Comparison of topical nepafenac 0.1% with intravitreal dexamethasone implant for the treatment of Irvine-Gass syndrome

AIM: To compare safety and efficacy of intravitreal dexamethasone (IVD) implant with topical nepafenac (TN) 0.1% in previously untreated Irvine-Gass syndrome (IGS) in clinical practice. METHODS: This was a retrospective study of 62 eyes with IGS after phacoemulsification with posterior chamber int...

Full description

Bibliographic Details
Main Authors: Hande Guclu, Vuslat Pelitli Gurlu
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2019-02-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.cn/en_publish/2019/2/20190212.pdf
_version_ 1811205400529207296
author Hande Guclu
Vuslat Pelitli Gurlu
author_facet Hande Guclu
Vuslat Pelitli Gurlu
author_sort Hande Guclu
collection DOAJ
description AIM: To compare safety and efficacy of intravitreal dexamethasone (IVD) implant with topical nepafenac (TN) 0.1% in previously untreated Irvine-Gass syndrome (IGS) in clinical practice. METHODS: This was a retrospective study of 62 eyes with IGS after phacoemulsification with posterior chamber intraocular lens (IOL) implantation. None of the patients used treatment before IVD or TN. Best-corrected visual acuity (BCVA) with Early Treatment Diabetic Retinopathy Study chart (ETDRS), slit-lamp, intraocular pressure (IOP) measurement, fundus examination, spectral-domain optical coherence tomography (OCT) and fundus florescein angiography were performed to all subjects at baseline, 1, 3 and 6mo. RESULTS: The mean BCVA of the IVD group was 49.3±6.8, and the mean BCVA of the TN group was 32.9±7.3 ETDRS letters in post-treatment month 6. The mean central macular thickness (CRT) of IVD group was 266.6±53.5 µm and the mean CRT of TN group was 364.9±56.3 µm in post-treatment month 6. Baseline BCVA has correlation with final BCVA in TN group however there was no correlation between baseline BCVA and final BCVA in IVD group. CONCLUSION: IVD is found to be better than TN in controlling pseudophakic macular edema and improving visual acuity. IVD group also has significantly lower CRT however IOP is not significantly different between two groups in post-treatment month 6.
first_indexed 2024-04-12T03:30:56Z
format Article
id doaj.art-2f6cacc7eaa141a09bbd0a5b28278d62
institution Directory Open Access Journal
issn 2222-3959
2227-4898
language English
last_indexed 2024-04-12T03:30:56Z
publishDate 2019-02-01
publisher Press of International Journal of Ophthalmology (IJO PRESS)
record_format Article
series International Journal of Ophthalmology
spelling doaj.art-2f6cacc7eaa141a09bbd0a5b28278d622022-12-22T03:49:33ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982019-02-0112225826710.18240/ijo.2019.02.12Comparison of topical nepafenac 0.1% with intravitreal dexamethasone implant for the treatment of Irvine-Gass syndromeHande Guclu0Vuslat Pelitli Gurlu1Department of Opthalmology, Trakya University, Faculty of Medicine, Edirne 22030, TurkeyDepartment of Opthalmology, Trakya University, Faculty of Medicine, Edirne 22030, TurkeyAIM: To compare safety and efficacy of intravitreal dexamethasone (IVD) implant with topical nepafenac (TN) 0.1% in previously untreated Irvine-Gass syndrome (IGS) in clinical practice. METHODS: This was a retrospective study of 62 eyes with IGS after phacoemulsification with posterior chamber intraocular lens (IOL) implantation. None of the patients used treatment before IVD or TN. Best-corrected visual acuity (BCVA) with Early Treatment Diabetic Retinopathy Study chart (ETDRS), slit-lamp, intraocular pressure (IOP) measurement, fundus examination, spectral-domain optical coherence tomography (OCT) and fundus florescein angiography were performed to all subjects at baseline, 1, 3 and 6mo. RESULTS: The mean BCVA of the IVD group was 49.3±6.8, and the mean BCVA of the TN group was 32.9±7.3 ETDRS letters in post-treatment month 6. The mean central macular thickness (CRT) of IVD group was 266.6±53.5 µm and the mean CRT of TN group was 364.9±56.3 µm in post-treatment month 6. Baseline BCVA has correlation with final BCVA in TN group however there was no correlation between baseline BCVA and final BCVA in IVD group. CONCLUSION: IVD is found to be better than TN in controlling pseudophakic macular edema and improving visual acuity. IVD group also has significantly lower CRT however IOP is not significantly different between two groups in post-treatment month 6.http://www.ijo.cn/en_publish/2019/2/20190212.pdfintravitreal dexamethasone implantnepafenacirvine-gass syndromecystoid macular edemainflammation
spellingShingle Hande Guclu
Vuslat Pelitli Gurlu
Comparison of topical nepafenac 0.1% with intravitreal dexamethasone implant for the treatment of Irvine-Gass syndrome
International Journal of Ophthalmology
intravitreal dexamethasone implant
nepafenac
irvine-gass syndrome
cystoid macular edema
inflammation
title Comparison of topical nepafenac 0.1% with intravitreal dexamethasone implant for the treatment of Irvine-Gass syndrome
title_full Comparison of topical nepafenac 0.1% with intravitreal dexamethasone implant for the treatment of Irvine-Gass syndrome
title_fullStr Comparison of topical nepafenac 0.1% with intravitreal dexamethasone implant for the treatment of Irvine-Gass syndrome
title_full_unstemmed Comparison of topical nepafenac 0.1% with intravitreal dexamethasone implant for the treatment of Irvine-Gass syndrome
title_short Comparison of topical nepafenac 0.1% with intravitreal dexamethasone implant for the treatment of Irvine-Gass syndrome
title_sort comparison of topical nepafenac 0 1 with intravitreal dexamethasone implant for the treatment of irvine gass syndrome
topic intravitreal dexamethasone implant
nepafenac
irvine-gass syndrome
cystoid macular edema
inflammation
url http://www.ijo.cn/en_publish/2019/2/20190212.pdf
work_keys_str_mv AT handeguclu comparisonoftopicalnepafenac01withintravitrealdexamethasoneimplantforthetreatmentofirvinegasssyndrome
AT vuslatpelitligurlu comparisonoftopicalnepafenac01withintravitrealdexamethasoneimplantforthetreatmentofirvinegasssyndrome