ABSTRACT
PURPOSE: One of the important points in extracapsular cataract extraction with posterior chamber intraocular lens implantation is to maintain mydriasis during the intervention. In this study we compared the efficacy of two topical nonsteroidal anti-inflammatory drugs: diclofenac sodium (Naclof) and indomethacin used before cataract surgery to inhibit surgically induced miosis. METHODS: Sixty-four patients were operated (ECCE with IOL) by three experienced surgeons. All patients received dilatating drops and nonsteroidal anti-inflammatory drugs every 30 minutes in five doses beginning 2.5 hours before surgery. 32 patients received diclofenac sodium and 32 patients indomethacin. Pupil diameters were measured three times: first--just before the initial limbal incision, second--at the end of cortical aspiration and the last after implantation of an intraocular lens. RESULTS: In both groups the surgical manipulations induced a decrease in pupil diameter but more in the group treated with indomethacin. CONCLUSIONS: Diclofenac sodium appeared to be more potent than indomethacin in maintaining intraoperative mydriasis during cataract surgery.
Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Cataract Extraction/methods , Diclofenac/administration & dosage , Indomethacin/administration & dosage , Mydriasis/chemically induced , Adult , Aged , Aged, 80 and over , Female , Humans , Intraoperative Period , Male , Middle Aged , Miosis/prevention & control , Preoperative CareABSTRACT
The authors remind commonly known values of fluorescein angiography, techniques of its performance and the scheme of preparation of the photographic material for adequate evaluation, description and preservation.
