Ice compresses aid the reduction of swelling and pain after scleral buckling surgery

Li, Zhuo; Wang, Qin

doi:10.1111/jocn.13362

Cited by 4 publications

(7 citation statements)

References 16 publications

(13 reference statements)

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“…Treatments for postoperative pain relief were as follows: (1) perioperative blocks—sub-Tenon/peribulbar block with bupivacaine, 55,57 retrobulbar block with chirocaine and clonidine, 4 and retrobulbar irrigation with bupivacaine 53 ; (2) perioperative intravenous analgesia 56,58 ; (3) postoperative systemic analgesia 54 ; (4) postoperative topical analgesia 59 ; (5) postoperative ice compress 60 (Table 1). Observation times ranged from 24 hours to 28 days, with only 3 studies beyond 30 hours.…”

Section: Resultsmentioning

confidence: 99%

“…59 Postoperative use of ice compresses reduced significantly the severity of pain and eyelid swelling 2 consecutive days postsurgery in the study by Li and Wang (Table 4). 60 The simple use of ice compress also decreased bleeding at postoperative day 1. Furthermore, it improved the psychological reaction of patients toward possible future surgery and increased the level of outdoor activities of patients at postoperative week 1 (Table 4).…”

Section: Efficacymentioning

confidence: 95%

“…There were 9 studies comprising 517 patients who underwent surgery for retinal detachment that met the inclusion criteria. [53][54][55][56][57][58][59][60] Surgical treatments were scleral buckling surgery in 396, vitrectomy in 41, combined surgery (scleral buckling and vitrectomy) in 20, and retinal detachment surgery without further specification in 60 patients.…”

Section: Included Studiesmentioning

confidence: 99%

“…Observation times ranged from 24 hours to 28 days, with only 3 studies beyond 30 hours. Six of 9 studies reported the use of general anesthesia, 1 study using local and general anesthesia, 60 and 2 studies not specifying the anesthetic procedure. 54,59 Records identified through database searching (n = 3384) Funding and/or authors' conflict of interest was only reported for 5 studies ( Table 2).…”

Section: Included Studiesmentioning

confidence: 99%

“…In a study by Li and Wang, assessed as having a high risk of bias, 92 patients underwent scleral buckling surgery under local anesthesia and only 8 patients under general anesthesia. 60 Fifty patients were treated with homemade ice pack placed over their operated eye for 30 minutes 3 times a day for the first 2 postoperative days, while 50 patients received no specific postoperative care and considered controls.…”

Section: Interventionsmentioning

confidence: 99%

See 4 more Smart Citations

Postoperative Pain Management in Vitreoretinal Surgery for Retinal Detachment: A Systematic Review of Randomized Controlled Trials

Massicotte

Hammamji

Landry

et al. 2018

Journal of VitreoRetinal Diseases

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The purpose of this study is to examine the evidence for postoperative pain management in patients undergoing vitreoretinal surgery for retinal detachment by systematic review. Methods: A systematic review of the literature was performed using multiple databases in July 2016 and September 2017. Two independent reviewers screened titles and abstracts and analyzed selected papers in detail. Included studies assessed patients undergoing vitreoretinal surgery for retinal detachment and described postoperative pain management. Risk of bias was assessed using the criteria outlined in the "risk of bias" tool in the Cochrane Handbook for Systematic Reviews of Interventions. Results: Nine randomized controlled studies comprising 517 patients met the inclusion criteria. Pain management included perioperative peribulbar, sub-Tenon, and retrobulbar anesthetic block; perioperative systemic anti-inflammatory and postoperative systemic and topical anti-inflammatory drugs; and ice compress. Pain scores were assessed with nominal, numerical, and visual analog scales. Risk of bias was low for 2 studies, unclear for 4 studies, and high for 3 studies. All studies reported better postoperative pain scores with the active treatment group except for a single study comparing retrobulbar chirocaine with and without clonidine. No serious adverse events were reported for any of the studies. Conclusion: Heterogeneity of studies did not allow for meta-analysis, but qualitative analysis suggests that pain relief can be achieved in the short term with a variety of treatment interventions. Additional study is required to specifically examine pain management strategies according to the characteristics of the anesthesia and surgery as well as the needs of the patient.

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Section: Resultsmentioning

confidence: 99%

Section: Efficacymentioning

confidence: 95%

Section: Included Studiesmentioning

confidence: 99%

Section: Included Studiesmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

See 3 more Smart Citations

Postoperative Pain Management in Vitreoretinal Surgery for Retinal Detachment: A Systematic Review of Randomized Controlled Trials

Massicotte

Hammamji

Landry

et al. 2018

Journal of VitreoRetinal Diseases

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Exploring the Effect of Trataka (A Yogic Cleansing Technique) and Cold Eye Pack on Eye Strain During COVID-19 Pandemic: A Randomized Three-Arm Trial

Saoji,

Swathi,

Bhat

et al. 2024

Journal of Integrative and Complementary Medicine

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Reduction of Postintravitreal Injection Pain Using Ice

Yahalomi

Hecht

Lagstein

et al. 2020

Retina

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Purpose: Intravitreal injections of intraocular therapeutic agents are a common and effective treatment for various retinal pathologies. Patient discomfort related to injection is a potential barrier to treatment. Our aim in this study was to evaluate whether cooling the eye using topical ice compresses before intravitreal injection will reduce pain or bleeding. Methods: This randomized controlled open-label study included 42 patients. All patients received a standard topical anesthesia protocol and then were randomly assigned to either receive a placement of ice packs (intervention group) or a room-temperature pack (control group) on the eyelid, 2 minutes before the intravitreal injection. Patients' discomfort, itching, burning and pain (using visual analog scale), and bleeding size (using photographs) were measured 1 and 10 minutes after the injection. Tolerability was calculated by averaging patients' discomfort, itching, burning, and pain scores. Results: At 1 minute, pain (1.95 vs. 4.27, P = 0.01) and overall tolerability (1.66 vs. 2.98, P = 0.03) were significantly lower in patients receiving ice packs. At 10 minutes, pain (1.6 vs. 3.73, P = 0.02), burning (0.9 vs. 3.09, P = 0.007), discomfort (2.1 vs. 4.27, P = 0.008), and overall tolerability (1.23 vs. 2.87, P = 0.004) were all significantly lower in the ice group compared with the controls. Bleeding size (area or circumference) was not statistical different between groups. Conclusion: Topical ice patch administered before intravitreal injection significantly decreased pain and overall tolerability. This simple and inexpensive method may be used to ameliorated pain and improve tolerability.

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Ice compresses aid the reduction of swelling and pain after scleral buckling surgery

Abstract: Use of a local ice compress after scleral buckling surgery can reduce swelling and pain on operated eyes, providing greater comfort for patients.

Cited by 4 publications

References 16 publications

Postoperative Pain Management in Vitreoretinal Surgery for Retinal Detachment: A Systematic Review of Randomized Controlled Trials

Postoperative Pain Management in Vitreoretinal Surgery for Retinal Detachment: A Systematic Review of Randomized Controlled Trials

Exploring the Effect of Trataka (A Yogic Cleansing Technique) and Cold Eye Pack on Eye Strain During COVID-19 Pandemic: A Randomized Three-Arm Trial

Reduction of Postintravitreal Injection Pain Using Ice

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