Persistent opioid use in cataract surgery pain management and the role of nonopioid alternatives

Davidson, Richard S.; Donaldson, Kendall E.; Jeffries, Maggie A.; Khandelwal, Sumitra; Raizman, Michael B.; Torres, Yasaira Rodriguez; Kim, Terry

doi:10.1097/j.jcrs.0000000000000860

Cited by 2 publications

(1 citation statement)

References 46 publications

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“…These findings underscore the need for a comprehensive approach in postoperative management following cataract surgeries. Factors such as the therapeutic efficacy, safety profile, patient compatibility and cost considerations should guide the selection of postoperative medications 23 . Tailoring the use of ketorolac in postoperative regimens requires an in‐depth understanding of its advantages and potential drawbacks.…”

Section: Discussionmentioning

confidence: 99%

A meta‐analysis of topical Ketorolac's effect on surgical site wound healing post‐cataract surgery

You,

Han

2024

International Wound Journal

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This meta‐analysis evaluates the impact of topical ketorolac on surgical site wound healing and scar formation after cataract surgery. A thorough literature search, adhering to Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines, identified eight relevant studies from 2348 articles. The selected studies were analysed for wound healing efficacy, using the redness, edema, ecchymosis, discharge and approximation (REEDA) scale, and scar formation, assessed by the Manchester scar scale (MSS). Results indicated that ketorolac significantly improved wound healing, with lower REEDA scores 1 week post‐surgery (I2 = 97%; Random: standardised mean difference (SMD): −10.93, 95% CI: −13.85 to −8.00, p < 0.01), and reduced scar formation, evidenced by lower MSS scores 3 months post‐surgery (I2 = 74%; Random: SMD: −9.67, 95% CI: −11.03 to −8.30, p < 0.01). The findings suggest that topical ketorolac is beneficial in post‐cataract surgery care, enhancing wound healing and reducing scarring.

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Section: Discussionmentioning

confidence: 99%

A meta‐analysis of topical Ketorolac's effect on surgical site wound healing post‐cataract surgery

You,

Han

2024

International Wound Journal

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Pain Management After Ophthalmic Surgery: Considerations During the Opioid Epidemic

Israilevich,

Starr

2024

Curr Surg Rep

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Persistent opioid use in cataract surgery pain management and the role of nonopioid alternatives

Abstract: Cataract surgery pain management in light of the opioid crisis and how ophthalmologists can help make a positive impact with the use of non-opioid options is discussed.

Cited by 2 publications

References 46 publications

A meta‐analysis of topical Ketorolac's effect on surgical site wound healing post‐cataract surgery

A meta‐analysis of topical Ketorolac's effect on surgical site wound healing post‐cataract surgery

Pain Management After Ophthalmic Surgery: Considerations During the Opioid Epidemic

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