Photorefractive Keratectomy, Refraction Error
Conditions
Keywords
Ketorolac tromethamine, Non-Medicated Bandage Contact Lenses, Postoperative Pain Control
Brief summary
Photorefractive keratectomy (PRK) is a well-established surface ablation procedure for the correction of refractive errors. Despite excellent visual and refractive outcomes, postoperative pain remains a significant concern, particularly during the first few days following surgery. This pain is primarily related to corneal epithelial removal, exposure of subepithelial nerve endings, and the subsequent inflammatory response. Effective pain management is therefore essential to enhance patient comfort, improve compliance with postoperative care, and increase overall surgical satisfaction. Therefore we will compare postoperative pain levels in patients undergoing PRK using ketorolac tromethamine 0.5%-soaked bandage contact lenses versus non-medicated bandage contact lenses.
Interventions
Soaking Bandage Contact Lenses in ketorolac prior to application may provide sustained drug release at the ocular surface, thereby enhancing postoperative pain control while reducing the need for repeated topical administration.Recent studies have suggested that ketorolac-soaked Bandage Contact Lenses may significantly reduce pain following Photorefractive Keratectomy without adversely affecting epithelial healing
Bandage contact lenses (BCLs) are routinely used after PRK to protect the corneal surface, reduce mechanical irritation from blinking, and promote epithelial healing
Sponsors
Study design
Eligibility
Inclusion criteria
* Participants selected to undergo photorefractive keratectomy for correction of refractive error after complete workup. * Participants willing to participate in the study after detailed explanation of the research purpose.
Exclusion criteria
* Known hypersensitivity to NSAIDs or ketorolac. * Presence of any systemic diseases affecting wound healing.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Pain | 72 hours | Postoperative pain assessed using a standardized pain scoring system (e.g., Visual Analogue Scale) at 6, 24, 48, and 72 hours postoperatively. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Epithelial Healing | 72 hours | Time for epithelial healing |
Countries
Pakistan