关键词: glaucoma lipoxygenase outflow resistance post-phacoemulsification topical corticosteroids topical flurbiprofen

Mesh : Administration, Topical Adrenal Cortex Hormones / therapeutic use Animals Anti-Inflammatory Agents, Non-Steroidal / administration & dosage adverse effects Dog Diseases / chemically induced epidemiology etiology Dogs Female Flurbiprofen / administration & dosage adverse effects Follow-Up Studies Glaucoma / epidemiology etiology veterinary Incidence Male Phacoemulsification / adverse effects veterinary Postoperative Care / veterinary Retrospective Studies Risk Factors

来  源:   DOI:10.1111/vop.12926   PDF(Sci-hub)

Abstract:
OBJECTIVE: To investigate the relationship between topical administration of flurbiprofen plus corticosteroids versus corticosteroids alone following phacoemulsification and the development of postoperative glaucoma in dogs.
METHODS: Thirty-eight/eighty-three (45.8%) eyes were prescribed topical flurbiprofen plus corticosteroids immediately postop while 45/83 (54.2%) eyes received topical corticosteroids alone.
METHODS: Logistic regression models were performed to analyze the relationship between topical flurbiprofen and development of glaucoma and to predict potential risk factors for postoperative glaucoma occurrence.
RESULTS: Eighty-three eyes (65 dogs) were included. The mean age at surgery was 8.2 years, with even gender distribution. Increasing age at the time of surgery significantly increased the probability of postoperative glaucoma occurrence (odds ratio [OR] = 1.344, 95% confidence interval [CI] 1.093-1.652; p = 0.005). Glaucoma occurred in 17/83 (20.5%) eyes; of these, 15/38 (39.5%) and 2/45 (4.4%) eyes were prescribed topical flurbiprofen plus corticosteroids and topical corticosteroids alone, respectively. Immediate postoperative use of topical flurbiprofen was significantly associated with an increased probability of postoperative glaucoma occurrence (OR = 19.183 [95% CI 3.367-109.286], p = 0.001).
CONCLUSIONS: Immediate postoperative use of topical flurbiprofen was a potential predisposing risk factor for the development of glaucoma following phacoemulsification. Restriction of postoperative use of topical flurbiprofen might decrease the possibility of postoperative glaucoma development in dogs.
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