A prospective study on postoperative pain after cataract surgery

Susanna Porela-Tiihonen,1 Kai Kaarniranta,2 Merja Kokki,1 Sinikka Purhonen,1 Hannu Kokki1 1Department of Anesthesia and Operative Services, Kuopio University Hospital, School of Medicine, University of Eastern Finland, Kuopio, Finland; 2Department of Ophthalmology, Kuopio University Hospital, School...

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Autores principales:	Porela-Tiihonen S, Kaarniranta K, Kokki M, Purhonen S, Kokki H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/c01cdd745eaf443fa07c15e09b36b997
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spelling	oai:doaj.org-article:c01cdd745eaf443fa07c15e09b36b9972021-12-02T01:33:47ZA prospective study on postoperative pain after cataract surgery1177-54671177-5483https://doaj.org/article/c01cdd745eaf443fa07c15e09b36b9972013-07-01T00:00:00Zhttp://www.dovepress.com/a-prospective-study-on-postoperative-pain-after-cataract-surgery-a13663https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Susanna Porela-Tiihonen,1 Kai Kaarniranta,2 Merja Kokki,1 Sinikka Purhonen,1 Hannu Kokki1 1Department of Anesthesia and Operative Services, Kuopio University Hospital, School of Medicine, University of Eastern Finland, Kuopio, Finland; 2Department of Ophthalmology, Kuopio University Hospital, School of Medicine, University of Eastern Finland, Kuopio, Finland 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: eye, cataract extraction, phacoemulsification, refractive surgical procedures, follow-up study, recovery, agedPorela-Tiihonen SKaarniranta KKokki MPurhonen SKokki HDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1429-1435 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Porela-Tiihonen S Kaarniranta K Kokki M Purhonen S Kokki H A prospective study on postoperative pain after cataract surgery
description	Susanna Porela-Tiihonen,1 Kai Kaarniranta,2 Merja Kokki,1 Sinikka Purhonen,1 Hannu Kokki1 1Department of Anesthesia and Operative Services, Kuopio University Hospital, School of Medicine, University of Eastern Finland, Kuopio, Finland; 2Department of Ophthalmology, Kuopio University Hospital, School of Medicine, University of Eastern Finland, Kuopio, Finland 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: eye, cataract extraction, phacoemulsification, refractive surgical procedures, follow-up study, recovery, aged
format	article
author	Porela-Tiihonen S Kaarniranta K Kokki M Purhonen S Kokki H
author_facet	Porela-Tiihonen S Kaarniranta K Kokki M Purhonen S Kokki H
author_sort	Porela-Tiihonen S
title	A prospective study on postoperative pain after cataract surgery
title_short	A prospective study on postoperative pain after cataract surgery
title_full	A prospective study on postoperative pain after cataract surgery
title_fullStr	A prospective study on postoperative pain after cataract surgery
title_full_unstemmed	A prospective study on postoperative pain after cataract surgery
title_sort	prospective study on postoperative pain after cataract surgery
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/c01cdd745eaf443fa07c15e09b36b997
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A prospective study on postoperative pain after cataract surgery

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