Additive Effect of Topical Nepafenac on Mydriasis in Patients With Diabetes Mellitus.


Journal

Eye & contact lens
ISSN: 1542-233X
Titre abrégé: Eye Contact Lens
Pays: United States
ID NLM: 101160941

Informations de publication

Date de publication:
Sep 2020
Historique:
pubmed: 11 9 2019
medline: 19 8 2021
entrez: 11 9 2019
Statut: ppublish

Résumé

To evaluate the additive effect of topical nepafenac on pupil diameter (PD) in patients with diabetes mellitus (DM) and cataract. This prospective comparative study included the patients having cataract surgery with and without DM. Two consecutive PD measurements were taken using an automatic quantitative pupillometry system (MonPack One, Metrovision). A baseline measurement was taken, then one drop of nepafenac % 0.1 (Nevanac; Alcon, Fort Worth, TX) was instilled only to the eye that will be operated on (study eye). Cyclopentolate 1.0% (Sikloplejin; Abdi İbrahim, İstanbul, Turkey) was instilled to both eyes (study eye/fellow eye) 5 minutes later. The second measurement was taken at 1 hour after this application. The DM group consisted of 43 patients, and the control group consisted of 39 participants. The baseline PDs of both eyes were similar in the DM group (P=0.070) and the control group (P=0.345). The change in pupil size from baseline to mydriasis was statistically significantly greater in the study eyes (2.69±0.53) than fellow eyes (2.54±0.61) in the DM group (P=0.009), but there was no statistically significant difference in the control group (2.94±0.63 vs. 2.86±0.58). When the groups were compared, the PD changes were similar in the study eyes between groups (P=0.065), while the PD changes in the fellow eyes were lower in the DM group (P=0.017). Nepafenac has been shown additive effect on pupil dilation in diabetic patients before cataract surgery.

Identifiants

pubmed: 31503086
doi: 10.1097/ICL.0000000000000657
pii: 00140068-202009000-00011
doi:

Substances chimiques

Benzeneacetamides 0
Phenylacetates 0
nepafenac 0J9L7J6V8C

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

310-313

Références

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Auteurs

Hasan Kiziltoprak (H)

Ophthalmology Department (H.K.), Bingol Women's Health and Children's Hospital, Bingol, Turkey; Ophthalmology Department (M.K., E.Y.), Ankara Ulucanlar Eye Training and Research Hospital, Ankara, Turkey; Ophthalmology Department (K.T., M.I.), Ercis State Hospital, Van, Turkey; and Ophthalmology Department (K.O.), TOBB ETU Hospital, Ankara, Turkey.

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