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Erschienen in: Lasers in Medical Science 9/2020

03.03.2020 | Original Article

Comparison of the balafilcon A and samfilcon A lenses on postoperative pain control and epithelial healing time after photorefractive keratectomy: a contralateral eye study

verfasst von: Necati Duru, Orhan Altunel, Ender Sırakaya, Bekir Küçük

Erschienen in: Lasers in Medical Science | Ausgabe 9/2020

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Abstract

To compare the effects of balafilcon A and samfilcon A silicone hydrogel bandage contact lenses on postoperative pain control and epithelial healing time after photorefractive keratectomy (PRK). Seventy-four eyes of 37 patients who underwent bilateral PRK were included in this randomized clinical trial study. In the end of the surgery, a balafilcon A lens was used in one eye and a samfilcon A lens was used in the fellow eye randomly. Pain, blurred vision, epiphora, photophobia, and foreign body sensation were assessed on the first and third postoperative day using a visual analogue scale (0 = no ocular pain or discomfort, 10 = highest level of ocular pain and discomfort). For balafilcon A and samfilcon A lenses, mean scores for pain were 6.22 ± 2.81 and 3.11 ± 2.90 on first postoperative day (p < 0.001) and 1.57 ± 1.65 and 0.68 ± 0.85 on third postoperative day (p = 0.001), respectively; mean scores for foreign body sensation were 6.11 ± 2.53 and 3.19 ± 2.72 on first postoperative day (p < 0.001) and 3.16 ± 1.92 and 1.35 ± 1.43 on third postoperative day (p < 0.001), also respectively; and mean scores for epiphora were 6.46 ± 2.64 and 5.46 ± 3.40 on first postoperative day (p = 0.007) and 1.68 ± 1.60 and 1.32 ± 1.31 on third postoperative day (p = 0.065), again respectively. No significant difference in blurred vision or photophobia emerged between the lenses on first and third postoperative day after PRK. On the third postoperative day, reepithelialization was complete in 83.7% of eyes with the balafilcon A lens and 89.1% of eyes fitted with the samfilcon A lens. Wearing samfilcon A lenses after photorefractive keratectomy can significantly manage pain, decrease foreign body sensation on first and third postoperative day, and reduce epiphora on first postoperative day.
Literatur
1.
Zurück zum Zitat Dimitri Azar (2019) Refractive surgery: Thompson V, Seıler T, Hardten RD Photorefractive Keratectomy 3rd Edition Chicago, IL, USA pp 280–290 Dimitri Azar (2019) Refractive surgery: Thompson V, Seıler T, Hardten RD Photorefractive Keratectomy 3rd Edition Chicago, IL, USA pp 280–290
2.
Zurück zum Zitat Sakimoto T, Rosenblatt MI, Azar DT (2006) Laser eye surgery for refractive errors. Lancet. 367:1432–1447 Sakimoto T, Rosenblatt MI, Azar DT (2006) Laser eye surgery for refractive errors. Lancet. 367:1432–1447
3.
Zurück zum Zitat Ghadhfan F, Al-Rajhi A, Wagoner MD (2007) Laser in situ keratomileusis versus surface ablation: visual outcomes and complications. J Cataract Refract Surg 33:2041–2048 Ghadhfan F, Al-Rajhi A, Wagoner MD (2007) Laser in situ keratomileusis versus surface ablation: visual outcomes and complications. J Cataract Refract Surg 33:2041–2048
4.
Zurück zum Zitat Ambrosio R Jr, Wilson S (2003) LASIK vs LASEK vs PRK: advantages and indications. Semin Ophthalmol 18:2–10 Ambrosio R Jr, Wilson S (2003) LASIK vs LASEK vs PRK: advantages and indications. Semin Ophthalmol 18:2–10
5.
Zurück zum Zitat Woreta FA, Gupta A, Hochstetler B et al (2013) Management of post- photorefractive keratectomy pain. Surv Ophthalmol 58:529–535 Woreta FA, Gupta A, Hochstetler B et al (2013) Management of post- photorefractive keratectomy pain. Surv Ophthalmol 58:529–535
6.
Zurück zum Zitat Cherry PM, Tutton MK, Adhikary H et al (1994) The treatment of pain following photorefractive keratectomy. J Refract Corneal Surg 10:222–225 Cherry PM, Tutton MK, Adhikary H et al (1994) The treatment of pain following photorefractive keratectomy. J Refract Corneal Surg 10:222–225
7.
Zurück zum Zitat McCarty CA, Garrett SK, Aldred GF et al (1996) Assessment of subjective pain following photorefractive keratectomy. Melbourne Excimer Laser Group. J Refract Surg 12:365–369 McCarty CA, Garrett SK, Aldred GF et al (1996) Assessment of subjective pain following photorefractive keratectomy. Melbourne Excimer Laser Group. J Refract Surg 12:365–369
8.
Zurück zum Zitat Brilakis HS, Deutsch TA (2000) Topical tetracaine with bandage soft contact lens pain control after photorefractive keratectomy. J Refract Surg 16:444–447 Brilakis HS, Deutsch TA (2000) Topical tetracaine with bandage soft contact lens pain control after photorefractive keratectomy. J Refract Surg 16:444–447
9.
Zurück zum Zitat Cherry PM (1996) The treatment of pain following excimer laser photorefractive keratectomy: additive effect of local anesthetic drops, topical diclofenac, and bandage soft contact. Ophthalmic Surg Lasers 27:477–480 Cherry PM (1996) The treatment of pain following excimer laser photorefractive keratectomy: additive effect of local anesthetic drops, topical diclofenac, and bandage soft contact. Ophthalmic Surg Lasers 27:477–480
10.
Zurück zum Zitat Engle AT, Laurent JM, Schallhorn SC et al (2005) Masked comparison of silicone hydrogel lotrafilcon A and etafilcon A extended-wear bandage contact lenses after photorefractive keratectomy. J Cataract Refract Surg 31:681–686 Engle AT, Laurent JM, Schallhorn SC et al (2005) Masked comparison of silicone hydrogel lotrafilcon A and etafilcon A extended-wear bandage contact lenses after photorefractive keratectomy. J Cataract Refract Surg 31:681–686
11.
Zurück zum Zitat Eliacik M, Erdur SK, Gulkilik G et al (2015) Compare the effects of two silicone-hydrogel bandage contact lenses on epithelial healing after photorefractive keratectomy with anterior segment optical coherence tomography. Cont Lens Anterior Eye 38:215–219 Eliacik M, Erdur SK, Gulkilik G et al (2015) Compare the effects of two silicone-hydrogel bandage contact lenses on epithelial healing after photorefractive keratectomy with anterior segment optical coherence tomography. Cont Lens Anterior Eye 38:215–219
12.
Zurück zum Zitat Mukherjee A, Ioannides A, Aslanides I (2015) Comparative evaluation of comfilcon A and senofilcon A bandage contact lenses after transepithelial photorefractive keratectomy. Aust J Optom 8:27–32 Mukherjee A, Ioannides A, Aslanides I (2015) Comparative evaluation of comfilcon A and senofilcon A bandage contact lenses after transepithelial photorefractive keratectomy. Aust J Optom 8:27–32
13.
Zurück zum Zitat Taylor KR, Caldwell MC, Payne AM et al (2014) Comparison of 3 silicone hydrogel bandage soft contact lenses for pain control after photorefractive keratectomy. J Cataract Refract Surg 40:1798–1804 Taylor KR, Caldwell MC, Payne AM et al (2014) Comparison of 3 silicone hydrogel bandage soft contact lenses for pain control after photorefractive keratectomy. J Cataract Refract Surg 40:1798–1804
14.
Zurück zum Zitat Grentzelos MA, Plainis S, Astyrakakis NI et al (2009) Efficacy of 2 types of silicone hydrogel bandage contact lenses after photorefractive keratectomy. J Cataract Refract Surg 35:2103–2108 Grentzelos MA, Plainis S, Astyrakakis NI et al (2009) Efficacy of 2 types of silicone hydrogel bandage contact lenses after photorefractive keratectomy. J Cataract Refract Surg 35:2103–2108
15.
Zurück zum Zitat Plaka A, Grentzelos MA, Astyrakakis NI et al (2013) Efficacy of two silicone- hydrogel contact lenses for bandage use after photorefractive keratectomy. Cont Lens Anterior Eye 36:243–246 Plaka A, Grentzelos MA, Astyrakakis NI et al (2013) Efficacy of two silicone- hydrogel contact lenses for bandage use after photorefractive keratectomy. Cont Lens Anterior Eye 36:243–246
16.
Zurück zum Zitat Foulks GN (2006) Prolonging contact lens wear and making contact lens wear safer. Am J Ophthalmol 141:369–373 Foulks GN (2006) Prolonging contact lens wear and making contact lens wear safer. Am J Ophthalmol 141:369–373
17.
Zurück zum Zitat Arora R, Jain S, Monga S et al (2004) Efficacy of continuous wear PureVision contact lenses for therapeutic use. Cont Lens Anterior Eye 27:39–43 Arora R, Jain S, Monga S et al (2004) Efficacy of continuous wear PureVision contact lenses for therapeutic use. Cont Lens Anterior Eye 27:39–43
18.
Zurück zum Zitat Szaflik JP, Ambroziak AM, Szaflik J (2004) Therapeutic use of a lotrafilcon A silicone hydrogel soft contact lens as a bandage after LASEK surgery. Eye Contact Lens 30:59–62 Szaflik JP, Ambroziak AM, Szaflik J (2004) Therapeutic use of a lotrafilcon A silicone hydrogel soft contact lens as a bandage after LASEK surgery. Eye Contact Lens 30:59–62
19.
Zurück zum Zitat Mohammadpour M, Amouzegar A, Hashemi H et al (2015) Comparison of lotrafilcon B and balafilcon A silicone hydrogel bandage contact lenses in reducing pain and discomfort after photorefractive keratectomy: a contralateral eye study. Cont Lens Anterior Eye 38:211–214 Mohammadpour M, Amouzegar A, Hashemi H et al (2015) Comparison of lotrafilcon B and balafilcon A silicone hydrogel bandage contact lenses in reducing pain and discomfort after photorefractive keratectomy: a contralateral eye study. Cont Lens Anterior Eye 38:211–214
20.
Zurück zum Zitat Mohammadpour M, Heidari Z, Hashemi H et al (2018) Comparison of the lotrafilcon B and comfilcon A silicone hydrogel bandage contact lens on postoperative ocular discomfort after photorefractive keratectomy. Eye Contact Lens 44:273–276 Mohammadpour M, Heidari Z, Hashemi H et al (2018) Comparison of the lotrafilcon B and comfilcon A silicone hydrogel bandage contact lens on postoperative ocular discomfort after photorefractive keratectomy. Eye Contact Lens 44:273–276
21.
Zurück zum Zitat Schafer J, Reindel W, Steffen R et al (2018) Use of a novel extended blink test to evaluate the performance of two polyvinylpyrrolidone-containing, silicone hydrogel contact lenses. Clin Ophthalmol 12:819–825 Schafer J, Reindel W, Steffen R et al (2018) Use of a novel extended blink test to evaluate the performance of two polyvinylpyrrolidone-containing, silicone hydrogel contact lenses. Clin Ophthalmol 12:819–825
22.
Zurück zum Zitat Hoteling AJ, Nichols WF, Harmon PS et al (2018) Characterization and quantitation of PVP content in a silicone hydrogel contact lens produced by dual-phase polymerization processing. J Biomed Mater Res B Appl Biomater 106:1064–1072 Hoteling AJ, Nichols WF, Harmon PS et al (2018) Characterization and quantitation of PVP content in a silicone hydrogel contact lens produced by dual-phase polymerization processing. J Biomed Mater Res B Appl Biomater 106:1064–1072
Metadaten
Titel
Comparison of the balafilcon A and samfilcon A lenses on postoperative pain control and epithelial healing time after photorefractive keratectomy: a contralateral eye study
verfasst von
Necati Duru
Orhan Altunel
Ender Sırakaya
Bekir Küçük
Publikationsdatum
03.03.2020
Verlag
Springer London
Erschienen in
Lasers in Medical Science / Ausgabe 9/2020
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI
https://doi.org/10.1007/s10103-020-02985-5

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