TY - JOUR
T1 - European multicenter trial of the prevention of cystoid macular edema after cataract surgery in nondiabetics: ESCRS PREMED study report 1
AU - Wielders, Laura H. P.
AU - Schouten, Jan S. A. G.
AU - Winkens, Bjorn
AU - van den Biggelaar, Frank J. H. M.
AU - Veldhuizen, Claudette A.
AU - Findl, Oliver
AU - Murta, Joaquim C. N.
AU - Goslings, Willem R. O.
AU - Tassignon, Marie-Jose
AU - Joosse, Maurits V.
AU - Henry, Ype P.
AU - Rulo, Alexander H. F.
AU - Guell, Jose L.
AU - Amon, Michael
AU - Kohnen, Thomas
AU - Nuijts, Rudy M. M. A.
AU - ESCRS PREMED Study Grp
PY - 2018/4/1
Y1 - 2018/4/1
N2 - Purpose: To compare the efficacy of a topical nonsteroidal antiinflammatory drug, topical corticosteroid, and a combination of both drugs to prevent the occurrence of cystoid macular edema (CME) after cataract surgery in nondiabetic patients. Setting: Twelve European study centers. Design: Randomized clinical trial. Methods: Nondiabetic patients having uneventful cataract surgery were included in this study. Patients were randomized to receive topical bromfenac 0.09% twice daily for 2 weeks or dexamethasone 0.1% 4 times daily with 1 drop less per day every following week, or a combination of both. The primary outcome was the difference in central subfield mean macular thickness 6 weeks postoperatively. Secondary outcome measures included corrected distance visual acuity as well as the incidence of CME and clinically significant macular edema (CSME) within 6 weeks and 12 weeks postoperatively. Results: This study comprised 914 patients. Six weeks postoperatively, the central subfield mean macular thickness was 288.3 gm, 296.0 gm, and 284.5 gm in the bromfenac group, dexamethasone group, and combination treatment group, respectively (overall P = .006). The incidence of clinically significant macular edema within 12 weeks postoperatively was 3.6%, 5.1%, and 1.5%, respectively (overall P = .043). Conclusion: Patients treated with a combination of topical bromfenac 0.09% and dexamethasone 0.1% had a lower risk for developing CSME after cataract surgery than patients treated with a single drug. (C) 2018 ASCRS and ESCRS
AB - Purpose: To compare the efficacy of a topical nonsteroidal antiinflammatory drug, topical corticosteroid, and a combination of both drugs to prevent the occurrence of cystoid macular edema (CME) after cataract surgery in nondiabetic patients. Setting: Twelve European study centers. Design: Randomized clinical trial. Methods: Nondiabetic patients having uneventful cataract surgery were included in this study. Patients were randomized to receive topical bromfenac 0.09% twice daily for 2 weeks or dexamethasone 0.1% 4 times daily with 1 drop less per day every following week, or a combination of both. The primary outcome was the difference in central subfield mean macular thickness 6 weeks postoperatively. Secondary outcome measures included corrected distance visual acuity as well as the incidence of CME and clinically significant macular edema (CSME) within 6 weeks and 12 weeks postoperatively. Results: This study comprised 914 patients. Six weeks postoperatively, the central subfield mean macular thickness was 288.3 gm, 296.0 gm, and 284.5 gm in the bromfenac group, dexamethasone group, and combination treatment group, respectively (overall P = .006). The incidence of clinically significant macular edema within 12 weeks postoperatively was 3.6%, 5.1%, and 1.5%, respectively (overall P = .043). Conclusion: Patients treated with a combination of topical bromfenac 0.09% and dexamethasone 0.1% had a lower risk for developing CSME after cataract surgery than patients treated with a single drug. (C) 2018 ASCRS and ESCRS
KW - NONSTEROIDAL ANTIINFLAMMATORY DRUGS
KW - BROMFENAC OPHTHALMIC SOLUTION
KW - OCULAR INFLAMMATION
KW - PHACOEMULSIFICATION
KW - 0.1-PERCENT
KW - EXTRACTION
KW - THICKNESS
U2 - 10.1016/j.jcrs.2018.01.029
DO - 10.1016/j.jcrs.2018.01.029
M3 - Article
C2 - 29778106
SN - 0886-3350
VL - 44
SP - 429
EP - 439
JO - Journal of Cataract and Refractive Surgery
JF - Journal of Cataract and Refractive Surgery
IS - 4
T2 - 35th Congress of the European-Society-of-Cataract-and-Refractive-Surgeons (ESCRS)
Y2 - 1 April 2018
ER -