Pterygium
Conditions
Brief summary
The purpose of this study is to determine if patching the eye or a bandage contact lens along with Tylenol #3 is more effective for pain control following pterygium surgery.
Interventions
Patients will be given a patch or a bandage contact lens at the conclusion of pterygium excision surgery.
Sponsors
Study design
Eligibility
Inclusion criteria
* Primary pterygium (no previous surgeries or radiotherapy) requiring excision due to ocular discomfort or disruption in vision * Size of pterygium greater than 2.5 mm over the cornea (pterygia smaller than this do not result in much postoperative eye pain) * Ability to understand the nature of the procedure and to complete all measurement requirements * Adults (age greater than 18)
Exclusion criteria
* Ocular surface disease apart from pterygium (such as severe dry eye, corneal disease, scarring from previous infection, radiotherapy, inflammatory diseases or trauma) * Patients who have had previous ocular surface surgery * Contraindications to local anesthetics (such as known allergy) * Pregnancy (as the risk to the fetus with the use of topical antibiotic drops and local anesthetics are not known) * Patients already on systemic analgesics for any other reason (such as rheumatoid arthritis) * Allergy to codeine (in order to standardize the systemic analgesic used so that we can compare the effect of bandage contact lens versus 24 hour patching)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analog Pain Score | 1 week |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sensitivity to light, tearing, foreign body sensation | 1 week | — |
| Postoperative Complications | 1 week | Difficulty removing the bandage lens, the bandage lens has fallen out, graft dislocation |
| Number of Tylenol #3 tablets required | 1 week | — |
Countries
Canada