The hen's egg test-chorioallantoic membrane (HET-CAM) assay, an altern
ative to the Draize eye irritation test, was developed by Luepke and h
as been improved on by means of a microscopic examination and the use
of a test substance applicator (TSA). The TSA is a double teflon ring
in which a perlon mesh is locked. and has several advantages over conv
entional protocols, reducing subjectivity of the method and avoiding t
he need for rinsing after treatment. It was confirmed by statistical a
nalysis that the HET-CAM-TSA method can reproduce potential in vivo ir
ritant effects on the conjunctiva. The classification based on the in
vitro results was compared with four in vivo classifications [MAS (max
imal average score) with thresholds of 15.0 and 25.0; the Kay and Cala
ndra method; and EC criteria]. Cooper's parameters (specificity, sensi
tivity and concordance with the Draize test) were calculated according
to these four in vivo classifications. When the most rigorous classif
ication (MAS threshold of 15.0) was taken into account, a sensitivity
of 80%, a specificity of 81.3% and a concordance with the Draize test
of 80.4% were obtained for this set of 46 compounds. Copyright (C) 199
6 Elsevier Science Ltd.