Abstract

RUIZ RODRIGUEZ, Yanele et al. Diclofenac sodium eyedrops in cataract's surgery by phacoemulsification. Rev Cubana Oftalmol [online]. 2011, vol.24, n.1, pp. 46-54. ISSN 0864-2176.

OBJECTIVES: To determine the clinical effectiveness of diclofenac sodium eyedrops to maintain the pupillary mydriasis during cataract surgery by phacoemulsification and to decrease the postoperative inflammation in patients seen in the "Ramón Pando Ferrer" Cuban Institute of Ophthalmology over 2010. METHODS: Forty eyes were studied randomly distributed in two groups of 20 eyes each: a) in preoperative and postoperative periods a routine topical treatment was applied and b) eyedrops diclofenac sodium was added during the preoperative period and for the first week of postoperative period. The pupillary diameters were measured at onset of surgery and the end the aspiration or cortical remainders. The patients in the postoperative period were assessed at 24 hours, at 6 days and at month after intervention; there was or not of hyperemia cilioconjunctival and cellularity in the aqueous humor was higher than that of the group 2, whereas at 6 days and at month, these variables behaved if a similar way in both study groups. RESULTS: It was observed that the patients in whom the sodium diclofenac was used maintained a higher degree of mydriasis. After 24 hours of the surgery the number of patients of group I that showed cilioconjuntival injection and cellularity in anterior chamber was higher that the number of group 2, whereas after six days and after a month of the surgery these variables behaved in a similar form in both training groups. CONCLUSIONS: It was proved that the eyedrops diclofenac sodium is effective in maintenance of transoperative mydriasis and also decreases the inflammation in cataract's surgery.

Keywords : Diclofenac sodium; phacoemulsification; cataract.

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