Diclofenac Verses Dexamethasone in Un-complicated Cataract Surgeries.

ABSTRACT

Background: Uncomplicated cataract procedures have become very easy to perform with minimal complications. Treatment of inflammation post-surgery was usually by corticosteroides. Of late, Diclofenac sodium, a non-steroid anti- inflammatory agent is being widely tested to be used instead of corticosteroids as steroids are known for their side effects. Methods: 179 patients of both genders, undergoing elective unilateral ECCE with IOL implantation were included into this study. The patients were divided into 2 groups. Group 1 consisted of 89 patients who were given diclofenac sodium and Group 2 of 90, who were treated with dexamethasone post operatively. All patients were subjected to visometric, eye biomicroscopic, ophthalmoscopic and tonometric examination before surgery and on 1st, 3rd, 7th and 14the days post-surgery. Results: By 7th day, the visual acuity was 75% in group 1 and 695 IN Group 2. Inflammation was seen in less than 8% of the cases in both the groups showing that both the drugs are equally efficient. Conclusion: As diclofenac is as good as dexamethasone, if not better, dicofenac can be used in lieu of the latter for the treatment of inflammation in uncomplicated cataract surgeries.