2005
OMIG, Abstract 24
OMIG
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Comparing the healing times
of corneal epithelium after photorefractlve keratectomy while using
topical gatifloxacin or moxifloxacin.
Brett D. Brimhall, MD, Eric Dudeahoefer, MD, Charles
Reilly, MD, Robert Smith, MD, Wilford Hall Medical Center
Purpose: To compare the effects of
commercial topical preparations of gatifloxacin and moxifloxacin
on epithelial healing times after pnotorefractive keratectomy (PRK).
Methods: Prospective double blind
study evaluated 68 patients and 136 eyes after standard PRK surgery.
An 8.5 millimeter alcohol well was used to create consistently sized
epithelial defects in both eyes prior to stromal ablation. Post
surgical patients received randomized commercial preparations of
topical gatifloxacin in one eye and topical moxifloxacin in the
other, four times daily. The patients were followed with daily "hands-off
exams until the time of epithelial closure. The healing time for
each eye was recorded and a statistical comparison between the two
medications was made to see if there was any relative difference
in time to epithelial closure.
Results: Average time to epithelial
closure for all eyes was 3.2 days. Eyes treated with gatifloxacin
took an average or 3.2 days. Eyes treated with moxifloxacin took
3.1 days. An ANOVA analysis between the treated eyes demonstrated
a p-value of 0.42.
Conclusions: Our larger- sized study
failed to demonstrate any significant difference in epithelial healing
times of post PRK patients when using topical preparations of either
gatifloxacin or moxifloxacin. In the short term setting neither
medication appears to be associated with clinically significant
delay in epithelial healing rates.
Disclosure code:F
Alcon, Allergan
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