1. Novel Triamcinolone Acetonide-Loaded Liposomal Topical Formulation Improves Contrast Sensitivity Outcome After Femtosecond Laser-Assisted Cataract Surgery.
- Author
-
Gonzalez-De la Rosa, Alejandro, Navarro-Partida, Jose, Altamirano-Vallejo, Juan Carlos, Jauregui-Garcia, Gerardo Daniel, Acosta-Gonzalez, Ricardo, Ibanez-Hernandez, Miguel Angel, Mora-Gonzalez, Guadalupe Fernando, Armendáriz-Borunda, Juan, and Santos, Arturo
- Subjects
- *
CATARACT surgery , *COMPARATIVE studies , *DOSAGE forms of drugs , *MEDICAL lasers , *RESEARCH methodology , *MEDICAL cooperation , *ARTIFICIAL membranes , *RESEARCH , *RETINAL degeneration , *CUTANEOUS therapeutics , *TRIAMCINOLONE , *VISUAL acuity , *EVALUATION research , *RANDOMIZED controlled trials , *TREATMENT effectiveness - Abstract
Purpose: To assess visual results, macular modifications, and the incidence of clinically significant macular edema (CSME) in patients using a topical triamcinolone acetonide-loaded liposomal formulation (TA-LF) after femtosecond laser-assisted cataract surgery (FLACS). Methods: Fifty-six eyes after FLACS were selected. Twenty-eight eyes in the combined therapy group (P + N) were treated with prednisolone 1% and nepafenac 0.1% for 21 days postoperatively, whereas 28 eyes in the TA-LF group received a liposomal formulation containing 2 mg/mL of TA (0.2%) for the same period of time. Follow-up visits at 1 day, 6 weeks, and 12 weeks after surgery consisted of visual acuity, contrast sensitivity (CS), central foveal thickness (CFT), total macular volume (TMV) measurements, and the detection of CSME. Results: CS improved in the TA-LF group (basal value: 1.087 ± 0.339 vs. 1.276 ± 0.147 at week 12, P = 0.0346), whereas in the P + N group, CS was not different from the baseline (basal value: 1.130 ± 0.331 vs. 1.274 ± 0.133 at week 12, P = 0.1276). There were similar increases in postoperative CFT and TMV in both groups. CFT and TMV significantly correlate with CS only in the TA-LF group. The r2 for CFT and CS was 0.1963 (P = 0.0206), whereas the r2 for TMV and CS was 0.3615 (P = 0.0007) at 12 weeks. No difference was observed in the incidence of CSME between the groups. Conclusion: TA-LF is associated with better CS outcomes compared to combined therapy after FLACS. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF