What is an Exosome?
Exosomes are nano-sized cellular messenger vesicles containing growth factors, cytokines, and microRNAs secreted by cells, especially stem cells. They are known for their cell regeneration-supporting and anti-inflammatory properties.
Mechanism of Action of Exosome in Dry Eye
Exosome therapy aims to improve tear balance by supporting the repair of damaged tissues on the eye surface:
Reduces ocular surface inflammation
Supports the function of lacrimal glands
Accelerates corneal epithelial regeneration
Can reduce the effects of Meibomian gland dysfunction
Supports the formation of a protective barrier on the eye surface
Application Methods
1. Topical (Drop) Exosome Application
It is the most commonly used method
Prepared in a sterile, preservative-free form
Applied directly to the eye surface
Preferred especially for mild to moderate dry eye
2. Periocular (Around the Eye) Injection
In severe cases or chronic conditions
In the form of microinjection into the tissues around the eye
Must be applied by a specialist physician
In Which Types of Dry Eye Can It Be Used?
Evaporative dry eye
Meibomian gland dysfunction (MGD)
Non-Sjogren’s dry eye
Screen use and age-related dry eye
Dry eye developing after LASIK
Contact lens-related dry eye
Advantages
Non-surgical
Provides a more regenerative effect compared to medications
Can provide long-term relief
Supports natural cellular repair mechanisms
Treatment Duration and Number of Sessions
Effect is usually observed within 2–4 weeks
1–3 courses may be recommended (according to the clinical picture)
Can be combined with other treatments (artificial tears, IPL, warm compress)
Safety and Things to Know
Exosome therapy:
Is considered an experimental / supportive treatment
Does not replace standard treatments on its own
Application must be performed under the supervision of an ophthalmologist
FDA/EMA approved indication scope is still limited
Who Is It Not Suitable For?
Those with active eye infection
Early period after intraocular surgery
Patients with autoimmune disease in the active phase
Pregnancy and breastfeeding period (requires doctor evaluation)