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مقاله
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Abstract
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Title:
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Prospective Randomized Comparison of Bandage Contact Lens Removal on the Fourth versus Seventh Post-operative Day after Photorefractive Keratectomy
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Author(s):
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: Mehrdad Mohammadpour, MD; Delaram Shakoor, MD; Hassan Hashemi, MD; Pegah Hosseini , MD; Mohamad Aghaie Meybodi, MD; Firoozeh Rahimi, MD; Mahmood Jabarvand, MD; Fateme Rajabi, MD
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Presentation Type:
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Oral
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Subject:
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Cornea and Anterior Segment
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Others:
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Presenting Author:
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Name:
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Mehrdad Mohammadpour
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Affiliation :(optional)
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Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
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E mail:
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mahammadpour@yahoo.com
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Phone:
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88089763
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Mobile:
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09123497791
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Purpose:
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To compare the outcomes of bandage contact lens (BCL) removal on the fourth versus
seventh post-operative day after photorefractive keratectomy (PRK).
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Methods:
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This study recruited eyes of patients who underwent elective PRK surgery. The patients were
divided to two even groups, in group one BCL was removed on the 4th post-operative day, while in the
second group, BCL was removed on the 7th post-operative day. After BCL removal, patients were
asked to express their pain score and eye discomfort. At one and three months follow up, visual acuity
by means of LogMAR scale was assessed. Slit lamp examination was performed in all visits to evaluate
complications.
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Results:
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260 eyes of 130 patients underwent PRK. The mean age and sex ratio were not significantly
different between two groups. (P value=0.13, 0.52 for age and gender respectively) Means of BCVA and
UCVA at one month were significantly better in group two (P value= 0.016, 0.001 respectively) and
minor post-operative complications were significantly lower in group two (P value=0.02). Pain and eye
discomfort scores were not significantly different at all times. There was no major complications
including infectious keratitis in both groups.
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Conclusion:
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Following PRK surgery, BCL removal on the seventh post-operative day yields faster visual
rehabilitation and lower rate of post-operative complications with no increase in eye pain, discomfort
or infection.
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Attachment:
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