Article

NSAIDs provide patients with quality of vision

The use of nonsteroidal anti-inflammatory drugs (NSAIDs) before and after cataract surgery significantly lowers the incidence of cystoid macular edema (CME) and provides patients with better quality of vision. The results of three studies presented at the annual meeting of the American Society of Cataract and Refractive Surgery, San Francisco, bore out that finding.

"Over the last year, we have seen a revolution with multifocal IOLs gaining increasing popularity with patients. Patients expect to have optimal outcomes with these IOLs, and topical NSAIDs have been shown to optimize their outcomes by producing less CME, less pain and inflammation, and shorter surgical times," Eric D. Donnenfeld, MD, explained. "The administration of topical NSAIDs following implantation of conventional IOLs reduces macular thickness and improves contrast sensitivity. NSAIDs may not affect Snellen visual acuity but they have a huge effect on quality of vision."

The investigators evaluated the monocular uncorrected visual acuity (UCVA) and the best-corrected visual acuity (BCVA), mesopic and photopic contrast sensitivity with and without glare, and the foveal thickness and foveal volume 2 weeks after IOL implantation.

Increased foveal thickness

"There was a significant (p <0.001) increase as seen on optical coherence tomography (OCT) in the foveal thickness in the patients not randomly assigned to the NSAID compared with those assigned to the NSAID. Foveal volume may even be a better indicator; the foveal volume showed a significant (p < 0.001) increase in the patients who did not receive the NSAID," Dr. Donnenfeld reported.

Patients treated with ketorolac also had better visual acuity, although the difference between the two groups did not reach significance for either the UCVA (p = 0.292) or the BCVA (p = 0.078).

Newsletter

Don’t miss out—get Ophthalmology Times updates on the latest clinical advancements and expert interviews, straight to your inbox.

Related Videos
(Image credit: Ophthalmology Times)  ASCRS 2025: Joaquin De Rojas, MD, leverages machine learning model to predict arcuate outcomes
(Image credit: Ophthalmology Times) ASCRS 2025: AnnMarie Hipsley, DPT, PhD, presents VESA for biomechanical simulation of presbyopia progression
Shehzad Batliwala, DO, aka Dr. Shehz, discussed humanitarian ophthalmology and performing refractive surgery in low-resource, high-risk areas at the ASCRS Foundation Symposium.
(Image credit: Ophthalmology Times) ASCRS 2025: Advancing vitreous care with Inder Paul Singh, MD
(Image credit: Ophthalmology Times) The Residency Report: Study provides new insights into USH2A target end points
Lisa Nijm, MD, says preoperative osmolarity testing can manage patient expectations and improve surgical results at the 2025 ASCRS annual meeting
At the 2025 ASCRS Annual Meeting, Weijie Violet Lin, MD, ABO, shares highlights from a 5-year review of cross-linking complications
Maanasa Indaram, MD, is the medical director of the pediatric ophthalmology and adult strabismus division at University of California San Francisco, and spoke about corneal crosslinking (CXL) at the 2025 ASCRS annual meeting
(Image credit: Ophthalmology Times) ASCRS 2025: Taylor Strange, DO, assesses early visual outcomes with femto-created arcuate incisions in premium IOL cases
(Image credit: Ophthalmology Times) ASCRS 2025: Neda Shamie, MD, shares her early clinical experience with the Unity VCS system
© 2025 MJH Life Sciences

All rights reserved.