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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1994-4-4
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pubmed:abstractText |
Following cataract extraction, the intraocular inflammatory response is particularly marked in some patients, who then require more intensive post-operative care. This prospective randomised double-masked controlled trial of 246 patients undergoing cataract extraction assessed the efficacy and safety of a prophylactic subconjunctival injection of betamethasone (Betnesol, Glaxo) in improving the post-operative course. Betamethasone injected subconjunctivally at the end of cataract extraction significantly reduces anterior segment inflammation (p < 0.05) on the first post-operative day. It also reduces the need for additional steroid treatment and in-patient stay (p < 0.05). The benefits are most marked in those patients prone to a greater inflammatory response: especially those with previous intraocular inflammation (p < 0.01), but also those with racial pigmentation or difficult surgery. There was no evidence of adverse effects following betamethasone; in particular there was no endophthalmitis or steroid-induced elevation of intraocular pressure. We therefore conclude that subconjunctival injection of betamethasone is a practical, safe and effective means of improving the quality and efficiency of patient care.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0950-222X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
7 ( Pt 6)
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
744-8
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pubmed:dateRevised |
2009-11-3
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pubmed:meshHeading |
pubmed-meshheading:8119423-Aged,
pubmed-meshheading:8119423-Betamethasone,
pubmed-meshheading:8119423-Cataract Extraction,
pubmed-meshheading:8119423-Double-Blind Method,
pubmed-meshheading:8119423-Eye Diseases,
pubmed-meshheading:8119423-Female,
pubmed-meshheading:8119423-Humans,
pubmed-meshheading:8119423-Inflammation,
pubmed-meshheading:8119423-Injections,
pubmed-meshheading:8119423-Male,
pubmed-meshheading:8119423-Postoperative Complications,
pubmed-meshheading:8119423-Prospective Studies,
pubmed-meshheading:8119423-Time Factors,
pubmed-meshheading:8119423-Treatment Outcome
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pubmed:year |
1993
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pubmed:articleTitle |
Subconjunctival betamethasone is of benefit after cataract surgery.
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pubmed:affiliation |
Department of Ophthalmology, Greenwich District Hospital, London, UK.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
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