Murat Aslankurt1, Lokman Aslan2, Ahmet M Başkan2, Adnan Aksoy2, Emin Silay2, Hüseyin Yıldız2. 1. From the Department of Ophthalmology (Aslankurt, Aslan, Aksoy) and Department of Anesthesiology and Reanimation (Silay, Yıldız), Faculty of Medicine, Sutcu Imam University, and Uğur Eye Hospital (Başkan), Kahramanmaraş, Turkey. Electronic address: maslankurt80@hotmail.com. 2. From the Department of Ophthalmology (Aslankurt, Aslan, Aksoy) and Department of Anesthesiology and Reanimation (Silay, Yıldız), Faculty of Medicine, Sutcu Imam University, and Uğur Eye Hospital (Başkan), Kahramanmaraş, Turkey.
Abstract
PURPOSE: To evaluate the relationship between laterality and perceived pain and cooperation during phacoemulsification under combined topical and intracameral anesthesia. SETTING: University ophthalmology clinic and eye hospital, Kahramanmaraş, Turkey. DESIGN: Cohort study. METHODS: Seventy-eight patients with senile cataracts who had ocular surgery were included prospectively. The dominant side was determined with the Edinburg Handedness Inventory. Phacoemulsification and intraocular lens implantation were performed. The surgeon graded the patient's cooperation from 0 (best) to 3 (worst). The duration of surgery was recorded. Another researcher rated perceived pain from 0 (no pain) to 10 (unbearable pain) using a visual analogue scale (VAS). Pain scores and the degree of cooperation for dominant-side and nondominant-side surgery were the primary outcomes. RESULTS: Forty-six patients had surgery in the dominant eye and 32 in the nondominant eye. The 2 groups were similar in age, sex, and severity and type of cataract. The mean VAS score was significantly higher in patients having dominant-side surgery than in those having nondominant-side surgery (P<.01). Similarly, the mean cooperation score was significantly poorer in the patients having dominant-side surgery (P<.05). Visual analogue scores were correlated with patient cooperation (r = 0.890, P<.0001). CONCLUSION: Pain scores were higher in dominant-side surgery for cataract under topical and intracameral anesthesia, which should be kept in mind when selecting anesthesia and in studies in which pain is scored. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.
PURPOSE: To evaluate the relationship between laterality and perceived pain and cooperation during phacoemulsification under combined topical and intracameral anesthesia. SETTING: University ophthalmology clinic and eye hospital, Kahramanmaraş, Turkey. DESIGN: Cohort study. METHODS: Seventy-eight patients with senile cataracts who had ocular surgery were included prospectively. The dominant side was determined with the Edinburg Handedness Inventory. Phacoemulsification and intraocular lens implantation were performed. The surgeon graded the patient's cooperation from 0 (best) to 3 (worst). The duration of surgery was recorded. Another researcher rated perceived pain from 0 (no pain) to 10 (unbearable pain) using a visual analogue scale (VAS). Pain scores and the degree of cooperation for dominant-side and nondominant-side surgery were the primary outcomes. RESULTS: Forty-six patients had surgery in the dominant eye and 32 in the nondominant eye. The 2 groups were similar in age, sex, and severity and type of cataract. The mean VAS score was significantly higher in patients having dominant-side surgery than in those having nondominant-side surgery (P<.01). Similarly, the mean cooperation score was significantly poorer in the patients having dominant-side surgery (P<.05). Visual analogue scores were correlated with patient cooperation (r = 0.890, P<.0001). CONCLUSION:Pain scores were higher in dominant-side surgery for cataract under topical and intracameral anesthesia, which should be kept in mind when selecting anesthesia and in studies in which pain is scored. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.
Authors: Ling Jiunn Loong; Koh Koon Ling; Evelyn Li Min Tai; Yee Cheng Kueh; Garry Kuan; Adil Hussein Journal: Int J Environ Res Public Health Date: 2022-08-17 Impact factor: 4.614
Authors: Jarrett A Heard; Alicia A Gonzalez Zacarias; Alec T Lawrence; Nicoleta Stoicea; Marilly Palettas; Juan Fiorda-Diaz; Michael G Guertin; Amit Tandon; Deborah S Lowery Journal: Medicine (Baltimore) Date: 2020-11-20 Impact factor: 1.817