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مقاله
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Abstract
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Title:
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Ketorolac Associated Cornea Complications
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Author(s):
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Shadrokh Nabili , George Limitsios
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Presentation Type:
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Poster
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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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Shadrokh Nabili
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Affiliation :(optional)
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Consultant Ophthalmologist , Department of Ophthalmology , University Hospitals of Morecambe Bay NHS Foundation Trust , Lancaster & Kendal , United Kingdom
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E mail:
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shadrokh@yahoo.com
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Phone:
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00447855355350
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Mobile:
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09125207525
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Purpose:
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To report cornea complications associated with topical Ketorolac Tromethamine (Acular)
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Methods:
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A retrospective review of patient referred for management of corneal complications during use of topical NSAIDs (Ketorolac Tromethamine) [Acular]
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Results:
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An 84 year old lady with Sj?gren’s syndrome and primary open glaucoma underwent an uncomplicated phacoemulsification and commenced topical Acular and topical Maxitrol. Left cornea developed a severe central ulceration associated with significant corneal melt at 10 days postoperatively.
Following the cessation of topical Acular, topical Chloramphenicol and topical Hylotear started. In order to expedite the healing process, lower silicone punctal plugs were applied. The above management prevented further corneal complications including perforation.
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Conclusion:
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The use of topical NSAIDs can result in severe corneal complications such as keratopathy associated with corneal ulceration and melt. Although, the use of these medications is recommended at the postoperative period after cataract surgery, it needs to be used with caution if there are risk factors including concurrent use of topical steroids and/or topical lowering intraocular pressure agents, keratopathy and ocular surface diseases such as Sjӧgren’s syndrome.
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Attachment:
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7047.pptx
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