular infection caused by any of the fungi species. It is treated with antifungal medications, in worst scenario with cornea transplantation. The therapy is still challenging due to poor drug penetration into the cornea. Cold plasma, produced by ionization of argon gas, contains especially reactive species but also UV radiation which damage microorganisms. The aim of this study is to determine the effect of cold plasma on human corneal epithelial cells (HCE), corneal tissue and multiple pathogen microorganisms to assess the opportunity of cold plasma treatment for fungal keratitis.Methods: The effect of cold plasma on HCE was analysed by the light microscopy, Live/Dead assay, metabolic activity assay, and immunohistochemistry. Disinfecting potential was analysed by plating prevalent yeasts (Candida albicans, C. krusei, C. parapsilosis, C. glabrata) on agar plates and treated with cold plasma. Plasma treatment of infected human donor corneas with C. albicans was determined by measurement of O.D. of liquid culture.Results: The treatment of HCE by cold plasma led to the change of the morphology, significantly lower viability, metabolic activity and proliferation of the cells. Yeast strains were significantly eradicated completely after 5 min of cold plasma treatment (p ≤ 0.001). Cold plasma therapy of the infected human donor corneas showed the decrease of the infection in all tested time intervals with statistical significance (p ≤ 0.01, p < 0.05 and p ≤ 0.001 respectively for 1, 2 and 5 min treatment).Conclusions: Cold plasma treatment showed negative impact on the culture of HCE. The analysis of its effect on the whole corneal tissue is in progress. On the contrary, a significant reduction of CFU was observed in all examined Candida spp. and significant decrease of infection was determined in infected corneas. Therefore, the cold plasma technology showed a potential to be an effective treatment for fungal keratitis.
Published Version
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