Abstract
The purpose of this study was to evaluate the aqueous humor concentrations of bromfenac ophthalmic solution 0.09 % in patients undergoing phacoemulsification. Patients requiring cataract extraction received one drop (50 µL) of bromfenac 0.09 % solution in the eye to be operated, before bedtime the day before surgery or the morning of the surgery. The last administration was recorded. At the time of paracentesis, an aqueous humor sample was collected with a 30-gauge needle attached to a TB syringe and was later analyzed by high-performance liquid chromatography for drug concentration. 188 treated volunteers and 48 control, untreated, subjects were included in the study. The mean aqueous concentration of bromfenac in the treated group was 37.60 ± 68.86 and 0 nM (nmol/L) in the control group (p < 0.0001). Correlation coefficient in bromfenac group between time elapsed from instillation and drug concentration was −0.16 (p not significant). Bromfenac showed properties of good penetration and stable concentration in aqueous humor up to about 12 h after instillation.
Similar content being viewed by others
References
Gupta S, Khurana AK, Ahluwalia BK, Gupta NC (1991) Topical indomethacin for vernal keratoconjunctivitis. Acta Ophthalmol 69:95–98
Laibovitz RA, Koester J, Schaich L et al (1995) Safety and efficacy of diclofenac sodium 0.1% ophthalmic solution in acute seasonal allergic conjunctivitis. J Ocul Pharmacol Ther 11:361–368
Tauber J, Raizman MB, Ostrov CS et al (1998) A multicenter comparison of the ocular efficacy and safety of diclofenac 0.1% solution with that of ketorolac 0.5% solution in patients with acute seasonal allergic conjunctivitis. J Ocul Pharmacol Ther 14:137–145
Donnenfeld ED, Perry HD, Wittpenn JR et al (2006) Preoperative ketorolac tromethamine 0.4% in phacoemulsification outcomes: pharmacokinetic-response curve. J Cataract Refract Surg 32:1474–1482
Roberts CW (1996) Pretreatment with topical diclofenac sodium to decrease postoperative inflammation. Ophthalmology 103:636–639
Yavas GF, Ozturk F, Kusbeci T (2007) Preoperative topical indomethacin to prevent pseudophakic cystoid macular edema. J Cataract Refract Surg 33:804–807
Kessel L, Kendal B, Jorgensen KJ et al (2014) Post-cataract prevention of inflammation and macular edema by steroid and nonsteroidal anti-inflammatory eye drops: a systematic review. Ophthalmology 121(10):1915–1924
Renfro L, Snow JS (1992) Ocular effects of topical and systemic steroids. Dermatol Clin 10(3):505–512
McGhee CN (1992) Pharmacokinetics of ophthalmic corticosteroids. Br J Ophthalmol 76:681–684
ESCRS Endophthalmitis Study Group (2007) Prophylaxis of postoperative endophthalmitis following cataract surgery: results of the ESCRS multicenter study and identification of risk factors. J Cataract Refract Surg 33:978–988
Koay P (1996) The emerging roles of topical non-steroidal antiinflammatory agents in ophthalmology. Br J Ophthalmol 80:480–485
Bucci FA Jr, Waterbury LD (2011) Prostaglandin E2 inhibition of ketorolac 0.45%, bromfenac 0.09%, and nepafenac 0.1% in patients undergoing phacoemulsification. Adv Ther 28(12):1089–1095
Baklayan GA, Muñoz M (2014) The ocular distribution of (14)C-labeled bromfenac ophthalmic solution 0.07% in a rabbit model. Clin Ophthalmol 8:1717–1724
Oka T, Shearer T, Azuma M (2004) Involvement of cyclooxygenase-2 in rat models of conjunctivitis. Curr Eye Res 29(1):27–34
Miyamoto T, Saika S, Okada Y et al (2004) Expression of cyclooxygenase-2 in corneal cells after photorefractive keratectomy and laser in situ keratomileusis in rabbits. J Cataract Refract Surg 30(12):2612–2617
Radi ZA, Render JA. The pathophysiologic role of cyclo-oxygenases in the eye. J Ocul Pharmacol Ther. 2008;24(2):141–151)
Ruiz J, López M, Milà J et al (1993) QSAR and conformational analysis of the anti-inflammatory agent amfenac and analogues. J Comput Aided Mol Des 7(2):183–198
Baklayan GA, Patterson HM, Song CK et al (2008) 24-hour evaluation of the ocular distribution of (14)C-labeled bromfenac following topical instillation into the eyes of New Zealand White rabbits. J Ocul Pharmacol Ther 24(4):392–398
Macri A, Marini V, Sangalli G et al (2015) An artificial aqueous humor as a standard matrix to assess drug concentration in the anterior chamber by high performance liquid chromatography methods. Clin Lab 61(1–2):47–52
Miyake K (1977) Prevention of cystoid macular edema after lens extraction by topical indomethacin (I). A preliminary report. Albrecht Von Graefes Arch Klin Exp Ophthalmol 203(2):81–88
Kraff MC, Sanders DR, Jampol LM et al (1982) Prophylaxis of pseudophakic cystoid macular edema with topical indomethacin. Ophthalmology 89(8):885–890
Flach AJ (1998) The incidence, pathogenesis and treatment of cystoid macular edema following cataract surgery. Trans Am Ophthalmol Soc 96:557–634
Rossetti L, Chaudhuri J, Dickersin K (1998) Medical prophylaxis and treatment of cystoid macular edema after cataract surgery. Results Meta Anal Ophthalmol 105(3):397–405
Rho DS (2003) Treatment of acute pseudophakic cystoid macular edema: Diclofenac versus ketorolac. J Cataract Refract Surg 29(12):2378–2384
Yannuzzi LA, Landau AN, Turtz AI (1981) Incidence of aphakic cystoid macular edema with the use of topical indomethacin. Ophthalmology 88(9):947–954
Friedlaender MH (2001) The current and future therapy of allergic conjunctivitis. Curr Opin Ophthalmol 1:375–379
Friedlaender M (2001) Overview of ocular allergy treatment. Curr Allergy Asthma Rep. 1:375–379
Badalà F, Fioretto M, Macrì A (2004) Effect of topical 0.1% Indomethacin solution versus 0.1% Fluorometholon on ocular surface and pain control following Laser Subepithelial Keratomileusis (LASEK). Cornea 23(6):550–553
Zanetti FR, Fulco EA, Chaves FR et al (2012) Effect of preoperative use of topical prednisolone acetate, ketorolac tromethamine, nepafenac and placebo, on the maintenance of intraoperative mydriasis during cataract surgery: a randomized trial. Indian J Ophthalmol 60(4):277–281
Gayton J (2009) Concentration and dosing of ketorolac versus bromfenac. J Cataract Refract Surg 35(7):1319
Gluud BS, Jensen OL, Krogh E et al (1985) Prostaglandin E2 level in tears during postoperative inflammation of the eye. Acta Ophthalmol 63(4):375–379
Yanni JM, Graff G, Hellberg MR (1995) Adminstering 3-benzoylphenylacetamide derivatives. United States patent US5475034
Miyake K, Ogawa T, Tajika T et al (2008) Ocular pharmacokinetics of a single dose of bromfenac sodium ophthalmic solution 0.1% in human aqueous humor. J Ocul Pharmacol Ther 24(6):573–578
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
No conflicting relationship exists for any author.
Rights and permissions
About this article
Cite this article
Macrì, A., Vagge, A., Salis, A. et al. Bromfenac ophthalmic solution 0.09 %: human aqueous humor concentration detected by high-performance liquid chromatography. Int Ophthalmol 37, 417–421 (2017). https://doi.org/10.1007/s10792-016-0279-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10792-016-0279-3