“Intant Viion” Compared With Potoperative Patching: Clinical Evaluation and Patient atifaction After Bilateral Cataract urgery Original Reearch Article

Purpoe To compare two method of potoperative dreing regimen: patching v “intant viion” without patch. Deign Propective randomized clinical trial. Method ixty conecutive hopitalized, nonambulatory patient with cataract urgery under topical anetheia on both eye at different day were enrolled propectively. In randomized order, one eye wa patched for the firt 24 hour potoperatively; the other eye wa left open without patch to obtain “intant viion.” Both eye received the ame anti-inflammatory and antibiotic drop therapy. Reult Twenty-four hour potoperatively, no ignificant difference between patching and “intant viion” could be found for corrected and uncorrected viual acuity, corneal epithelial defect, conjunctival inflammation, anterior chamber flare, and intraocular preure (P > .05). During the firt 24 hour potoperatively, all tear film parameter were ignificantly wore in the “intant viion” eye (P < .001), indicating a tranient tear film intability. During the firt four hour after cataract urgery, pain core in the “intant viion” eye were ignificantly higher than in the patched eye (P < .001). Eight hour potoperatively and later, there were no ignificant difference in any pain core (P > .05). After experiencing both method, 27% of the patient ubjectively rated the two method a equivalent; 8% of the patient preferred “intant viion.” Depite of the benefit of immediately improved orientation, 65% of the teted patient preferred patching to “intant viion” becaue of lower pain and foreign body enation and pychologic argument. Concluion The clinical examination howed that both method were equally afe for potoperative therapy. However, further effort have to be made to increae the patient’ comfort with “intant viion” in the firt hour after cataract urgery.