Ophthalmic non-steroidal anti-inflammatory drugs (NSAIDs) v placebo or standard therapy in acute corneal abrasions at 1–24 hours*

OutcomeComparisons (1 RCT each)nScaleDifference between groups (95% CI or p value)†
*RCT = randomised controlled trial; VAS = visual analogue scale; NPIS = Numeric Pain Intensity Scale scores; NR = magnitude of effect not reported. CI defined in glossary. †All significant differences favour NSAIDs. ‡0 = no pain and 10 = severe pain. §Difference ≥13 mm on a 100 mm visual analogue scale (clinically important difference).
Ketorolac 0.5% v “control vehicle”1000–10‡1.3 (p=0.002)§
Diclofenac 0.1% v normal saline400–100 mm VASNR (p<0.05)
Indomethacin 0.1% plus gentamycin sulphate v gentamycin sulphate1230–100 mm VAS5.9 (p=0.007)
Ketorolac 0.5% v liquifilm tears850–50 mm VAS2 (p<0.05)
Mean reduction in pain intensity from baselineDiclofenac 0.1% v natural tears490–100 mm NPIS21 (8 to 34)§