Department of Ophthalmology, University Hospital Dubrava, 10000 Zagreb, Croatia.
Clinical Institute of Laboratory Diagnosis, Clinical Hospital Centre, 10000 Zagreb, Croatia.
Medicina (Kaunas). 2022 Nov 17;58(11):1667. doi: 10.3390/medicina58111667.
The purpose of this study was to compare the effect of topical bromfenac and dexamethasone on the intraocular concentration of interleukin 6 (IL-6) and incidence of pseudophakic cystoid macular oedema (PCME) after cataract surgery in patients with non-proliferative diabetic retinopathy (NPDR). Ninety eyes of patients with mild-to-moderate NPDR that underwent phacoemulsification cataract surgery were divided into three groups. A detailed description of the clinical study protocol is described later in paper. In short, Group 1 received topical bromfenac (0.9 mg/mL), Group 2 dexamethasone (1 mg/mL), and Group 3 placebo, both preoperatively and postoperatively. Additionally, all patients received combined topical steroid and antibiotic drops (dexamethasone, neomycin and polymyxin B) 3 weeks postoperatively. On the day of the surgery, aqueous humour samples (0.1-0.2 mL) were obtained and IL-6 concentrations were analysed. Central foveal subfield thickness (CFT) measured using spectral-domain optical coherence tomography (SD-OCT) was analysed preoperatively and postoperatively. There was no significant difference in IL-6 concentrations between groups. Postoperative CFT was significantly lower in the dexamethasone group compared to the placebo group. In addition, the correlation between IL-6 and CFT was statistically significant in the dexamethasone group. No patient developed PCME in any of the three groups. No adverse events were reported during the study. Topical bromfenac and dexamethasone have no significant effect on intraocular IL-6 concentration in patients with NPDR. Topical bromfenac is not more effective than topical dexamethasone in reducing postoperative CFT in patients with NPDR.
本研究旨在比较局部使用溴芬酸和地塞米松对非增殖性糖尿病视网膜病变(NPDR)患者白内障手术后眼内白细胞介素 6(IL-6)浓度和假性囊泡性黄斑水肿(PCME)发生率的影响。90 只轻度至中度 NPDR 患者的眼接受了超声乳化白内障手术,分为三组。临床研究方案的详细描述见后文。简而言之,第 1 组接受局部溴芬酸(0.9mg/ml),第 2 组接受地塞米松(1mg/ml),第 3 组接受安慰剂,均在术前和术后使用。此外,所有患者术后 3 周均接受联合局部皮质类固醇和抗生素滴眼剂(地塞米松、新霉素和多粘菌素 B)治疗。手术当天,采集房水样本(0.1-0.2ml)并分析 IL-6 浓度。使用频域光相干断层扫描(SD-OCT)分析术前和术后中央黄斑区视网膜厚度(CFT)。各组间 IL-6 浓度无显著差异。与安慰剂组相比,地塞米松组术后 CFT 明显降低。此外,地塞米松组中 IL-6 与 CFT 之间存在显著相关性。三组均无患者发生 PCME。研究期间无不良反应报告。局部使用溴芬酸和地塞米松对 NPDR 患者眼内 IL-6 浓度无显著影响。局部使用溴芬酸在降低 NPDR 患者术后 CFT 方面并不优于局部使用地塞米松。