Purpose. To investigate the effects of topical acetylcholine and topical ad
ministration of propolis, a natural beehive product, on corneal epithelial
wound healing. Methods. The whole corneal epithelium was debrided in 42 eye
s of 21 rats by mechanical scraping with a dulled scalpel blade. Animals we
re divided into three groups. Group 1 received topical 1% water extract of
propolis (WEP), group 2 received topical acetylcholine (ACh), and group 3 (
control group) received topical phosphate-buffered saline, 6 times a day fo
r 3 days, starting immediately after debridemenl. The area of the corneal e
pithelial defect was stained with fluorescein, photographed, and then measu
red every 12 h. The mean epithelial defect area and the mean percentage of
epithelial defect remaining at each follow-up were compared between the gro
ups. Results. The mean epithelial defect area and the mean percentage of ep
ithelial defect remaining at each time were significantly smaller (p < 0.00
1, p < 0.05, respectively) in the ACh and propoIis groups as compared with
control groups. There was no statistically significant difference between t
he propolis or ACh groups at any lime (p > 0.05), At 72 h, the mean percent
age of defect remaining was 2.58%, in the ACh group, 1.3% in the propolis-t
reated group, and 8.68% in the control group. Conclusions. This study demon
strated that ACh and propolis facilitated corneal epithelial wound healing
of rats. Although the mechanisms of the effect of propolis on wound healing
and its clinical use still remain to be determined, ACh may have a place i
n the treatment of corneal epithelial injuries.