Diagnosis of cystoid macular edema by comparison of pre-operation and post-operation macular thickness calculated by optical coherence tomography (OCT) after cataract extraction surgery with and without pre-operative use of NSAIDS.

Authors

  • Adil Rouf Madinah Teaching Hospital, Faisalabad, Pakistan.
  • Haider Ali Chaudhry Madinah Teaching Hospital, Faisalabad, Pakistan.
  • Gulnaz Madinah Teaching Hospital, Faisalabad, Pakistan.
  • Sadia Khalid Madinah Teaching Hospital, Faisalabad, Pakistan.

DOI:

https://doi.org/10.29309/TPMJ/2024.31.11.8288

Keywords:

Cystoid Macular Edema, Cataract Surgery, NSAIDs

Abstract

ABSTRACT… Objective: To compare mean macular thickness after cataract extraction surgery with and without pre-operative NSAIDs. Study Design: Randomized Controlled Trial. Setting: Department of Ophthalmology, Madinah Teaching Hospital, Faisalabad. Period: 21-10-2022 to 20-04-2023. Methods: Total 640 patients (320 in each group) were involved in the study. In group-A patients received one drop of NSAID three times a day for one day prior surgery. In group-B, patients not received NSAID. Results: Results showed that there was a total 395 males and 245 females. Mean age of the patients was 48.24±5.54 in group A and 47.05±5.20 in group B. Comparison of macular thickness showed that thickness was 215.69±14.20 in group A and 227.99±06.09 in group B. There was a significant difference in macular thickness of two groups (P <0.001). Conclusion: In conclusion, preoperative usage of NSAIDs revealed statistically significant (p0.001) and clinically relevant benefits in avoiding macular edoema and preserving visual acuity in patients undergoing cataract surgery as compared to the non-NSAIDs group.

Author Biographies

Adil Rouf, Madinah Teaching Hospital, Faisalabad, Pakistan.

MBBS, FCPS (Ophthalmology), Resident FCPS Vitreoretinal Ophthalmology, 

Haider Ali Chaudhry, Madinah Teaching Hospital, Faisalabad, Pakistan.

MBBS, FCPS (Ophthalmology), Senior Registrar Ophthalmology, 

Gulnaz, Madinah Teaching Hospital, Faisalabad, Pakistan.

MBBS, FCPS (Ophthalmology), Resident FCPS Vitreoretinal Ophthalmology, 

Sadia Khalid, Madinah Teaching Hospital, Faisalabad, Pakistan.

MBBS, FCPS (Ophthalmology), Consultant Ophthalmologist, 

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Published

2024-11-03