Page last updated: 2024-10-29

ketorolac and Eye Pain

ketorolac has been researched along with Eye Pain in 4 studies

Ketorolac: A pyrrolizine carboxylic acid derivative structurally related to INDOMETHACIN. It is an NSAID and is used principally for its analgesic activity. (From Martindale The Extra Pharmacopoeia, 31st ed)
ketorolac : A racemate comprising equimolar amounts of (R)-(+)- and (S)-(-)-5-benzoyl-2,3-dihydro-1H-pyrrolizine-1-carboxylic acid. While only the (S)-(-) enantiomer is a COX1 and COX2 inhibitor, the (R)-(+) enantiomer exhibits potent analgesic activity. A non-steroidal anti-inflammatory drug, ketorolac is mainly used (generally as the tromethamine salt) for its potent analgesic properties in the short-term management of post-operative pain, and in eye drops to relieve the ocular itching associated with seasonal allergic conjunctivitis. It was withdrawn from the market in many countries in 1993 following association with haemorrhage and renal failure.
5-benzoyl-2,3-dihydro-1H-pyrrolizine-1-carboxylic acid : A member of the class of pyrrolizines that is 2,3-dihydro-1H-pyrrolizine which is substituted at positions 1 and 5 by carboxy and benzoyl groups, respectively.

Eye Pain: A dull or sharp painful sensation associated with the outer or inner structures of the eyeball, having different causes.

Research Excerpts

ExcerptRelevanceReference
" The study drug was significantly better than the vehicle and ketorolac in maintaining mydriasis (least-squares mean differences 0."5.24Intracameral ketorolac and phenylephrine effect on intraoperative pupil diameter and postoperative pain in cataract surgery. ( Donnenfeld, ED; Jackson, MA; Whitaker, JS; Wittpenn, J, 2017)
"The patients were asked to score the postoperative pain in each eye with a visual analog scale at 6, 18, 24, 36, 48, 72, and 96 hours."2.79Comparison of analgesic effect of preoperative topical diclofenac and ketorolac on postoperative pain after photorefractive keratectomy. ( Hong, JP; Im, CY; Kim, EK; Kim, TI; Nam, SM; Seo, KY; Yoon, S, 2014)

Research

Studies (4)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's4 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Donnenfeld, ED2
Whitaker, JS1
Jackson, MA1
Wittpenn, J1
Hong, JP1
Nam, SM1
Im, CY1
Yoon, S1
Kim, TI1
Kim, EK1
Seo, KY1
Hovanesian, JA1
Sheppard, JD1
Trattler, WB1
Gayton, JL1
Malhotra, RP1
Schaaf, DT1
Ng, E1
Dunn, SH1
Nichamin, LD1
Hardten, DR1
Raizman, MB1
Trattler, W1
Rajpal, RK1
Alpern, LM1
Felix, C1
Bradford, RR1
Villanueva, L1
Hollander, DA1
Schiffman, RM1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
[NCT00521456]Phase 3263 participants (Actual)Interventional2007-10-31Completed
[NCT00524264]Phase 3248 participants (Actual)Interventional2007-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Mean Pupil Area

Pupil area post-irrigation and aspiration (NCT00521456)
Timeframe: Day 0

Interventionmillimeters squared (mm²) (Mean)
Ketorolac Solution37.9
Vehicle Solution36.5

Ocular Pain

Measured on a scale of 0-4 (0 = none, 4 = intolerable) (NCT00521456)
Timeframe: Day 1

Intervention% of participants with a score of 0 (Number)
Ketorolac Solution70.0
Vehicle Solution38.5

Resolution of Post Operative Inflammation

Anterior chamber inflammation is the sum of biomicroscopic cell and flare; each measured on a scale of 0-4 (Flare: 0 = no flare, 4 = intense flare / Cell: 0 = no cells, 4 = >50 cells) (NCT00521456)
Timeframe: Day 14

Intervention% of participants with a score of 0 (Number)
Ketorolac Solution58.0
Vehicle Solution27.3

Visual Acuity

Patients with ≥ 3 line improvement in visual acuity (NCT00521456)
Timeframe: Change from baseline at Day 14

InterventionPercentage of patients with ≥ 3 lines (Number)
Ketorolac Solution56.9
Vehicle Solution36.3

Mean Pupil Area

Pupil area post-irrigation and aspiration (NCT00524264)
Timeframe: Day 0

Interventionmillimeters squared (mm²) (Mean)
Ketorolac Solution41.8
Vehicle Solution41.1

Ocular Pain

Measured on a scale of 0-4 (0 = none, 4 = intolerable) (NCT00524264)
Timeframe: Day 1

Intervention% of participants with a score of 0 (Number)
Ketorolac Solution75.0
Vehicle Solution41.0

Resolution of Post Operative Inflammation

Anterior chamber inflammation is the sum of biomicroscopic cell and flare; each measured on a scale of 0-4 (Flare: 0 = no flare, 4 = intense flare / Cell: 0 = no cells, 4 = >50 cells) (NCT00524264)
Timeframe: Day 14

Intervention% of participants with a score of 0 (Number)
Ketorolac Solution46.3
Vehicle Solution25.6

Visual Acuity

Patients with ≥ 3 line improvement in visual acuity (NCT00524264)
Timeframe: Change from baseline at Day 14

InterventionPercentage of patients with ≥ 3 lines (Number)
Ketorolac Solution59.5
Vehicle Solution46.2

Trials

4 trials available for ketorolac and Eye Pain

ArticleYear
Intracameral ketorolac and phenylephrine effect on intraoperative pupil diameter and postoperative pain in cataract surgery.
    Journal of cataract and refractive surgery, 2017, Volume: 43, Issue:5

    Topics: Cataract Extraction; Eye Pain; Humans; Ketorolac; Mydriasis; Mydriatics; Pain, Postoperative; Phenyl

2017
Comparison of analgesic effect of preoperative topical diclofenac and ketorolac on postoperative pain after photorefractive keratectomy.
    Journal of cataract and refractive surgery, 2014, Volume: 40, Issue:10

    Topics: Administration, Topical; Adult; Anti-Inflammatory Agents, Non-Steroidal; Corneal Stroma; Diclofenac;

2014
Intracameral phenylephrine and ketorolac during cataract surgery to maintain intraoperative mydriasis and reduce postoperative ocular pain: Integrated results from 2 pivotal phase 3 studies.
    Journal of cataract and refractive surgery, 2015, Volume: 41, Issue:10

    Topics: Adult; Aged; Aged, 80 and over; Anterior Chamber; Anti-Inflammatory Agents, Non-Steroidal; Double-Bl

2015
Twice-daily, preservative-free ketorolac 0.45% for treatment of inflammation and pain after cataract surgery.
    American journal of ophthalmology, 2011, Volume: 151, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method; Eye Pa

2011
Twice-daily, preservative-free ketorolac 0.45% for treatment of inflammation and pain after cataract surgery.
    American journal of ophthalmology, 2011, Volume: 151, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method; Eye Pa

2011
Twice-daily, preservative-free ketorolac 0.45% for treatment of inflammation and pain after cataract surgery.
    American journal of ophthalmology, 2011, Volume: 151, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method; Eye Pa

2011
Twice-daily, preservative-free ketorolac 0.45% for treatment of inflammation and pain after cataract surgery.
    American journal of ophthalmology, 2011, Volume: 151, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method; Eye Pa

2011