Pei Liu1,2, Shuoji Zhang1, Zhao Geng1, Rongdi Yuan3, Jian Ye4. 1. Department of Ophthalmology, Daping Hospital, Army Special Medical Center, Army Medical University, Chongqing, 400042, People's Republic of China. 2. , Chongqing, People's Republic of China. 3. Department of Ophthalmology, Xinqiao Hospital, Army Medical University, Chongqing, 400037, People's Republic of China. yuanrongdi@126.com. 4. Department of Ophthalmology, Daping Hospital, Army Special Medical Center, Army Medical University, Chongqing, 400042, People's Republic of China. yejian1979@163.com.
Abstract
PURPOSE: To compare the perceived pain and estimated operative duration among patients undergoing bilateral cataract surgery and to demonstrate correlations with the surgical interval and the demographic and medical characteristics of the patients. METHODS: A total of 466 patients with cataract who underwent ocular surgery were included. The patients estimated the perceived operative duration and pain they felt during the operation at two times, immediately after surgery and on the first postoperative day; pain was scored using a visual analog scale ranging from 0 (no pain) to 10 (unbearable pain). Patients undergoing bilateral surgeries were divided into four subgroups based on the interval between the two operations (1, 2, 4, or 6 weeks). The perceived pain score and the estimated operative duration were the primary outcomes. RESULTS: The pain scores were higher for the second surgery than for the first surgery both immediately after surgery (P = 0.043) and on the first postoperative day (P = 0.002). The estimated operative duration was longer for the second surgery (P = 0.001). Only patients who underwent the second surgery at an interval of 2 weeks perceived more pain both immediately and 1 day postoperatively (P = 0.002, P = 0.022) and a longer operative duration (P < 0.001). Gender, age, and education level might also influence the pain score. CONCLUSIONS: Female patients, patients with a younger age, and patients with higher education level are likely to report more pain. Patients who require bilateral cataract surgery should not undergo the second surgery before an interval of 2 weeks.
PURPOSE: To compare the perceived pain and estimated operative duration among patients undergoing bilateral cataract surgery and to demonstrate correlations with the surgical interval and the demographic and medical characteristics of the patients. METHODS: A total of 466 patients with cataract who underwent ocular surgery were included. The patients estimated the perceived operative duration and pain they felt during the operation at two times, immediately after surgery and on the first postoperative day; pain was scored using a visual analog scale ranging from 0 (no pain) to 10 (unbearable pain). Patients undergoing bilateral surgeries were divided into four subgroups based on the interval between the two operations (1, 2, 4, or 6 weeks). The perceived pain score and the estimated operative duration were the primary outcomes. RESULTS: The pain scores were higher for the second surgery than for the first surgery both immediately after surgery (P = 0.043) and on the first postoperative day (P = 0.002). The estimated operative duration was longer for the second surgery (P = 0.001). Only patients who underwent the second surgery at an interval of 2 weeks perceived more pain both immediately and 1 day postoperatively (P = 0.002, P = 0.022) and a longer operative duration (P < 0.001). Gender, age, and education level might also influence the pain score. CONCLUSIONS: Female patients, patients with a younger age, and patients with higher education level are likely to report more pain. Patients who require bilateral cataract surgery should not undergo the second surgery before an interval of 2 weeks.
Authors: R L Johnston; L A Whitefield; J Giralt; S Harrun; T Akerele; S J Bryan; N Kayali; C M Claoué Journal: J Cataract Refract Surg Date: 1998-03 Impact factor: 3.351
Authors: S Sugita; C Taguchi; H Takase; K Sagawa; J Sueda; K Fukushi; N Hikita; T Watanabe; K Itoh; M Mochizuki Journal: Br J Ophthalmol Date: 2000-10 Impact factor: 4.638
Authors: Landon K Oetjen; Madison R Mack; Jing Feng; Timothy M Whelan; Haixia Niu; Changxiong J Guo; Sisi Chen; Anna M Trier; Amy Z Xu; Shivani V Tripathi; Jialie Luo; Xiaofei Gao; Lihua Yang; Samantha L Hamilton; Peter L Wang; Jonathan R Brestoff; M Laurin Council; Richard Brasington; András Schaffer; Frank Brombacher; Chyi-Song Hsieh; Robert W Gereau; Mark J Miller; Zhou-Feng Chen; Hongzhen Hu; Steve Davidson; Qin Liu; Brian S Kim Journal: Cell Date: 2017-09-07 Impact factor: 66.850