ISSN: 1300-0365
Dil: Türkçe
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Comparison Of The Efficacy Of Topical Ketorolac Tromethamine And Dexamethasone Sodium Phosphate In Strabismus Surgery
Nazife Sefi Yurdakul*, Şeyda Karadenİz Uğurlu*, Aras Saklamaz**, Ahmet Maden***
* Dr., İzmir Atatürk Eğitim ve Araştırma Hastanesi Göz Kliniği, Şef Yrd.,** Dr., İzmir Atatürk Eğitim ve Araştırma Hastanesi Göz Kliniği, Asist.,*** Prof.Dr., İzmir Atatürk Eğitim ve Araştırma Hastanesi Göz Kliniği, Şefi, İZMİR
Purpose: To compare anti-inflammatory and analgesic effects and wound healing in patients who recieved topical ketorolac tromethamine % 0.5 and dexamethasone sodium phosphate % 0.1 after strabismus surgery.
Methods: Ketorolac+trimethoprim-polymixin B drops (4x1) were administered to one eye and dexamethasone+ trimethoprim-polymixin B (4x1) to the fellow eyes of 20 patients for 15 days who had bilateral medial rectus recession. The patients were examined postoperatively on days 3, 7 and 15 to determine the degree of erythema, edema, secretion and wound healing, and were asked about the severity of pain experienced.
Results: Postoperative scores of erythema, edema and secretion were similar in both groups, whereas pain was statistically significantly less common in the eyes that recieved ketorolac tromethamine on days 3 and 7 (p= 0.03, p= 0.01). Conjunctival healing problem was not encountered in both groups.
Conclusions: Topical ketorolac tromethamine % 0.5, which is as efficacious as topical dexamethasone sodium phosphate % 0.1 in controlling postoperative inflammation, has the advantage of providing better analgesia and is a reliable alternative agent to corticosteroids in strabismus surgery.Keywords: Strabismus surgery, Postoperative inflammation, Nonsteroidal anti-inflammatory agents, CorticosteroidsTurkiye Klinikleri J Ophthalmol 2001, 10:72-77
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