Page last updated: 2024-10-29

ketorolac and Uveitis, Anterior

ketorolac has been researched along with Uveitis, Anterior in 5 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 It was withdrawn from the market in many countries in 1993 following association with haemorrhage and renal failure.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.

Uveitis, Anterior: Inflammation of the anterior uvea comprising the iris, angle structures, and the ciliary body. Manifestations of this disorder include ciliary injection, exudation into the anterior chamber, iris changes, and adhesions between the iris and lens (posterior synechiae). Intraocular pressure may be increased or reduced.

Research Excerpts

ExcerptRelevanceReference
"We report the antiinflammatory effect and efficacy of preoperative treatment with ketorolac in a patient with rheumatoid arthritis having phacoemulsification."3.71Antiinflammatory effect of preoperative ketorolac in phacoemulsification. ( Caronia, RM; Donnenfeld, ED; Perry, HD, 2002)

Research

Studies (5)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (20.00)29.6817
2010's3 (60.00)24.3611
2020's1 (20.00)2.80

Authors

AuthorsStudies
Kiyat, P1
Palamar, M1
Yilmaz, SG1
Emre, S1
Ganapathy, PS1
Lowder, CY1
Srivastava, SK1
Tan, TE1
Cheung, CM1
Mehta, JS1
Donnenfeld, ED2
Nichamin, LD1
Hardten, DR1
Raizman, MB1
Trattler, W1
Rajpal, RK1
Alpern, LM1
Felix, C1
Bradford, RR1
Villanueva, L1
Hollander, DA1
Schiffman, RM1
Caronia, RM1
Perry, HD1

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

1 trial available for ketorolac and Uveitis, Anterior

ArticleYear
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

Other Studies

4 other studies available for ketorolac and Uveitis, Anterior

ArticleYear
Correlation between corneal involvement and anterior chamber flare in epidemic keratoconjunctivitis.
    European journal of ophthalmology, 2020, Volume: 30, Issue:5

    Topics: Adenovirus Infections, Human; Adolescent; Adult; Aged; Anterior Chamber; Anti-Inflammatory Agents, N

2020
Aggressive Initial Presentation of HLA-B27 Uveitis in Older Individuals: A Case Series.
    Ocular immunology and inflammation, 2018, Volume: 26, Issue:3

    Topics: Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Female; Glucocorticoids; HLA-B27 A

2018
Activation of Cytomegalovirus corneal endotheliitis following laser in situ keratomileusis.
    BMJ case reports, 2016, Nov-29, Volume: 2016

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Antiviral Agents; Aqueous Humor; Cytomegalovirus; Cy

2016
Antiinflammatory effect of preoperative ketorolac in phacoemulsification.
    Journal of cataract and refractive surgery, 2002, Volume: 28, Issue:10

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Arthritis, Rheumatoid; Cataract; Drug Therapy, Combin

2002