Comparison of Acular LS Versus Nevanac for Pain Control in Eyes Undergoing PRK
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ClinicalTrials.gov Identifier: NCT00347204 |
Recruitment Status :
Completed
First Posted : July 4, 2006
Last Update Posted : July 4, 2006
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Myopia Hyperopia | Drug: ketorolac (Acular LS) Drug: Nepafenac (Nevanac) | Phase 4 |
Laser Vision Correction is the most commonly performed elective surgical procedure in the United States. Although Laser-Assisted in-situ Keratomileusis (LASIK) is the more popular technique, a growing number of surgeons have switched to surface ablation techniques, including PRK, LASEK and Epi-LASIK.1 With surface laser procedures, the corneal epithelium is removed by a variety of techniques (laser, manual debridement, diluted alcohol2,3, epi-keatome) prior to laser reshaping of the corneal stroma. Following the procedure, a contact lens is placed on the eye to promote epithelial regeneration. Due to the size of the epithelial defect, it can take between 3 to 6 days for the epithelium to regenerate. During this healing process, patients often complain of moderate to severe ocular pain, and delayed healing may result in an increased risk of infection or corneal haze4.
Over the past decade, a variety of methods have been used to assist with reducing pain following surface laser procedures. Topical Nonsteroidals have been shown in a number of studies to help reduce the degree of pain following PRK. Topical dilute tetracaine has also been shown to assist with the reduction of pain following PRK. Oral pain medications, such as Vioxx, Celebrex, and even Prednisone have been recommended as additional treatment options for pain control.
In October 2005, a new topical nonsteroidal anti-inflammatory drop, Nevanac, was approved by the FDA. Nevanac was approved with a a TID dosing schedule.
Acular LS is the current market leader for topical NSAID eye drops. Acular LS is typically used on a QID dosing schedule.
Study Type : | Interventional (Clinical Trial) |
Enrollment : | 40 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Double |
Primary Purpose: | Treatment |
Official Title: | Double Masked Evaluation of Acular LS Versus Nevanac for Postoperative Pain Control in Eyes Undergoing PRK |
Study Start Date : | January 2006 |
Study Completion Date : | June 2006 |

- Prevention of postoperative discomfort on postoperative days 1 to 5 after PRK
- Best-corrected Visual acuity at all study visits
- Degree of corneal haze at all study visits
- Time to epithelial closure in each eye after PRK

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Ages Eligible for Study: | 18 Years to 80 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Patients undergoing PRK for myopia or hyperopia
Exclusion Criteria:
-

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00347204
Principal Investigator: | William Trattler, MD | Center For Excellence In Eye Care |
ClinicalTrials.gov Identifier: | NCT00347204 |
Obsolete Identifiers: | NCT00405028 |
Other Study ID Numbers: |
5225 |
First Posted: | July 4, 2006 Key Record Dates |
Last Update Posted: | July 4, 2006 |
Last Verified: | June 2006 |
PRK laser vision correction surface ablation |
pain wound healing corneal haze |
Hyperopia Refractive Errors Eye Diseases Ketorolac Nepafenac Anti-Inflammatory Agents, Non-Steroidal Analgesics, Non-Narcotic Analgesics |
Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Anti-Inflammatory Agents Antirheumatic Agents Cyclooxygenase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |