Patients In Prednisolone Group Research Articles

Efficacy of Topical Difluprednate in Control of Inflammation after Phacoemulsification

Objective: To study the efficacy of topical Difluprednate 0.05% ophthalmic emulsions in control of post-operative inflammation following phacoemulsification.
 Methods: This randomized control study included hundred diagnosed cases of age-related cataract who visited at the National institute of Ophthalmology and Hospital in Bangladesh over one year period. The patients were divided into two groups –Difluprednate group and Prednisolone group. The post-operative grades of inflammation following phacoemulsification were assessed by slit-lamp examination.
 Results: In the present study, majority of the patients were in age group of 55 to 65 years. Male: female ratio in Dfluprednate group was 29:21 and in Prednisolone group was 35:15. Anterior chamber flare and cells was seen in 52% of patients in Prednisolone group and in 56% of patients in the Difluprednate group by day 07, which regressed to mild (1-3) in both the groups by day 28. On day 42, the cells and flair were reduced to 4% in Difluprednate group and 8% at Prednisolon group. When the total scoring of all these parameters were compared, in Prednisolone group 34% of the patients persisted with mild (Grade1-3) inflammation on Day 28 as compared with 26% of the patients in Difluprednate group.
 Conclusion: Both Difluprednate Ophthalmic Emulsion 0.05% eye drops and Prednisolone Acetate 1% eye drops were equally effective in reducing the inflammation following uncomplicated phacoemulsification. With proven efficacy of Difluprednate, we now have a new standard for potency in a topical corticosteroid, with excellent anti-inflammatory properties and an ideal formulation for our patients.
 J. Natl. Inst. Ophthalmol. 2022; 5(2):37-41

Prednisolone improves walking in Japanese Duchenne muscular dystrophy patients

We evaluated the long-term efficacy of prednisolone (PSL) therapy for prolonging ambulation in Japanese patients with genetically confirmed Duchenne muscular dystrophy (DMD). There were clinical trials have shown a short-term positive effect of high-dose and daily PSL on ambulation, whereas a few study showed a long-term effect. Especially in Japan, “real-life” observation was lacking. We utilized the national registry of muscular dystrophy in Japan for our retrospective study. We compared the age at loss of ambulation (LOA) between patients in PSL group and those in without-PSL group. Out of 791 patients’ in the Remudy DMD/BMD registry from July 2009 to June 2012, 560 were matched with inclusion criteria. Of the 560, all were genetically confirmed DMD patients, 245 (43.8 %) of whom were treated with PSL and 315 (56.2 %) without PSL. There was no difference between the two groups regarding their mutational profile. The age at LOA was significantly greater (11 month on average) in the PSL group than in the without-PSL group (median, 132 vs. 121 months; p = 0.0002). Although strictly controlled clinical trials have shown that corticosteroid therapies achieved a marked improvement in ambulation, discontinuation of the drug due to intolerable side effects led to exclusion of clinical trial participants, which is considered as unavoidable. In our study, patients were not excluded from the PSL group, even if they discontinued the medication shortly after starting it. The results of our study may provide evidence to formulate recommendations and provide a basis for realistic expectations for PSL treatment of DMD patients in Japan, even there are certain limitations due to the retrospectively captured data in the registry.