Comparison of the Effects of Steroid Eye Drops with Topical Nosteroid Antiinflammatory Drugs on Corneal Astigmatic Change Following Small Incision Cataract Surgery

ABSTRACT

Steroid eye drop has a poterntial risk of ocular hypertension, secondary infection, corneal astigmatic change due to delayed wound healing and recent small incision cataract surgery has a minimal risk of ocular inflammation, so we compared the steroid eye drop with NSAID (nonsteroidal antiinflammatory drug) eye drop in corneal astigmatic change and ocular inflammation. We performed small incision cataract surgery with phacoemulsification, foldable IOL, one horizontal suture at cornescleral wound in 79 eyes(Fluouometholon 0.1%(r) 55eyes, Profenal 1%(r) 24eyes) and used each eye drop and followed the change of corneal astigamitism at postoperative 1 day, 1 week, 3 week, 2 month, 5 month. In Fluorometholon 0.1%(r) group, Corneal astigmatic change showed +0.32 diopter at 1 day, -0.03 diopter at 1 week, -0.11 diopter at 3 week, +0.40 diopter at 2 month, -0.37 diopter at 5 month. In Profenal 1%(r) group, the astigmatic change showed +0.06 diopter, +0.07 diopter, -0.26 diopter, -0.12 diopter, -0.11 diopter at each follow up, which is smaller than that of Fluorometholon 0.1%(r) group. No serious complication was revealed in both groups. The present developed cataract surgery has a tendency of smaller incision, short operation time, minimal postoperative inflammation and steroid eye drop which is used for the prevention of postoperative inflammation has a potential risk of various complication, so NSAID eye drop which showed earlier astigmatic stabilization can safely replace or used together with the steroid eye drop.