Evidence map›Paper›PMID 41117999›Full record

Trial reportInternational ophthalmology2025

The effects of topical nepafenac on pupillary dynamics in early postoperative period following uneventful cataract surgery: a prospective randomized study.

Melisa Zisan Karslioglu, Serdar Bilici, Mehmet Sahin, Numan Kucuk, Erdi Karadag, Suat Hayri Ugurbas

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Melisa Zisan KarsliogluDepartment of Ophthalmology, University of Health Sciences Hamidiye International School of Medicine, Istanbul, Turkey. mzkarslioglu@gmail.com.ORCID http://orcid.org/0000-0002-7665-4508
Serdar BiliciDepartment of Ophthalmology, Zonguldak Bülent Ecevit University School of Medicine, Zonguldak, Turkey.ORCID http://orcid.org/0000-0003-1346-0850
Mehmet SahinDepartment of Ophthalmology, Zonguldak Bülent Ecevit University School of Medicine, Zonguldak, Turkey.ORCID http://orcid.org/0009-0009-0898-0203
Numan KucukDepartment of Ophthalmology, Zonguldak Bülent Ecevit University School of Medicine, Zonguldak, Turkey.ORCID http://orcid.org/0000-0002-5139-2484
Erdi KaradagDepartment of Ophthalmology, University of Health Sciences Dr Lutfi Kirdar Kartal City Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-4168-8740
Suat Hayri UgurbasDepartment of Ophthalmology, Zonguldak Bülent Ecevit University School of Medicine, Zonguldak, Turkey.ORCID http://orcid.org/0000-0002-8992-8838

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the post operative pupillary dynamics under different lighting conditions and evaluate the effect of topical non-steroid anti-inflammatory drugs (NSAIDs) in early postoperative inflammation following an uneventful cataract surgery.

methodsA prospective, randomized clinical study. Fifty eyes of 50 patients underwent uneventful conventional cataract surgery were randomized (1:1) to receive postoperative moxifloxacin 0.5% and dexamethasone 0.1% only (NSAID (-) group) or combined with nepafenac 0.1% (NSAID ( +) group). Pupillography was performed under scotopic, mesopic and photopic conditions before the surgery, at postoperative 1st week and 1st month. Clinical parameters and cumulative dissipated energy (CDE) during phacoemulsification were recorded.

resultsTwenty-six women and 24 men were studied. A significant decrease was found in scotopic pupil diameter (PD) in NSAID (-) group, that this decrease was 12.9% and 7.54% at postoperative 1st week and 1st month (p = 0.003, p = 0.045, respectively). However, no significant change was calculated in NSAID ( +) group. Also, a significant decrease of 5.3% was found in mesopic PD at postoperative 1st week in NSAID (-) group (p = 0.016). Under photopic conditions, no difference was noted neither in NSAID (-) nor in NSAID ( +) group during the follow up (All p > 0.05). The mean CDE value was insignificant between two groups (9.07 ± 5.21, 9.50 ± 5.40, respectively) (p = 0.398).

conclusionAdjunctive topical Nepafenac 0.1% use might attenuate early postoperative scotopic and mesopic pupil constriction following an uneventful cataract surgery. Although the effect appears most pronounced during the first postoperative week, this short-term benefit may be clinically relevant, particularly for patients with premium intraocular lens or those who rely heavily on low-light vision.

Indexed as

BenzeneacetamidesCataract ExtractionPhacoemulsificationPhenylacetatesPostoperative ComplicationsPupilAdministration, TopicalAgedAnti-Inflammatory Agents, Non-SteroidalFemaleFollow-Up StudiesHumansMaleMiddle AgedOphthalmic SolutionsPostoperative PeriodAnti-Inflammatory Agents, Non-SteroidalBenzeneacetamidesnepafenacOphthalmic SolutionsPhenylacetatesCataract surgeryNSAIDsPupil dynamics

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.