The effect of eye patching on clear corneal incision architecture in phacoemulsification: A randomized controlled trial

Fui Li Ho, Mohamad Aziz Salowi, Mae-Lynn Catherine Bastion

Research output: Contribution to journalArticle

Abstract

Purpose: To investigate the effects of postoperative eye patching on clear corneal incision architecture in phacoemulsification. Design: A single?center, randomized controlled trial. Methods: A total of 132 patients with uncomplicated phacoemulsifica? tion were randomly allocated to the intervention or control group. The in? tervention group received postoperative eye patching for approximately 18 hours, whereas the control group received eye shield. The clear cor? neal incision architecture was examined postoperatively at 2 hours, 1 day, and 7 days after surgery using optical coherence tomography. Results: Epithelial gaping was significantly reduced on postoperative day 1 in the intervention group (52.4%) compared with control (74.2%) (P = 0.01). No differences were found for other architectural defects. Descemet membrane detachment was associated with lower intraocular pressure on postoperative day 7 (P = 0.02). Presence of underlying diabe? tes mellitus did not seem to influence architectural defects. Conclusions: Postoperative eye patching facilitated epithelial healing and reduced the occurrence of epithelial gaping on postoperative day 1. It may play a role in protecting and improving corneal wounds during the critical immediate postoperative period.

Original languageEnglish
Pages (from-to)429-434
Number of pages6
JournalAsia-Pacific Journal of Ophthalmology
Volume6
Issue number5
DOIs
Publication statusPublished - 1 Oct 2017

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Phacoemulsification
Randomized Controlled Trials
Descemet Membrane
Control Groups
Optical Coherence Tomography
Ambulatory Surgical Procedures
Intraocular Pressure
Postoperative Period
Wounds and Injuries

Keywords

  • Architecture
  • Clear corneal incision
  • Epithelial gaping
  • Eye patching
  • Phacoemulsification

ASJC Scopus subject areas

  • Ophthalmology

Cite this

The effect of eye patching on clear corneal incision architecture in phacoemulsification : A randomized controlled trial. / Ho, Fui Li; Salowi, Mohamad Aziz; Bastion, Mae-Lynn Catherine.

In: Asia-Pacific Journal of Ophthalmology, Vol. 6, No. 5, 01.10.2017, p. 429-434.

Research output: Contribution to journalArticle

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