Patient satisfaction and postoperative pain with different postoperative therapy regimens after standardized cataract surgery: a randomized intraindividual comparison

Sipos, Enikö; Stifter, Eva; Menapace, Rupert

doi:10.1007/s10792-011-9497-x

Cited by 9 publications

(9 citation statements)

References 11 publications

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“…The prevalence of pain decreased to 0–11% during the first 24 hr after surgery (Sipos et al. ). Recently, the effect of a subconjunctival injection of corticosteroid‐antibiotic solution was compared with iodine eye drops (Ahmed et al.…”

Section: Review Of the Literaturementioning

confidence: 99%

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Recovery after cataract surgery

Porela‐Tiihonen

Kokki

Kaarniranta

et al. 2016

Acta Ophthalmologica

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Cataract surgery is the most common ophthalmological surgical procedure, and it is predicted that the number of surgeries will increase significantly in the future. However, little is known about the recovery after surgery. The first aim of this study was to evaluate the prevalence, severity and duration of pain and other ocular discomfort symptoms experienced after cataract surgery. The other objectives were to identify the factors associated with lower postoperative patient satisfaction and to measure the effect of cataract surgery on patients’ health‐related quality of life (HRQoL) and visual function in everyday life. The study design was a prospective follow‐up study. The course of the recovery and the presence of ocular symptoms were evaluated by interviewing the patients via a questionnaire at 1 day, 1 week, 6 weeks and one year after surgery The visual functioning in everyday life was measured with Visual Functioning Index VF‐7 and Catquest‐9SF‐questionnaires and furthermore the HRQoL was measured with the 15D‐instrument before surgery and at 12 months after surgery. The patients returned the questionnaires by mail and were interviewed in the hospital on the day of the surgery. The same patients filled‐in all the questionnaires. The patient reports were used to collect the data on medical history. A total of 303 patients were approached at Kuopio University Hospital in 2010–2011 and of these 196 patients were eligible and willing to participate, with postoperative data being available from 186 (95%) patients. A systematic review article was included in the study procedure and it revealed the wide range in the reported incidence of postoperative ocular pain. Some of the identified randomized controlled studies reported no or only minor pain whereas in some studies significant pain or pain lasting for several weeks has been described in more than 50% of the study patients. In the present study setting, pain was reported by 34% during the first postoperative hours and by approximately 10% of patients during the first six weeks after surgery. During the early recovery in the hospital, only a minority of the patients reporting pain were provided with pain medication. The ocular discomfort symptoms such as itchiness, burning, foreign‐body sensation and tearing were common both before (54%) and after surgery (38–52%). These symptoms can also be described as painful symptoms and are often difficult to distinguish from ocular pain. The symptoms are also typical of ocular surface disease, and some patients may benefit from the postoperative administration of tear substitutes. The patients reporting postoperative ocular symptoms were less satisfied with the treatment outcome at 12 months after surgery (p = 0.001) compared to the patients who experienced no symptoms. Those patients reporting less disability in visual functioning before surgery were more satisfied than patients with more reported disability. The HRQoL improved significantly after cataract surgery (p = 0.002). However, when compared to an age‐...

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Section: Review Of the Literaturementioning

confidence: 99%

“…Sipos et al. () showed that artificial tear therapy reduced significantly early painful ocular irritation symptoms at 1 hr after surgery, but no longer at 6 or 24 hr after surgery.…”

Section: Review Of the Literaturementioning

confidence: 99%

Recovery after cataract surgery

Porela‐Tiihonen

Kokki

Kaarniranta

et al. 2016

Acta Ophthalmologica

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“…Moreover, data available on the perception of pain during ASA procedure and its frequency are scarce. 27 Our study evaluated intra-operatory pain finding that half the patients notice pain during surgery. Another novelty in the outcome of this study is that 73% of these patients referred to the same pain in both eyes and only 19% reported more pain in the second eye.…”

Section: Discussionmentioning

confidence: 99%

“… 31 NRS and VRS, which are validated scales, showed a high concordance between them and are equally sensitive in assessing acute pain after surgery. 27 In a review, these three scales for the assessment of postoperative pain intensity in adults were evaluated. 30 This study concluded with a novel idea.…”

Section: Discussionmentioning

confidence: 99%

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

Sobas¹,

Videla²,

Maldonado³

et al. 2015

OPTH

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PurposeLaser 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).MethodsSingle-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.ResultsSeventy-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.ConclusionComorbidities 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.

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“…Por lo tanto, una evaluación completa del dolor postoperatorio después de la cirugía de ASA se debería de realizar, como mínimo, durante este periodo de tiempo.Del mismo modo, el dolor intra-operatorio también es un tema importante. Los datos disponibles sobre la percepción del dolor durante la cirugía de ASA son escasos 129. Este estudio aporta como resultado novedoso el que la mitad de los pacientes refieren dolor durante la cirugía, y de ellos, el 73% experimentó igual dolor en ambos ojos y solo el 19% sintió más dolor en el segundo ojo operado.…”

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Validación de un modelo clínico en humanos para la evaluación del dolor agudo postoperatorio

Abad¹,

María²

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Patient satisfaction and postoperative pain with different postoperative therapy regimens after standardized cataract surgery: a randomized intraindividual comparison

Cited by 9 publications

References 11 publications

Recovery after cataract surgery

Recovery after cataract surgery

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

Validación de un modelo clínico en humanos para la evaluación del dolor agudo postoperatorio

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