Objective To compare the effects of different delivery methods of non-steroidal anti-inflammatory drugs (NSAIDs) on changes in macular thickness after uncomplicated micro-incision phacoemulsification using spectral domain optical coherence tomography (OCT). Methods In this prospective study, 129 patients were randomly divided into three groups. After surgery, group A (41 cases) received no NSAIDs, group B (44 cases) received pranoprofen and group C (44 cases) received pranoprofen combined with ibuprofen (sustained-release capsules). All patients were treated with topical tobramycin and dexamethasone postoperatively. OCT measurements were performed preoperatively and at 1 day, 1 week and 6 weeks postoperatively. The mean macular thicknesses of 9 sectors were analyzed with the macular thickness mapping protocol of the OCT. Data were analyzed using one-way ANOVA, repeate measured ANOVA, and Pearson correlation analysis. Results Compared with preoperative acuity, there was a significant increase in best corrected visual acuity (BCVA) after surgery in all 3 groups. However, there was no correlation between changes in macular thickness and BCVA. At 1 day after surgery, no significant differences in retinal thickness were found among the 3 groups. At 1 week after surgery, the 1-mm central subfield (CSF) thickness showed no significant difference among the groups. However, there was a significant difference in the retinal thickness of the parafoveal area (A2) between groups A and C (P<0.05). Furthermore, the thicknesses of the CSF and some parafoveal areas in group A were significantly greater than those in groups B and C (P<0.05). Conclusion NSAIDs may have some effects on alleviating macular thickening after surgery. To some extent, oral NSAIDs are effective during the early stage after surgery.
王丹丹,冯一帆,廉恒丽,赵云娥. 非甾体类抗炎药不同给药方式对微切口白内障术后黄斑厚度的影响[J]. 中华眼视光学与视觉科学杂志, 2015, 17(8): 488-492.
Wang Dandan,Feng Yifan,Lian Hengli,Zhao Yun′e. Effects of different doses of non-steroidal anti-inflammatory drugs on changes in macular thickness after micro-incision phacoemulsification. Chinese Journal of Optometry Ophthalmology and Visual science, 2015, 17(8): 488-492. DOI: 10.3760/cma.j.issn.1674-845X.2015.08.010
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