Scott GR, Weizer JS, Moroi SE, Bruno CA, Musch DC, Niziol LM, Lee PP, Stein JD. Can topical ketorolac 0.5% improve the function of Ahmed® glaucoma drainage devices?
Ophthalmic Surg Lasers Imaging Retina 2011;
42:190-5. [PMID:
21449531 DOI:
10.3928/15428877-20110324-03]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2010] [Accepted: 03/01/2011] [Indexed: 11/20/2022]
Abstract
BACKGROUND AND OBJECTIVE
To determine whether postoperative use of topical ketorolac tromethamine 0.5% affects intraocular pressure (IOP) following Ahmed glaucoma drainage device (New World Medical, Inc., Rancho Cucamonga, CA) implantation.
PATIENTS AND METHODS
Patients undergoing Ahmed implantation at the University of Michigan from January 2002 to June 2008 were reviewed. Fourteen eyes received ketorolac after surgery; 50 eyes did not. Preoperative and postoperative IOP and glaucoma medications were recorded for both groups; the two-sided Student's t test was used to compare these parameters.
RESULTS
Mean preoperative IOP was similar in the two groups (35.1 ± 11.9 vs 37.0 ± 12.2 mm Hg; P = .60). At postoperative month 6, the ketorolac group had significantly lower IOP compared with the no ketorolac group (13.1 ± 3.7 vs 19.5 ± 9.3 mm Hg, respectively; P = .0003). There was no difference in the number of glaucoma medications postoperatively between the two groups.
CONCLUSION
Ketorolac may lead to lower postoperative IOP following Ahmed implantation.
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