A Randomised, Double Masked, Clinical Trial of High Dose Vitamin A and Vitamin E Supplementation After Photorefractive Keratectomy
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Aim: To evaluate the effect of a high dose vitamin A and E supplementation on corneal re-epithelialisation time, visual acuity and haze following photorefractive keratectomy (PRK).
Methods: Two groups of 20 patients who underwent myopic PRK were supplemented with either 25 000 IU retinol palmitate and 230 mg alpha tocopheryl nicotinate or a placebo. Clinical outcomes were evaluated up to 360 days.
Results: In the vitamin treated group, re-epithelialisation time was significantly faster (p = 0.029) and haze incidence was reduced (p = 0.035), especially for high myopic corrections (p = 0.043). This group also reported a significantly better uncorrected visual acuity (p = 0.043).
Conclusions: High dose vitamin A and E oral supplementation may accelerate re-epithelialisation time and may reduce corneal haze formation after PRK.
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Xu X, Liu N, Yu W Nutrients. 2024; 16(12).
PMID: 38931287 PMC: 11206965. DOI: 10.3390/nu16121933.
Transepithelial Photorefractive Keratectomy-Review.
Way C, Elghobaier M, Nanavaty M Vision (Basel). 2024; 8(1).
PMID: 38535765 PMC: 10974391. DOI: 10.3390/vision8010016.
[Corneal wound healing-Pharmacological treatment].
Brockmann T, Simon A, Brockmann C, Fuchsluger T, Pleyer U, Walckling M Ophthalmologie. 2024; 121(3):245-258.
PMID: 38411733 DOI: 10.1007/s00347-024-02021-9.
Management of Corneal Haze After Photorefractive Keratectomy.
Moshirfar M, Wang Q, Theis J, Porter K, Stoakes I, Payne C Ophthalmol Ther. 2023; 12(6):2841-2862.
PMID: 37603162 PMC: 10640498. DOI: 10.1007/s40123-023-00782-1.