Ocular pain and discomfort after advanced surface ablation: an ignored complaint

Eva M Sobas,1 Sebastián Videla,2,3 Miguel J Maldonado,1 Jose C Pastor1,4 1Instituto Universitario de Oftalmobiologia Aplicada (IOBA), Universidad de Valladolid, Valladolid, Spain; 2Laboratorios Dr Esteve S.A., Barcelona, Spain; 3Department of Experimental and Health Sciences, Faculty of...

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Autores principales:	Sobas EM, Videla S, Maldonado MJ, Pastor JC
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/80c1ebd0f3244c50bcc17ee247333e5b
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spelling	oai:doaj.org-article:80c1ebd0f3244c50bcc17ee247333e5b2021-12-02T07:03:37ZOcular pain and discomfort after advanced surface ablation: an ignored complaint1177-5483https://doaj.org/article/80c1ebd0f3244c50bcc17ee247333e5b2015-09-01T00:00:00Zhttps://www.dovepress.com/ocular-pain-and-discomfort-after-advanced-surface-ablation-an-ignored--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Eva M Sobas,1 Sebastián Videla,2,3 Miguel J Maldonado,1 Jose C Pastor1,4 1Instituto Universitario de Oftalmobiologia Aplicada (IOBA), Universidad de Valladolid, Valladolid, Spain; 2Laboratorios Dr Esteve S.A., Barcelona, Spain; 3Department of Experimental and Health Sciences, Faculty of Health and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain; 4Department of Ophthalmology, Hospital Clinico Universitario, Valladolid, Spain Purpose: Laser vision correction is one of the most commonly performed elective surgical procedures in ophthalmology. Generally, discomfort besides pain (photophobia, burning sensation, tearing, and foreign body sensation) after these procedures is not taken into consideration in the clinical practice. The objective is to provide data on these symptoms and their relevance after advanced surface ablation (ASA). Methods: Single-center survey study based on a structured questionnaire relative to the patients’ perceived symptoms after ASA. Inclusion criteria were: ≥18 years old, no ocular disease, with myopia (0.75 to 9 D) or hyperopia (0.25 to 5 D) with or without astigmatism, receiving ASA on at least one eye. All procedures were performed by the same surgeon. A descriptive analysis was performed. Results: Seventy-three consecutive patients (34 men and 39 women) were included in the study. The median (range) of age was 33 (19–64) years. Sixty-nine patients had surgery done on both eyes. Postoperative pain was the most frequent comorbidity (97% [95% confidence interval {CI}: 90–100]) with a median (range) of intensity (verbal numerical rating scale) score of 7 (2–10). Photophobia: 85% (95% CI: 75–92); burning sensation: 62% (95% CI: 50–73); tearing: 59% (95% CI: 47–70); and foreign body sensation: 48% (95% CI: 36–60) were also prevalent postoperative symptoms. Pain during ASA was reported for 44% (95% CI: 32–56) of patients.Conclusion: Comorbidities such as pain, photophobia, burning sensation, tearing, and foreign body sensation are prevalent after ASA procedure. Postoperative pain should be taken into consideration due to its prevalence and intensity. A new and more efficient postoperative analgesic protocol should be established. Keywords: pain, photophobia, refractive surgery, surveySobas EMVidela SMaldonado MJPastor JCDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 1625-1632 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Sobas EM Videla S Maldonado MJ Pastor JC Ocular pain and discomfort after advanced surface ablation: an ignored complaint
description	Eva M Sobas,1 Sebastián Videla,2,3 Miguel J Maldonado,1 Jose C Pastor1,4 1Instituto Universitario de Oftalmobiologia Aplicada (IOBA), Universidad de Valladolid, Valladolid, Spain; 2Laboratorios Dr Esteve S.A., Barcelona, Spain; 3Department of Experimental and Health Sciences, Faculty of Health and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain; 4Department of Ophthalmology, Hospital Clinico Universitario, Valladolid, Spain Purpose: Laser vision correction is one of the most commonly performed elective surgical procedures in ophthalmology. Generally, discomfort besides pain (photophobia, burning sensation, tearing, and foreign body sensation) after these procedures is not taken into consideration in the clinical practice. The objective is to provide data on these symptoms and their relevance after advanced surface ablation (ASA). Methods: Single-center survey study based on a structured questionnaire relative to the patients’ perceived symptoms after ASA. Inclusion criteria were: ≥18 years old, no ocular disease, with myopia (0.75 to 9 D) or hyperopia (0.25 to 5 D) with or without astigmatism, receiving ASA on at least one eye. All procedures were performed by the same surgeon. A descriptive analysis was performed. Results: Seventy-three consecutive patients (34 men and 39 women) were included in the study. The median (range) of age was 33 (19–64) years. Sixty-nine patients had surgery done on both eyes. Postoperative pain was the most frequent comorbidity (97% [95% confidence interval {CI}: 90–100]) with a median (range) of intensity (verbal numerical rating scale) score of 7 (2–10). Photophobia: 85% (95% CI: 75–92); burning sensation: 62% (95% CI: 50–73); tearing: 59% (95% CI: 47–70); and foreign body sensation: 48% (95% CI: 36–60) were also prevalent postoperative symptoms. Pain during ASA was reported for 44% (95% CI: 32–56) of patients.Conclusion: Comorbidities such as pain, photophobia, burning sensation, tearing, and foreign body sensation are prevalent after ASA procedure. Postoperative pain should be taken into consideration due to its prevalence and intensity. A new and more efficient postoperative analgesic protocol should be established. Keywords: pain, photophobia, refractive surgery, survey
format	article
author	Sobas EM Videla S Maldonado MJ Pastor JC
author_facet	Sobas EM Videla S Maldonado MJ Pastor JC
author_sort	Sobas EM
title	Ocular pain and discomfort after advanced surface ablation: an ignored complaint
title_short	Ocular pain and discomfort after advanced surface ablation: an ignored complaint
title_full	Ocular pain and discomfort after advanced surface ablation: an ignored complaint
title_fullStr	Ocular pain and discomfort after advanced surface ablation: an ignored complaint
title_full_unstemmed	Ocular pain and discomfort after advanced surface ablation: an ignored complaint
title_sort	ocular pain and discomfort after advanced surface ablation: an ignored complaint
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/80c1ebd0f3244c50bcc17ee247333e5b
work_keys_str_mv	AT sobasem ocularpainanddiscomfortafteradvancedsurfaceablationanignoredcomplaint AT videlas ocularpainanddiscomfortafteradvancedsurfaceablationanignoredcomplaint AT maldonadomj ocularpainanddiscomfortafteradvancedsurfaceablationanignoredcomplaint AT pastorjc ocularpainanddiscomfortafteradvancedsurfaceablationanignoredcomplaint
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Ocular pain and discomfort after advanced surface ablation: an ignored complaint

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