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Effect of dexpanthenol on patient comfort in treatment of traumatic corneal abrasions

Year 2021, , 43 - 48, 04.01.2021
https://doi.org/10.31362/patd.730487

Abstract

Objective: The aim in this study was to investigate if the use of Dexpanthenol could play a role in the relief of pain in the treatment of corneal abrasions (CA).
Methods: Patients presenting to the BLINDED with a diagnosis of CA were conducted in this retrospective, case-control study. A detailed ocular examination was done and pain severity was assessed using a visual analogue scale (VAS) score. In group 1, subjects were treated with only topical ofloxacin %0.3 while subjects in group 2 were treated with topical ofloxacin %0.3 and dexpanthenol. Foreign body sensation, photophobia, excessive lacrimation and VAS were documented at follow up examinations.
Results: 70 patients were allocated into group 1 and 68 patients were allocated into group 2. At each visit, there were significant differences in VAS scores between the groups (p<0.005). VAS scores were lower in group-2. There were no statistically significant differences between two groups in terms of photophobia, foreign body sensation, excessive lacrimation (p>0.05). All patients were free of any complications.
Conclusion: Although it was shown that adding topical dexpanthenol to the treatment regimen could permit faster pain relief in treating CAs, the prospective studies should be done.
Key words: Traumatic corneal abrasion, Dexpanthenol, Visual analogue scale.

References

  • 1. (1987) Traumatic corneal abrasion. Lancet (London, England) 2:1250
  • 2. Kaiser PK (1995) A comparison of pressure patching versus no patching for corneal abrasions due to trauma or foreign body removal. Corneal Abrasion Patching Study Group. Ophthalmology 102:1936–1942
  • 3. Kirkpatrick JN, Hoh HB, Cook SD (1993) No eye pad for corneal abrasion. Eye (Lond) 7 ( Pt 3):468–471. https://doi.org/10.1038/eye.1993.95
  • 4. Hart A, White S, Conboy P, Quinton D (1997) The management of corneal abrasions in accident and emergency. Injury 28:527–529
  • 5. Wakai A, Lawrenson JG, Lawrenson AL, et al (2017) Topical non-steroidal anti-inflammatory drugs for analgesia in traumatic corneal abrasions. Cochrane database Syst Rev 5:CD009781. https://doi.org/10.1002/14651858.CD009781.pub2
  • 6. Puls HA, Cabrera D, Murad MH, et al (2015) Safety and Effectiveness of Topical Anesthetics in Corneal Abrasions: Systematic Review and Meta-Analysis. J Emerg Med 49:816–824. https://doi.org/10.1016/j.jemermed.2015.02.051
  • 7. Rao GP, Scott JA, King A, et al (1994) No eye pad for corneal abrasion. Eye (Lond). 8 ( Pt 3):371–372
  • 8. Hamdi IM (2018) Effect of D-Panthenol on Corneal Epithelial Healing after Surface Laser Ablation. J Ophthalmol 2018:6537413. https://doi.org/10.1155/2018/6537413
  • 9. Hahne M, Reichl S (2010) [Simulation of corneal epithelial injuries by mechanical and corrosive damage : Influence of fetal bovine serum and dexpanthenol on epithelial regeneration in a cell culture model]. Ophthalmologe 107:529-532,534-536. https://doi.org/10.1007/s00347-009-2079-x
  • 10. Raczynska K, Iwaszkiewicz-Bilikiewicz B, Stozkowska W, Sadlak-Nowicka J (2003) [Clinical evaluation of provitamin B5 drops and gel for postoperative treatment of corneal and conjuctival injuries]. Klin Oczna 105:175–178
  • 11. Brzheskiy V V, Popov VY, Kalinina NM, Brzheskaya I V (2018) [Prevention and treatment of degenerative changes in ocular surface epithelium in patients with dry eye syndrome]. Vestn Oftalmol 134:126–134. https://doi.org/10.17116/oftalma2018134051126
  • 12. Abiko Y, Tomikawa M, Shimizu M (1969) Enzymatic conversion of pantothenylalcohol to pantothenic acid. J Vitaminol (Kyoto) 15:59–69
  • 13. Proksch E, Holleran WM, Menon GK, et al (1993) Barrier function regulates epidermal lipid and DNA synthesis. Br J Dermatol 128:473–482
  • 14. Lai TYY, Wong VWY, Leung GM (2003) Is ophthalmology evidence based? A clinical audit of the emergency unit of a regional eye hospital. Br J Ophthalmol 87:385–390
  • 15. Lin T, Gong L (2015) Sodium hyaluronate eye drops treatment for superficial corneal abrasion caused by mechanical damage: a randomized clinical trial in the People’s Republic of China. Drug Des Devel Ther 9:687–694. https://doi.org/10.2147/DDDT.S77270
  • 16. Thiel B, Sarau A, Ng D (2017) Efficacy of Topical Analgesics in Pain Control for Corneal Abrasions: A Systematic Review. Cureus 9:e1121. https://doi.org/10.7759/cureus.1121
  • 17. Boberg-Ans G, Nissen KR (1998) Comparison of Fucithalmic viscous eye drops and Chloramphenicol eye ointment as a single treatment in corneal abrasion. Acta Ophthalmol Scand 76:108–111
  • 18. De Kaspar HM, Chang RT, Shriver EM, et al (2004) Three-day application of topical ofloxacin reduces the contamination rate of microsurgical knives in cataract surgery: a prospective randomized study. Ophthalmology 111:1352–1355. https://doi.org/10.1016/j.ophtha.2003.10.032
  • 19. Ahmed F, House RJ, Feldman BH (2015) Corneal Abrasions and Corneal Foreign Bodies. Prim Care 42:363–375. https://doi.org/10.1016/j.pop.2015.05.004
  • 20. Hobden JA, O’Callaghan RJ, Insler MS, Hill JM (1993) Ciprofloxacin ointment versus ciprofloxacin drops for therapy of experimental Pseudomonas keratitis. Cornea 12:138–141
  • 21. Chojnacki M, Philbrick A, Wucher B, et al (2019) Development of a Broad-Spectrum Antimicrobial Combination for the Treatment of Staphylococcus aureus and Pseudomonas aeruginosa Corneal Infections. Antimicrob Agents Chemother 63:. https://doi.org/10.1128/AAC.01929-18
  • 22. Eke T, Morrison DA, Austin DJ (1999) Recurrent symptoms following traumatic corneal abrasion: prevalence, severity, and the effect of a simple regimen of prophylaxis. Eye (Lond) 13 ( Pt 3a:345–347. https://doi.org/10.1038/eye.1999.87
  • 23. Le Sage N, Verreault R, Rochette L (2001) Efficacy of eye patching for traumatic corneal abrasions: a controlled clinical trial. Ann Emerg Med 38:129–134. https://doi.org/10.1067/mem.2001.115443
  • 24. Michael JG, Hug D, Dowd MD (2002) Management of corneal abrasion in children: a randomized clinical trial. Ann Emerg Med 40:67–72
  • 25. Patterson J, Fetzer D, Krall J, et al (1996) Eye patch treatment for the pain of corneal abrasion. South Med J 89:227–229
  • 26. Heller GZ, Manuguerra M, Chow R (2016) How to analyze the Visual Analogue Scale: Myths, truths and clinical relevance. Scand J pain 13:67–75. https://doi.org/10.1016/j.sjpain.2016.06.012
  • 27. Klimek L, Bergmann K-C, Biedermann T, et al (2017) Visual analogue scales (VAS): Measuring instruments for the documentation of symptoms and therapy monitoring in cases of allergic rhinitis in everyday health care: Position Paper of the German Society of Allergology (AeDA) and the German Society of Aller. Allergo J Int 26:16–24. https://doi.org/10.1007/s40629-016-0006-7
  • 28. Menghini M, Knecht PB, Kaufmann C, et al (2013) Treatment of traumatic corneal abrasions: a three-arm, prospective, randomized study. Ophthalmic Res 50:13–18. https://doi.org/10.1159/000347125
  • 29. Goyal R, Shankar J, Fone DL, Hughes DS (2001) Randomised controlled trial of ketorolac in the management of korneal abrasions. Acta Ophthalmol Scand 79:177–179. https://doi.org/10.1034/j.1600-0420.2001.079002177.x

Travmatik korneal abrazyon hastalarında dekspantenol kullanımının hasta konforuna olan etkisi

Year 2021, , 43 - 48, 04.01.2021
https://doi.org/10.31362/patd.730487

Abstract

Amaç: Bu çalışmada amaç, Dekspantenol kullanımının travmatik kornea abrazyonlarının (KA) tedavisinde ağrının giderilmesinde etkili olabileceğini araştırmaktır.
Yöntemler: Bu retrospektif, vaka kontrol çalışması KA tanısı ile KARARTILDI başvuran hastalar seçilerek yapıldı. Ayrıntılı oküler muayene yapıldı ve ağrı şiddeti görsel analog skala (GAS) skoru ile değerlendirildi. 1.grup sadece topikal ofloksasin% 0.3 ile tedavi edilirken, grup 2'deki hastalar topikal ofloksasin% 0.3 ve dekspantenol ile tedavi edildi. Takip muayenelerinde yabancı cisim hissi, fotofobi, aşırı lakrimasyon ve GAS kaydedildi.
Bulgular: 70 hasta ilk grupta yeralırken, ikinci grupta 68 hasta vardı. Tüm vizitlerde GAS anlamlı olarak düşük bulundu.(p <0.001). İki grup arasında fotofobi, yabancı cisim hissi, aşırı lakrimasyon açısından istatistiksel olarak anlamlı fark yoktu (p>0.05).
Sonuç: KA tedavisinde Dekspantenol eklemek ağrının azaltılmasında rol oynadığı gösterilmiş olsa da, bulguların prospektif çalışmalarla desteklenmesi gerekmektedir.
Anahtar kelimeler: Travmatik korneal abrazyon, Dekspantenol, görsel ağrı skalası

References

  • 1. (1987) Traumatic corneal abrasion. Lancet (London, England) 2:1250
  • 2. Kaiser PK (1995) A comparison of pressure patching versus no patching for corneal abrasions due to trauma or foreign body removal. Corneal Abrasion Patching Study Group. Ophthalmology 102:1936–1942
  • 3. Kirkpatrick JN, Hoh HB, Cook SD (1993) No eye pad for corneal abrasion. Eye (Lond) 7 ( Pt 3):468–471. https://doi.org/10.1038/eye.1993.95
  • 4. Hart A, White S, Conboy P, Quinton D (1997) The management of corneal abrasions in accident and emergency. Injury 28:527–529
  • 5. Wakai A, Lawrenson JG, Lawrenson AL, et al (2017) Topical non-steroidal anti-inflammatory drugs for analgesia in traumatic corneal abrasions. Cochrane database Syst Rev 5:CD009781. https://doi.org/10.1002/14651858.CD009781.pub2
  • 6. Puls HA, Cabrera D, Murad MH, et al (2015) Safety and Effectiveness of Topical Anesthetics in Corneal Abrasions: Systematic Review and Meta-Analysis. J Emerg Med 49:816–824. https://doi.org/10.1016/j.jemermed.2015.02.051
  • 7. Rao GP, Scott JA, King A, et al (1994) No eye pad for corneal abrasion. Eye (Lond). 8 ( Pt 3):371–372
  • 8. Hamdi IM (2018) Effect of D-Panthenol on Corneal Epithelial Healing after Surface Laser Ablation. J Ophthalmol 2018:6537413. https://doi.org/10.1155/2018/6537413
  • 9. Hahne M, Reichl S (2010) [Simulation of corneal epithelial injuries by mechanical and corrosive damage : Influence of fetal bovine serum and dexpanthenol on epithelial regeneration in a cell culture model]. Ophthalmologe 107:529-532,534-536. https://doi.org/10.1007/s00347-009-2079-x
  • 10. Raczynska K, Iwaszkiewicz-Bilikiewicz B, Stozkowska W, Sadlak-Nowicka J (2003) [Clinical evaluation of provitamin B5 drops and gel for postoperative treatment of corneal and conjuctival injuries]. Klin Oczna 105:175–178
  • 11. Brzheskiy V V, Popov VY, Kalinina NM, Brzheskaya I V (2018) [Prevention and treatment of degenerative changes in ocular surface epithelium in patients with dry eye syndrome]. Vestn Oftalmol 134:126–134. https://doi.org/10.17116/oftalma2018134051126
  • 12. Abiko Y, Tomikawa M, Shimizu M (1969) Enzymatic conversion of pantothenylalcohol to pantothenic acid. J Vitaminol (Kyoto) 15:59–69
  • 13. Proksch E, Holleran WM, Menon GK, et al (1993) Barrier function regulates epidermal lipid and DNA synthesis. Br J Dermatol 128:473–482
  • 14. Lai TYY, Wong VWY, Leung GM (2003) Is ophthalmology evidence based? A clinical audit of the emergency unit of a regional eye hospital. Br J Ophthalmol 87:385–390
  • 15. Lin T, Gong L (2015) Sodium hyaluronate eye drops treatment for superficial corneal abrasion caused by mechanical damage: a randomized clinical trial in the People’s Republic of China. Drug Des Devel Ther 9:687–694. https://doi.org/10.2147/DDDT.S77270
  • 16. Thiel B, Sarau A, Ng D (2017) Efficacy of Topical Analgesics in Pain Control for Corneal Abrasions: A Systematic Review. Cureus 9:e1121. https://doi.org/10.7759/cureus.1121
  • 17. Boberg-Ans G, Nissen KR (1998) Comparison of Fucithalmic viscous eye drops and Chloramphenicol eye ointment as a single treatment in corneal abrasion. Acta Ophthalmol Scand 76:108–111
  • 18. De Kaspar HM, Chang RT, Shriver EM, et al (2004) Three-day application of topical ofloxacin reduces the contamination rate of microsurgical knives in cataract surgery: a prospective randomized study. Ophthalmology 111:1352–1355. https://doi.org/10.1016/j.ophtha.2003.10.032
  • 19. Ahmed F, House RJ, Feldman BH (2015) Corneal Abrasions and Corneal Foreign Bodies. Prim Care 42:363–375. https://doi.org/10.1016/j.pop.2015.05.004
  • 20. Hobden JA, O’Callaghan RJ, Insler MS, Hill JM (1993) Ciprofloxacin ointment versus ciprofloxacin drops for therapy of experimental Pseudomonas keratitis. Cornea 12:138–141
  • 21. Chojnacki M, Philbrick A, Wucher B, et al (2019) Development of a Broad-Spectrum Antimicrobial Combination for the Treatment of Staphylococcus aureus and Pseudomonas aeruginosa Corneal Infections. Antimicrob Agents Chemother 63:. https://doi.org/10.1128/AAC.01929-18
  • 22. Eke T, Morrison DA, Austin DJ (1999) Recurrent symptoms following traumatic corneal abrasion: prevalence, severity, and the effect of a simple regimen of prophylaxis. Eye (Lond) 13 ( Pt 3a:345–347. https://doi.org/10.1038/eye.1999.87
  • 23. Le Sage N, Verreault R, Rochette L (2001) Efficacy of eye patching for traumatic corneal abrasions: a controlled clinical trial. Ann Emerg Med 38:129–134. https://doi.org/10.1067/mem.2001.115443
  • 24. Michael JG, Hug D, Dowd MD (2002) Management of corneal abrasion in children: a randomized clinical trial. Ann Emerg Med 40:67–72
  • 25. Patterson J, Fetzer D, Krall J, et al (1996) Eye patch treatment for the pain of corneal abrasion. South Med J 89:227–229
  • 26. Heller GZ, Manuguerra M, Chow R (2016) How to analyze the Visual Analogue Scale: Myths, truths and clinical relevance. Scand J pain 13:67–75. https://doi.org/10.1016/j.sjpain.2016.06.012
  • 27. Klimek L, Bergmann K-C, Biedermann T, et al (2017) Visual analogue scales (VAS): Measuring instruments for the documentation of symptoms and therapy monitoring in cases of allergic rhinitis in everyday health care: Position Paper of the German Society of Allergology (AeDA) and the German Society of Aller. Allergo J Int 26:16–24. https://doi.org/10.1007/s40629-016-0006-7
  • 28. Menghini M, Knecht PB, Kaufmann C, et al (2013) Treatment of traumatic corneal abrasions: a three-arm, prospective, randomized study. Ophthalmic Res 50:13–18. https://doi.org/10.1159/000347125
  • 29. Goyal R, Shankar J, Fone DL, Hughes DS (2001) Randomised controlled trial of ketorolac in the management of korneal abrasions. Acta Ophthalmol Scand 79:177–179. https://doi.org/10.1034/j.1600-0420.2001.079002177.x
There are 29 citations in total.

Details

Primary Language English
Subjects Ophthalmology, Emergency Medicine
Journal Section Research Article
Authors

Deniz Kılıc 0000-0003-4153-5127

Esra Vural This is me 0000-0002-0890-5360

Gamze Albayrak This is me 0000-0003-1850-8972

Mahmut Arslan This is me 0000-0002-0238-6782

Publication Date January 4, 2021
Submission Date May 1, 2020
Acceptance Date September 11, 2020
Published in Issue Year 2021

Cite

AMA Kılıc D, Vural E, Albayrak G, Arslan M. Effect of dexpanthenol on patient comfort in treatment of traumatic corneal abrasions. Pam Tıp Derg. January 2021;14(1):43-48. doi:10.31362/patd.730487
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