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Randomised controlled trial of ketorolac in the management of korneal abrasions

Goyal, R., Shankar, Jai, Fone, David Lawrence and Hughes, D. 2001. Randomised controlled trial of ketorolac in the management of korneal abrasions. Acta Ophthalmologica Scandinavica 79 (2) , pp. 177-179. 10.1034/j.1600-0420.2001.079002177.x

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Abstract

Purpose: To evaluate the role of topical non-steroidal anti-inflammatory agents (NSAIDs) in the management of corneal abrasions with respect to symptoms and healing. Methods: The study was designed as a prospective, single center, randomised, placebo controlled, double-blinded trial. Eighty-eight consecutive patients with non-infective, non-contact lens related traumatic or foreign body removal related corneal abrasions were recruited to this study. They were randomised into two groups. Both groups were given a single instillation of Gutt. cyclopentolate 0.5% followed by chloramphenicol eye ointment four times a day until the following day. In addition, the treatment group received topical Ketorolac trometamol 0.5% ophthalmic solution while the control group received placebo Liquifilm tears. Patients were assessed at presentation and about twenty-four hours later for subjective symptoms, abrasion size and any associated complications. Results: There was no statistical difference in the two groups at base line and twenty-four hour follow-up when assessed for five subjective symptoms of pain, photophobia, grittiness, watering and blurring of vision. However, those receiving topical ketorolac required significantly less additional oral analgesics (p=0.001). There was no difference in the rate of healing. Conclusion: Use of topical ketorolac may be a useful adjunct in the management of corneal abrasions.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
R Medicine > RZ Other systems of medicine
Publisher: Wiley-Blackwell
ISSN: 1395-3907
Last Modified: 04 Jun 2017 07:48
URI: http://orca.cf.ac.uk/id/eprint/68272

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