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Title: CATARACT SURGERY;: COMPARISON OF TOPICAL NEPAFENAC OPHTHALMIC SUSPENSION 0.1% WITH TOPICAL PREDNISOLONE ACETATE 1% IN THE MANAGEMENT OF POSTOPERATIVE INFLAMMATION
Authors: Zulfiqar Ahmed Memon, Omar Zafar, Arsalan Farooq, Shabnam Memon, Najam ul Hassan, M. Tahir Shah
Journal: The Professional Medical Journal (TPMJ)
Publisher: Independent Medical College, Faisalabad- Pakistan
Country: Pakistan
Year: 2017
Volume: 24
Issue: 12
Language: English
DOI: 10.29309/TPMJ/2017.24.12.561
Keywords: Prednisolone,Cataract,Inflammation,Steroids,Nepafenac,NSAIDs (Nonsteroidal anti-inflammatory drugs).
Objectives: To determine the efficacy of topical nepafenac 0.1% eye dropsas compared toprednisolone acetate 1% eye drops in the management of postoperativeinflammation after cataract surgery. Study Design: Randomized controlled clinical study.Place and Duration of study: Pakistan air force hospital Rafiqui from Oct 2016 to Feb 2017.Patients and methods: Two hundred and forty eight eyes were randomly divided in two equalgroups. Patients received nepafenac 0.1% or prednisolone acetate 1% as single drop 8 hourlybeginning 1 day preoperatively, continued till 2 weeks post-operatively. Efficacy of the drugwill be considered if there is no anterior chamber reaction along with no aqueous flare after 2weeks of treatment. Results: 85.5% of cases resolved with topical nepafenac 0.1%as comparedto 88.7% that were cured with prednisolone acetate 1%. Pearson chi square test indicates thatthere is no statistical significant difference (p= 0.449) between the efficacy of two modes oftreatment. Conclusion: Nepafenac 0.1% eye drops are as effective as prednisolone acetate 1%in the prevention of postoperative inflammation with cataract surgery.
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