Title

Oral Gabapentin Versus Placebo for Treatment of Postoperative Pain Following Photorefractive Keratectomy
Oral Gabapentin Versus Placebo for Treatment of Postoperative Pain Following Photorefractive Keratectomy: A Randomized, Double-masked, Single Center, Placebo-controlled Clinical Trial
  • Phase

    N/A
  • Study Type

    Interventional
  • Intervention/Treatment

    gabapentin ...
  • Study Participants

    106
The purpose of this study is to determine the effectiveness of an oral medication called gabapentin in reducing pain after Photorefractive Keratectomy (PRK) eye surgery and to assess the frequency of use of rescue medication interventions, defined as non-steroidal anti-inflammatory (NSAID) eye drops and oral narcotic medication.
Study Started
Jul 31
2008
Primary Completion
Jul 31
2009
Study Completion
Jul 31
2009
Results Posted
Feb 07
2012
Estimate
Last Update
Jul 16
2014
Estimate

Drug Gabapentin

Gabapentin 300 mg taken by mouth thrice daily for 7 days

Drug placebo

placebo (sugar pill) taken by mouth thrice daily for 7 days

Gabapentin Active Comparator

oral medication

placebo Placebo Comparator

Criteria

Inclusion Criteria:

Ability to understand and provide informed consent to participate in this study and complete follow-up visits.
Planned Photorefractive keratectomy (PRK) at the WRAMC Center for Refractive Surgery.
Male or female, of any race, and at least 21 years old at the time of the pre-operative examination, and have signed an informed consent. The lower age limit of 21 years is intended to ensure documentation of refractive stability.
Access to transportation to meet follow-up requirements.

Exclusion Criteria:

Any reason to be excluded for PRK.
Female subjects who are pregnant, breast feeding or intend to become pregnant during the study. Female subjects will be given a urine pregnancy test prior to participating in the study to rule out pregnancy. [Pregnancy and breastfeeding are contraindications to refractive surgery in general, including PRK, whether participating in this study or not].
Patients with known allergy, sensitivity or inappropriate responsiveness to Gabapentin or any of the medications used in the post-operative course.
Patients with known depressed renal function.
Any physical or mental impairment that would preclude participation in any of the examinations.

Summary

Gabapentin

Placebo

All Events

Event Type Organ System Event Term

Level of Pain

level of pain was measured using the Visual Analog Scale (VAS)ranging from 0 (none) to 10 (worst possible pain)

Gabapentin

3.85
units on a scale (Mean)
Standard Deviation: 2.05

Placebo

4.09
units on a scale (Mean)
Standard Deviation: 2.38

Level of Pain

level of pain was measured using the Visual Analog Scale (VAS)ranging from 0 (none) to 10 (worst possible pain)

Gabapentin

3.0
units on a scale (Mean)
Standard Deviation: 2.01

Placebo

4.0
units on a scale (Mean)
Standard Deviation: 1.97

Level of Pain

level of pain was measured using the Visual Analog Scale (VAS)ranging from 0 (none) to 10 (worst possible pain)

Gabapentin

2.09
units on a scale (Mean)
Standard Deviation: 1.57

Placebo

2.58
units on a scale (Mean)
Standard Deviation: 2.08

Level of Pain

level of pain was measured using the Visual Analog Scale (VAS)ranging from 0 (none) to 10 (worst possible pain)

Gabapentin

1.3
units on a scale (Mean)
Standard Deviation: 1.16

Placebo

1.86
units on a scale (Mean)
Standard Deviation: 1.96

Occurence of Use of Rescue Medication

Occurrence of use of either ketorolac eyedrops(Acular) or oxycodone-acetaminophen tablet (Percocet), or both was measured

Gabapentin

7.54
# of times rescue meds were used (Mean)
Standard Deviation: 3.45

Placebo

7.15
# of times rescue meds were used (Mean)
Standard Deviation: 3.9

Total

94
Participants

Age, Continuous

31.9
years (Mean)
Standard Deviation: 8

Age, Categorical

Region of Enrollment

Sex: Female, Male

Overall Study

Gabapentin

Placebo

Drop/Withdrawal Reasons

Gabapentin

Placebo