Topical Bromfenac combined with prednisolone versus topical prednisolone in the management of pseudophakic cystoid macular oedema | ||
| Zagazig University Medical Journal | ||
| Article 48, Volume 29, Issue 1.1, January 2023, Pages 350-354 PDF (259.48 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2019.20440.1637 | ||
| Authors | ||
| Hany Abdalhafiz Albialy* 1; Doaa Mohammed Gouda2; Mostafa Mohammed Wagih3 | ||
| 1Departmemt of ophthalmology,faculity of medicine , Zagazig university0000 | ||
| 2Zagazig ophthalmic hospital, Zagazig, Egypt | ||
| 3Ophthalmology Department, Zagazig University, Zagazig, Egypt | ||
| Abstract | ||
| 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 comparative study included 20 eyes of 20 patients diagnosed with cystoid macular oedema following uncomplicated phacoemulsification . Ten eyes were received topical Bromfenac 0.09% combined with topical Prednisone acetate 1%. The other 10 eyes received only topical Prednisone acetate 1% . Follow up for three months by visual acuity assessment , slit lamp biomicroscopy and OCT macular scan. Results: Mean baseline BCVA in Group 1 was 0.65±0.23, and after 3 months = 0.35±0.21. The baseline mean visual acuity in group 2 were (0.75) ±0.19 , at the end of study visual acuity mean values were 0.35 ±0.21 . Baseline Mean macular thickness of Group was 381.3±72.3µ ,while the mean macular thickness of group 2 were (382) ± 115.7 µ .At the end of study mean macular thickness group was (307.2) ±67.5µ, while group 2 mean values were (356.1) ± 108.82µ .There was statistically significant difference in central macular thickness between baseline on one side and two and three months on the other side . Comparison of visual acuity between the two groups showed a statistically significant in two months only while there was no statistically significant difference in other time intervals. Conclusion: Bromfenac combined with topical Prednisone acetate significantly decreased macular thickness and improved visual acuity in cases with pseudophakic macular oedema compared to patients received topical Prednisone acetate only. | ||
| Keywords | ||
| Pseudophakic cystoid macular oedema; Irvin gas syndrome; Bromfenac 0.09%; Prednisone acetate1%; cataract surgery | ||
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