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       XXV Annual Congress of the Iranian Society of Ophthalmology        بـیــست و پنجمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Prospective Randomized Comparison of Bandage Contact Lens Removal on the Fourth versus Seventh Post-operative Day after Photorefractive Keratectomy
Author(s): : 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
Presentation Type: Oral
Subject: Cornea and Anterior Segment
Others:
Presenting Author:
Name: Mehrdad Mohammadpour
Affiliation :(optional) Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
E mail: mahammadpour@yahoo.com
Phone: 88089763
Mobile: 09123497791
Purpose:

To compare the outcomes of bandage contact lens (BCL) removal on the fourth versus seventh post-operative day after photorefractive keratectomy (PRK).

Methods:

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.

Results:

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.

Conclusion:

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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  - بـیــست و پنجمین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران