Clin Ophthalmol. 2013;7:1429-35. doi: 10.2147/OPTH.S47576. Epub 2013 Jul 15.
A prospective study on postoperative pain after cataract surgery.
Clinical ophthalmology (Auckland, N.Z.)
Susanna Porela-Tiihonen, Kai Kaarniranta, Merja Kokki, Sinikka Purhonen, Hannu Kokki
Affiliations
Affiliations
- Department of Anesthesia and Operative Services, Kuopio University Hospital, School of Medicine, University of Eastern Finland, Kuopio, Finland.
PMID: 23885165
PMCID: PMC3716556 DOI: 10.2147/OPTH.S47576
Abstract
PURPOSE: To evaluate postoperative pain and early recovery in cataract patients.
PATIENTS AND METHODS: A total of 201 patients who underwent elective first eye cataract extraction surgery were enrolled, and 196 were included in the final analysis. The study design was a single-center, prospective, follow-up study in a tertiary hospital in eastern Finland. Postoperative pain was evaluated with the Brief Pain Inventory at four time points: at baseline, and at 24 hours, 1 week, and 6 weeks postsurgery.
RESULTS: Postoperative pain was relatively common during the first hours after surgery, as it was reported by 67 (34%) patients. After hospital discharge, the prevalence decreased; at 24 hours, 1 week, and 6 weeks, 18 (10%), 15 (9%) and 12 (7%) patients reported having ocular pain, respectively. Most patients with eye pain reported significant pain, with a score of ≥4 on a pain scale of 0-10, but few had taken analgesics for eye pain. Those who had used analgesics rated the analgesic efficacy of paracetamol and ibuprofen as good or excellent. Other ocular irritation symptoms were common after surgery; as a new postoperative symptom, foreign-body sensation was reported by 40 patients (22%), light sensitivity by 29 (16%), burning by 15 (8%), and itching by 15 (8%).
CONCLUSION: Moderate or severe postoperative pain was relatively common after cataract surgery. Thus, all patients undergoing cataract surgery should be provided appropriate counseling on pain and pain management after surgery.
Keywords: aged; cataract extraction; eye; follow-up study; phacoemulsification; recovery; refractive surgical procedures
References
- J Ocul Pharmacol Ther. 2010 Dec;26(6):617-21 - PubMed
- Ophthalmology. 1999 Oct;106(10):1863-8 - PubMed
- Pain. 1979 Jun;6(3):247-252 - PubMed
- Graefes Arch Clin Exp Ophthalmol. 2008 Nov;246(11):1593-601 - PubMed
- Anesthesiology. 2013 Apr;118(4):934-44 - PubMed
- J Cataract Refract Surg. 2011 Jan;37(1):113-21 - PubMed
- Pain. 1983 Oct;17(2):197-210 - PubMed
- J Cataract Refract Surg. 2010 Mar;36(3):402-6 - PubMed
- Curr Med Res Opin. 2007 Oct;23(10):2325-31 - PubMed
- Lancet. 2012 Dec 15;380(9859):2144-62 - PubMed
- Ophthalmologe. 2000 Mar;97(3):189-93 - PubMed
- Am J Ophthalmol. 2007 Mar;143(3):441-8 - PubMed
- Eur J Ophthalmol. 2007 Sep-Oct;17(5):733-42 - PubMed
- J Cataract Refract Surg. 2001 Dec;27(12):1975-8 - PubMed
- Arch Intern Med. 2012 Mar 12;172(5):425-30 - PubMed
- J Cataract Refract Surg. 2013 May;39(5):789-98 - PubMed
Publication Types