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Nanosilver eye patch for ocular surface trauma:a prospective randomised trial and review of the literature
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作者 Yu-Qi Jiang Hou-Bin Huang 《International Journal of Ophthalmology(English edition)》 2026年第4期764-774,共11页
AIM:To evaluate nanosilver eye patches versus Atrauman nanosilver dressings for ocular surface trauma.METHODS:This randomized non-inferiority trial(November 2024-April 2025)enrolled 60 patients assessed pre-treatment ... AIM:To evaluate nanosilver eye patches versus Atrauman nanosilver dressings for ocular surface trauma.METHODS:This randomized non-inferiority trial(November 2024-April 2025)enrolled 60 patients assessed pre-treatment and on days 1,7,and 14 post-treatment.The patients were then randomized into treatment(nanosilver eye patches)and control groups(Atrauman nanosilver dressings).Outcomes included wound healing,comfort(Ocular Comfort Index,OCI),and safety.Statistical analyses used t-tests,non-inferiority tests,and Chi-square tests.RESULTS:Patient baseline characteristics were comparable between groups,with a mean age of 60.633±10.934 in the treatment group versus 64.933±9.606 in controls,and similar gender distribution(20/10 vs 17/13 male/female).Both groups showed comparable baseline OCI scores(treatment group:6.100±2.187 vs control group:6.267±2.303,P=0.775).Following treatment,scores increased significantly at day 1(treatment group:9.367±2.251;control group:9.067±2.212,both P<0.001 vs baseline).Marked improvement was observed by day 7(treatment group:4.067±1.929;control group:3.900±1.918,P<0.001 vs baseline),with complete resolution at day 14(0.467±0.860 vs 0.467±1.008,P<0.001).The non-inferiority criterion was met.The treatment group showed greater improvement in Grade A wound healing rates(76.67%to 93.33%)compared to controls(80.00%to 86.67%)between 1 and 7d post-treatment.By 14d posttreatment,all patients achieved Grade A healing in both groups,with no Grade C cases observed throughout the study period.No adverse events were reported.CONCLUSION:Nanosilver eye patches are non-inferior to Atrauman dressings,offering effective,safe emergency care for ocular trauma. 展开更多
关键词 silver nanoparticle eye patch ocular surface trauma non-inferiority trial clinical trial
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