Document Detail


A prospective randomized study of medications after silicone intubation.
MedLine Citation:
PMID:  8782256     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVE: Following silicone intubation, most surgeons prescribe either an antibiotic or an antibiotic-steroid combination medication. No known controlled study has been performed to determine whether steroids in addition to antibiotics improve the postoperative outcome. PATIENTS AND METHODS: The author performed a prospective randomized study of 108 patients (118 eyes) who underwent silicone intubation over a period of 4 1/2 years. Sixty-seven patients received a combination of neomycin, polymyxin B, and dexamethasone and 41 patients received gentamicin for 2 weeks after surgery. A standardized surgical technique and instruments were used. Follow-up ranged from 8 to 44 months (average 19 months). RESULTS: No statistically significant difference was found in the failure rates when patients treated with an antibiotic-steroid combination were compared with those treated with antibiotic alone. CONCLUSION: Following silicone intubation, there appears to be no additional benefit of an antibiotic-steroid combination medication over an antibiotic alone.
Authors:
D Liu
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Ophthalmic surgery and lasers     Volume:  27     ISSN:  1082-3069     ISO Abbreviation:  Ophthalmic Surg Lasers     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-11-04     Completed Date:  1996-11-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9517132     Medline TA:  Ophthalmic Surg Lasers     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  434-7     Citation Subset:  IM    
Affiliation:
University of Southern California, School of Medicine, Department of Ophthalmology, Doheny Eye Institute, Los Angeles, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Anti-Bacterial Agents / administration & dosage,  therapeutic use*
Child
Child, Preschool
Drug Combinations
Female
Fluprednisolone / administration & dosage,  therapeutic use*
Follow-Up Studies
Gentamicins / administration & dosage,  therapeutic use*
Humans
Intubation*
Lacrimal Apparatus Diseases / therapy*
Male
Middle Aged
Neomycin / administration & dosage,  therapeutic use*
Ophthalmic Solutions
Polymyxin B / administration & dosage,  therapeutic use*
Postoperative Complications / prevention & control*
Prospective Studies
Silicone Elastomers*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Drug Combinations; 0/Gentamicins; 0/Ophthalmic Solutions; 0/Silicone Elastomers; 1404-04-2/Neomycin; 1404-26-8/Polymyxin B; 53-34-9/Fluprednisolone; 78666-15-6/Maxitrol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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