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Evaluation of analgesic efficacy of bromfenac sodium ophthalmic solution 0.09% versus ketorolac tromethamine ophthalmic solution 0.5% following LASEK or Epi-LASIK.

Wang XJ, Wong SH, Givergis R, Chynn EW - Clin Ophthalmol (2011)

Bottom Line: There was no statistically significant difference in visual blurriness scores between the two groups (P > 0.1).Uncorrected visual acuity did not vary significantly between the treatment groups (P > 0.1).The subjects tolerated the drugs well with no serious adverse outcomes and no difference in uncorrected visual acuity.

View Article: PubMed Central - PubMed

Affiliation: Park Avenue LASEK, New York, NY, USA.

ABSTRACT

Background: To evaluate the analgesic efficacy of bromfenac sodium ophthalmic solution 0.09% compared with ketorolac tromethamine ophthalmic solution 0.5% in laser epithelial keratomileusis (LASEK) or epithelial keratomileusis (epi-LASEK), sometimes referred to as epi-LASIK.

Methods: Eighty eyes (from 40 patients, 18 men and 22 women) undergoing bilateral simultaneous LASEK or epi-LASEK were randomized to receive ketorolac in one eye and bromfenac in the other. Mean age was 33.13 ± 9.34 years. One drop of bromfenac or ketorolac was instilled in each eye 15 minutes and one minute prior to surgery, and two and four hours following surgery. Patients were instructed to instill the medications on-label each day through postoperative day 4. The subjects completed pain and visual blurriness assessments from day of surgery to postoperative day 4. Uncorrected visual acuity was tested on postoperative days 1 and 6.

Results: For each of the five days, pain scores for bromfenac-treated eyes were significantly less than that for ketorolac-treated eyes (P < 0.01). Of the 40 patients, 32 (80%) said bromfenac provided better postoperative analgesia than ketorolac. There was no statistically significant difference in visual blurriness scores between the two groups (P > 0.1). Uncorrected visual acuity did not vary significantly between the treatment groups (P > 0.1). No serious adverse events were noted.

Conclusion: Bromfenac is subjectively superior to ketorolac in reducing postoperative pain following LASEK or epi-LASEK. The subjects tolerated the drugs well with no serious adverse outcomes and no difference in uncorrected visual acuity.

No MeSH data available.


Related in: MedlinePlus

Pain scores of ketorolac-treated eyes vs. bromfenac-treated eyes.Note: Error bar = standard error
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f1-opth-5-1451: Pain scores of ketorolac-treated eyes vs. bromfenac-treated eyes.Note: Error bar = standard error

Mentions: Patients assessed their pain and blurriness levels (using a scale from 0 to 4) daily in the clinic, from day of surgery through postoperative day 4. Eighty percent (32 of 40) of patients reported less pain in bromfenac-treated eyes than in ketorolac-treated eyes, as shown in Figure 1. Blurriness score differences did not reach statistical significance on any day, as shown in Figure 2. On the day of surgery, mean pain levels were 1.39 ± 0.19 in the ketorolac-treated eye and 0.74 ± 0.16 in the bromfenac-treated eye (P = 0.0002). Mean blurriness levels were 0.90 ± 0.19 in the ketorolac-treated eye and 0.88 ± 0.19 in the bromfenac-treated eye (P > 0.1). On postoperative day 1, mean pain levels were 1.36 ± 0.18 in the ketorolac-treated eye, and 0.85 ± 0.17 in the bromfenac-treated eye (P = 0.0035). Mean blurriness levels were 1.06 ± 0.18 in the ketorolac-treated eye and 1.03 ± 0.18 in the bromfenac-treated eye (P > 0.1). On postoperative day 2, mean pain levels were 1.19 ± 0.17 in the ketorolac-treated eye and 0.78 ± 0.17 in the bromfenac-treated eye (P = 0.0011). Mean blurriness levels were 0.87 ± 0.16 in the ketorolac-treated eye and 0.82 ± 0.15 in the bromfenac-treated eye (P > 0.1). On postoperative day 3, mean pain levels were 1.05 ± 0.16 in the ketorolac-treated eye and 0.60 ± 0.14 in the bromfenac-treated eye (P = 0.0023). Mean blurriness levels were 0.87 ± 0.16 in the ketorolac-treated eye and 0.82 ± 0.15 in the bromfenac-treated eye (P > 0.1). On postoperative day 4, mean pain levels were 0.75 ± 0.15 in the ketorolac-treated eye and 0.29 ± 0.11 in the bromfenac-treated eye (P = 0.0008). Mean blurriness levels were 0.60 ± 0.13 in the ketorolac-treated eye and 0.64 ± 0.13 in the bromfenac-treated eye (P > 0.1).


Evaluation of analgesic efficacy of bromfenac sodium ophthalmic solution 0.09% versus ketorolac tromethamine ophthalmic solution 0.5% following LASEK or Epi-LASIK.

Wang XJ, Wong SH, Givergis R, Chynn EW - Clin Ophthalmol (2011)

Pain scores of ketorolac-treated eyes vs. bromfenac-treated eyes.Note: Error bar = standard error
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3198424&req=5

f1-opth-5-1451: Pain scores of ketorolac-treated eyes vs. bromfenac-treated eyes.Note: Error bar = standard error
Mentions: Patients assessed their pain and blurriness levels (using a scale from 0 to 4) daily in the clinic, from day of surgery through postoperative day 4. Eighty percent (32 of 40) of patients reported less pain in bromfenac-treated eyes than in ketorolac-treated eyes, as shown in Figure 1. Blurriness score differences did not reach statistical significance on any day, as shown in Figure 2. On the day of surgery, mean pain levels were 1.39 ± 0.19 in the ketorolac-treated eye and 0.74 ± 0.16 in the bromfenac-treated eye (P = 0.0002). Mean blurriness levels were 0.90 ± 0.19 in the ketorolac-treated eye and 0.88 ± 0.19 in the bromfenac-treated eye (P > 0.1). On postoperative day 1, mean pain levels were 1.36 ± 0.18 in the ketorolac-treated eye, and 0.85 ± 0.17 in the bromfenac-treated eye (P = 0.0035). Mean blurriness levels were 1.06 ± 0.18 in the ketorolac-treated eye and 1.03 ± 0.18 in the bromfenac-treated eye (P > 0.1). On postoperative day 2, mean pain levels were 1.19 ± 0.17 in the ketorolac-treated eye and 0.78 ± 0.17 in the bromfenac-treated eye (P = 0.0011). Mean blurriness levels were 0.87 ± 0.16 in the ketorolac-treated eye and 0.82 ± 0.15 in the bromfenac-treated eye (P > 0.1). On postoperative day 3, mean pain levels were 1.05 ± 0.16 in the ketorolac-treated eye and 0.60 ± 0.14 in the bromfenac-treated eye (P = 0.0023). Mean blurriness levels were 0.87 ± 0.16 in the ketorolac-treated eye and 0.82 ± 0.15 in the bromfenac-treated eye (P > 0.1). On postoperative day 4, mean pain levels were 0.75 ± 0.15 in the ketorolac-treated eye and 0.29 ± 0.11 in the bromfenac-treated eye (P = 0.0008). Mean blurriness levels were 0.60 ± 0.13 in the ketorolac-treated eye and 0.64 ± 0.13 in the bromfenac-treated eye (P > 0.1).

Bottom Line: There was no statistically significant difference in visual blurriness scores between the two groups (P > 0.1).Uncorrected visual acuity did not vary significantly between the treatment groups (P > 0.1).The subjects tolerated the drugs well with no serious adverse outcomes and no difference in uncorrected visual acuity.

View Article: PubMed Central - PubMed

Affiliation: Park Avenue LASEK, New York, NY, USA.

ABSTRACT

Background: To evaluate the analgesic efficacy of bromfenac sodium ophthalmic solution 0.09% compared with ketorolac tromethamine ophthalmic solution 0.5% in laser epithelial keratomileusis (LASEK) or epithelial keratomileusis (epi-LASEK), sometimes referred to as epi-LASIK.

Methods: Eighty eyes (from 40 patients, 18 men and 22 women) undergoing bilateral simultaneous LASEK or epi-LASEK were randomized to receive ketorolac in one eye and bromfenac in the other. Mean age was 33.13 ± 9.34 years. One drop of bromfenac or ketorolac was instilled in each eye 15 minutes and one minute prior to surgery, and two and four hours following surgery. Patients were instructed to instill the medications on-label each day through postoperative day 4. The subjects completed pain and visual blurriness assessments from day of surgery to postoperative day 4. Uncorrected visual acuity was tested on postoperative days 1 and 6.

Results: For each of the five days, pain scores for bromfenac-treated eyes were significantly less than that for ketorolac-treated eyes (P < 0.01). Of the 40 patients, 32 (80%) said bromfenac provided better postoperative analgesia than ketorolac. There was no statistically significant difference in visual blurriness scores between the two groups (P > 0.1). Uncorrected visual acuity did not vary significantly between the treatment groups (P > 0.1). No serious adverse events were noted.

Conclusion: Bromfenac is subjectively superior to ketorolac in reducing postoperative pain following LASEK or epi-LASEK. The subjects tolerated the drugs well with no serious adverse outcomes and no difference in uncorrected visual acuity.

No MeSH data available.


Related in: MedlinePlus