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. 2025 Aug 22;15:30847. doi: 10.1038/s41598-025-16328-3

Table 1.

Mean pupillary size of the control, 1.0 mg/ml, 1.5 mg/ml, and 2.5 mg/ml neostigmine groups at each time point after instillation on the first day.

Time Dose Mean ± SD (mm) TNOS vs. NSS 1.5 mg/mL vs. 2.5 mg/mL
MD (95% CI) (mm) Adjusted
p-value
MD (95% CI) (mm) Adjusted
p-value
0 min NSS (n = 6)

6.68 ± 0.47

6.72 ± 0.54

6.50 ± 0.24

6.62 ± 0.71

1.0 mg/mL (n = 6) 0.04 (−0.85 to 0.95) 0.999
1.5 mg/mL (n = 6) −0.18 (−0.87 to 0.53) 0.851 −0.12 (−1.16 to 0.93) 0.982
2.5 mg/mL (n = 6) −0.06 (−1.15 to 1.03) 0.998
15 min NSS (n = 6)

6.75 ± 0.14

5.89 ± 1.21

5.76 ± 0.84

5.49 ± 1.67

1.0 mg/mL (n = 6) −0.86 (−2.69 to 0.96) 0.397
1.5 mg/mL (n = 6) −0.99 (−2.25 to 0.27) 0.116 0.27 (−2.23 to 2.77) 0.983
2.5 mg/mL (n = 6) −1.26 (−3.78 to 1.26) 0.356
30 min NSS (n = 6)

6.56 ± 0.23

5.23 ± 1.17

4.46 ± 1.34

4.26 ± 1.61

1.0 mg/mL (n = 6) −1.33 (−3.09 to 0.42) 0.128
1.5 mg/mL (n = 6) −2.10 (−4.11 to −0.09) 0.042* 0.20 (−2.43 to 2.83) 0.995
2.5 mg/mL (n = 6) −2.30 (−4.71 to 0.10) 0.059
60 min NSS (n = 6)

6.34 ± 0.48

4.84 ± 1.24

3.81 ± 1.09

3.21 ± 1.31

1.5 mg/mL (n = 6)
−1.50 (−3.34 to 0.35) 0.110
1.5 mg/mL (n = 6) −2.53 (−4.15 to −0.91) 0.006* 0.60 (−1.55 to 2.74) 0.828
2.5 mg/mL (n = 6) −3.13 (−5.07 to −1.18) 0.005*
90 min NSS (n = 6)

6.52 ± 0.47

5.07 ± 1.29

3.94 ± 1.12

4.22 ± 1.20

1.0 mg/mL (n = 6) −1.45 (−3.35 to 0.46) 0.137
1.5 mg/mL (n = 6) −2.58 (−4.24 to −0.93) 0.006* −0.28 (−2.33 to 1.77) 0.974
2.5 mg/mL (n = 6) −2.30 (−4.08 to −0.53) 0.015*
120 min NSS (n = 6)

6.28 ± 0.30

5.44 ± 0.94

4.68 ± 0.68

4.99 ± 0.89

1.0 mg/mL (n = 6) −0.84 (−2.22 to 0.56) 0.261
1.5 mg/mL (n = 6) −1.60 (−2.60 to −0.58) 0.005* −0.31 (−1.72 to 1.12) 0.909
2.5 mg/mL (n = 6) −1.29 (−2.61 to 0.03) 0.055
180 min NSS (n = 6)

6.39 ± 0.40

5.61 ± 0.89

5.18 ± 0.70

5.46 ± 0.69

1.0 mg/mL (n = 6) −0.78 (−2.11 to 0.54) 0.287
1.5 mg/mL (n = 6) −1.21 (−2.27 to −0.16) 0.026* −0.28 (−1.51 to 0.94) 0.892
2.5 mg/mL (n = 6) −0.93 (−1.97 to 0.11) 0.081
24 h NSS (n = 6)

6.59 ± 0.17

6.65 ± 0.52

6.57 ± 0.34

6.80 ± 0.49

1.0 mg/mL (n = 6) 0.06 (−0.71 to 0.82) 0.994
1.5 mg/mL (n = 6) −0.02 (−0.53 to 0.48) 0.998 −0.23 (−0.99 to 0.53) 0.780
2.5 mg/mL (n = 6) 0.21 (−0.52 to 0.93) 0.767

SD = standard deviation; TNOS = topical neostigmine ophthalmic solution; NSS = normal saline solution; MD = mean difference; 95% CI = 95% confidence interval. *Adjusted p-value < 0.05 (Tukey’s method for multiple comparisons).