Bandage contact lens use after photorefractive keratectomy

Sánchez‐González, José‐María; López-Izquierdo, Inmaculada; Gargallo-Martínez, Beatriz; De-Hita-Cantalejo, Concepción; Bautista‐Llamas, María‐José

doi:10.1016/j.jcrs.2019.02.045

Cited by 24 publications

(22 citation statements)

References 38 publications

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“…The recovery time appears to be related to the size of the corneal wound, and the decrease in corneal sensitivity with the subsequent reduction in tear production may bring about aqueous tear deficient dry eye [22,23]. It is widely accepted that BCLs are commonly used to reduce the healing time of the corneal epithelium [13]. In addition, several studies have shown that wearing silicone hydrogel lenses can reduce dryness and discomfort [24,25].…”

Section: Discussionmentioning

confidence: 99%

“…Since the nineteenth century, bandage contact lenses (BCLs) have been applied as a treatment for various anterior conditions that affect the ocular surface, including corneal erosions, corneal surface irregularity, corneal ulcers, dry eye and keratitis sicca [11]. They are also widely used after surgeries for their ability to relieve pain and promote corneal epithelial recovery [12,13]. However, few studies have investigated the efficacy of BCLs after cataract surgery, especially in the management of dry eye-related symptoms.…”

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confidence: 99%

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Efficacy of bandage contact lens for the management of dry eye disease after cataract surgery

Chen

et al. 2021

Int Ophthalmol

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Purpose We aimed to evaluate the efficacy of bandage contact lens (BCL) for the management of dry eye disease (DED) after cataract surgery. Methods A total of 120 patients (140 eyes) with age-related cataract and DED were enrolled in this study. Patients underwent standard micro-incision phacoemulsification surgeries and were divided into control or BCL groups. Slit-lamp biomicroscopic examination, Ocular Surface Disease Index, keratograph analysis and Schirmer I test were executed, and the levels of tear inflammatory molecules were detected. Results In the control group, the NIAvg-BUT and Schirmer I test scores were significantly decreased at 1 week post-operation compared with baseline levels (P = 0.035 and P = 0.009, respectively). In the BCL group, the NIF-BUT and Schemer I test scores were significantly improved at 1 month after operation compared with the control group (P = 0.012 and P < 0.001, respectively). Levels of IL-6, IL-8 and ICAM-1 were significantly increased in the control group at 1 month after the operation (P = 0.005, P = 0.038 and P = 0.022, respectively), while there was no difference in the BCL group. The increase in the IL-6 level in the control group was significantly higher compared with that in the BCL group (P = 0.047). In DED patients, there were significant correlations between ocular surface parameters and inflammatory molecules. Conclusions Cataract surgery could lead to the development or worsening of DED. The application of BCLs after cataract surgery could stabilize the ocular surface and tear film, improve the corneal healing and reduce the inflammation. Collectively, our findings suggested that proper use of BCLs after cataract surgery played an effective role in the management of DED. Trial registration ClinicalTrials, NCT04100031. Registered 18 September 2019—retrospectively registered

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Efficacy of bandage contact lens for the management of dry eye disease after cataract surgery

Chen

et al. 2021

Int Ophthalmol

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“…Many strategies have been described to help minimize pain after PRK including bandage contact lenses, cold BSS, postoperative cold patches, NSAIDs, topical anesthetics, and opioids. [6][7][8][9][10][11][12]15,21,23,24 Even so, no established standardized approach to postoperative pain management exists. One study found a combination of topical anesthetic (amethocaine/tetracaine), topical diclofenac, and a bandage contact lens provided optimal postoperative pain management.…”

Section: Discussionmentioning

confidence: 99%

“…5 Bandage contact lenses have been shown to speed epithelialization and reduce postoperative pain after PRK. 6 Medications are also commonly used in an attempt to help alleviate postoperative pain. Eye drops including lubricants, nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and cycloplegics may be used and oral analgesics are frequently recommended or prescribed.…”

Section: Introductionmentioning

confidence: 99%

<p>Survey of Postoperative Pain in Photorefractive Keratectomy Using Topical versus Oral Nonsteroidal Anti-Inflammatory Drugs</p>

Ripa

Betts

Dhaliwal

et al. 2020

OPTH

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Purpose: To evaluate and compare postoperative pain following photorefractive keratectomy (PRK) in patients using a preventive regimen of oral versus topical nonsteroidal antiinflammatory drugs (NSAIDs). Patients and Methods: A prospective, randomized, longitudinal survey of postoperative PRK pain was performed on 157 subjects in a tertiary academic medical center setting. Patients were randomized to either topical ketorolac 0.4% every 12 hours or oral naproxen sodium 220 mg every 12 hours for 72 hours following PRK, beginning at the time of surgery. The primary outcome measure was the daily peak pain score from the validated numerical rating scale (NRS) for five days after surgery. Results: The peak pain scores were significantly higher in the oral NSAID group (mean 5.82, SD 1.94) compared to the topical NSAID group (mean 4.2, SD 2.19) (p<0.0001) after PRK. When comparing each postoperative day after PRK, the pain scores from 24 to 48 hours (day 2) were significantly higher in the oral NSAID group (mean 5.17, SD 2.25) as compared to the topical NSAID group (mean 3.21, SD 2.09) (p<0.0001). Pain scores 24-72 hours after surgery (days 2 and 3) were higher than pain scores on days 1, 4, and 5 for both groups. Conclusion: Twice daily oral naproxen sodium 220 mg is inferior to twice daily topical ketorolac 0.4% in the treatment of early postoperative pain after PRK. This study also identified a consistent trend in which pain scores were highest 24-72 hours after the procedure. This additional observation may be useful in understanding, preventing, and treating post-PRK pain.

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“…It is important to minimize damage to the corneal epithelium because corneal endothelial cells do not regenerate and the endothelial layer of the cornea functions to maintain tissue hydration and therefore clarity, of the cornea [16] . There has been inconsistency in the literature regarding the question of whether MMC reduces endothelial cell numbers in the cornea [17][18][19] . Thus, larger studies are needed to resolve whether and if so under what conditions MMC diminishes corneal endothelium.…”

Section: Based On Visualizationmentioning

confidence: 99%

New Bubble Mitomycin C Application Technique for Haze Prevention following Customized Photorefractive Keratectomy

Karaarslan¹

2020

pharmaceutical-sciences

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Present investigation deals with a pilot study in which a new technique for applying mitomycin C directly onto the ablated corneal surface in the form of an injector-administered bubble. Here, a technique was introduced and the observations made with this technique in this pilot study involving 125 patients who received wave front bilateral photorefractive keratectomy. Mitomycin C was administered using the common minisponge application technique in one eye and mitomycin C was administered using the new bubble technique in the other eye. Photorefractive keratectomy presentation was compared between the minisponge-treated and bubble-treated eyes. Visual parameters such as visual acuity, spherical refractive error and cylindrical refractive error were similar in eyes across the two treatments before and after wave front photorefractive keratectomy. None of the minisponge-treated or bubble-treated eyes developed clinically evident photorefractive keratectomy haze. Compared to the minisponge-treated eyes, bubbletreated eyes showed faster healing (3 d vs. 5 d for contact lens bandage removal) and faster visual recovery (≤5 d vs. 7-10 d). In conclusion, the new bubble technique for applying mitomycin C after wave front photorefractive keratectomy provided a safe, effective and time-saving alternative to the standard mini sponge mitomycin C application technique.

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Bandage contact lens use after photorefractive keratectomy

Cited by 24 publications

References 38 publications

Efficacy of bandage contact lens for the management of dry eye disease after cataract surgery

Efficacy of bandage contact lens for the management of dry eye disease after cataract surgery

<p>Survey of Postoperative Pain in Photorefractive Keratectomy Using Topical versus Oral Nonsteroidal Anti-Inflammatory Drugs</p>

New Bubble Mitomycin C Application Technique for Haze Prevention following Customized Photorefractive Keratectomy

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