Topical Bromfenac combined with prednisolone versus topical prednisolone in the management of pseudophakic cystoid macular oedema مقارنة إستخدام قطرة البريدنيزولون مع وبدون قطرة البرومفيناك في علاج ارتشاحات الماقولةالكيسية التي تلي عمليات المياة البيضاء

Faculty Medicine Year: 2019
Type of Publication: ZU Hosted Pages:
Authors:
Journal: Zagazig University Medical Journal Zagazig University Medical Journal Volume:
Keywords : Topical Bromfenac combined with prednisolone versus    
Abstract:
Purpose:To compare the efficacy of topical Bromfenac 0.09% combined with topical Prednisone acetate 1% versus topical Prednisilone alone in the management of pseudophakic cystoid macular oedema. Methods:Randomized simple comparative study included 20 eyes of 20 patients diagnosed with cystoid macular oedema (CMO) following uncomplicated phacoemulsification . Ten eyes were received topical Bromfenac 0.09% combined with topical Prednisone acetate 1% while the other 10 eyes received only topical Prednisone acetate 1% . Outcomes were measured at the baseline, one month, two months and three months after treatment by visual acuity assessment, slit lamp biomicroscopic examination and OCT macular thickness scan. Results:Mean baseline BCVA in Group 1 was 0.65±0.23, and after 3 months was 0.35±0.21. Group 2 showed baseline mean visual acuity 0.75 ± 0.19 , at the end of study mean values were 0.35 ±0.21 . Mean macular thickness of Group 1 at baseline were 381.3±72.3µ , while the mean macular thickness of group 2 were 382 ± 115.7 µ . At the end of study macular thickness group 1 mean values were 307.2 ±67.5µ , while group 2 mean values were 356.1 ± 108.82µ .There was statistically significant difference in central macular thickness and visual acuity between baseline values and at two and three months visits . Conclusion:Bromfenac 0.09% combined with topical Prednisone acetate 1% significantly decreased macular thickness and improved visual acuity in cases with postoperative pseudophakic macular oedema compared to patients received topical Prednisone acetate 1% only.
   
     
 
       

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