Perceived Pain during Cataract Surgery with Topical Anesthesia: A Comparison between First-Eye and Second-Eye Surgery
Purpose. To compare pain scores between first-eye and second-eye cataract surgery and to determine the affecting factors. Methods. 106 first-eye and 53 second-eye cataract surgery patients (mean age: 67 ± 13 and 69 ± 10 years, resp.) were enrolled. The patients completed simplified State-Trait Anxie...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2015/383456 |
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| author | Lin Jiang Keke Zhang Wenwen He Xiangjia Zhu Peng Zhou Yi Lu |
| author_facet | Lin Jiang Keke Zhang Wenwen He Xiangjia Zhu Peng Zhou Yi Lu |
| author_sort | Lin Jiang |
| collection | DOAJ |
| description | Purpose. To compare pain scores between first-eye and second-eye cataract surgery and to determine the affecting factors. Methods. 106 first-eye and 53 second-eye cataract surgery patients (mean age: 67 ± 13 and 69 ± 10 years, resp.) were enrolled. The patients completed simplified State-Trait Anxiety Inventory and visual analog scale (VAS) for anxiety questionnaires before surgery, and VAS for pain and Wong-Baker Faces Pain Rating Scale questionnaires after surgery. Blood pressure (BP) and heart rate (HR) were recorded perioperatively. Results. A greater proportion of patients who underwent second-eye surgery reported intraoperative pain compared with first-eye surgery patients (85% versus 35%, P<0.001). The pain scores were higher in second-eye surgery, while the VAS anxiety score was lower in second-eye surgery. Moreover, 31 patients reported greater pain during second-eye surgery than their first one, with higher pain scores than other 22 patients (P=0.032 and 0.003, resp.). The VAS pain score of these 31 patients was positively correlated with the differences between the intraoperative and postoperative diastolic BP, mean arterial pressure, and HR. Conclusions. Cataract patients were likely to have more pain during second-eye surgery, which may be related to lower preoperative anxiety. Monitoring perioperative BP and HR may help to identify patients with intraoperative pain. |
| format | Article |
| id | doaj-art-b269ef1b2fd14c4d86e7f9521ece9275 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-b269ef1b2fd14c4d86e7f9521ece92752025-02-03T06:05:00ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/383456383456Perceived Pain during Cataract Surgery with Topical Anesthesia: A Comparison between First-Eye and Second-Eye SurgeryLin Jiang0Keke Zhang1Wenwen He2Xiangjia Zhu3Peng Zhou4Yi Lu5Department of Ophthalmology, Eye and Ear, Nose, and Throat Hospital, Fudan University, 83 FenYang Road, Shanghai 200031, ChinaDepartment of Ophthalmology, Eye and Ear, Nose, and Throat Hospital, Fudan University, 83 FenYang Road, Shanghai 200031, ChinaDepartment of Ophthalmology, Eye and Ear, Nose, and Throat Hospital, Fudan University, 83 FenYang Road, Shanghai 200031, ChinaDepartment of Ophthalmology, Eye and Ear, Nose, and Throat Hospital, Fudan University, 83 FenYang Road, Shanghai 200031, ChinaDepartment of Ophthalmology, Parkway Health, Specialty and Inpatient Center (Luwan), 170 DanShui Road, Floor 3, Shanghai 200020, ChinaDepartment of Ophthalmology, Eye and Ear, Nose, and Throat Hospital, Fudan University, 83 FenYang Road, Shanghai 200031, ChinaPurpose. To compare pain scores between first-eye and second-eye cataract surgery and to determine the affecting factors. Methods. 106 first-eye and 53 second-eye cataract surgery patients (mean age: 67 ± 13 and 69 ± 10 years, resp.) were enrolled. The patients completed simplified State-Trait Anxiety Inventory and visual analog scale (VAS) for anxiety questionnaires before surgery, and VAS for pain and Wong-Baker Faces Pain Rating Scale questionnaires after surgery. Blood pressure (BP) and heart rate (HR) were recorded perioperatively. Results. A greater proportion of patients who underwent second-eye surgery reported intraoperative pain compared with first-eye surgery patients (85% versus 35%, P<0.001). The pain scores were higher in second-eye surgery, while the VAS anxiety score was lower in second-eye surgery. Moreover, 31 patients reported greater pain during second-eye surgery than their first one, with higher pain scores than other 22 patients (P=0.032 and 0.003, resp.). The VAS pain score of these 31 patients was positively correlated with the differences between the intraoperative and postoperative diastolic BP, mean arterial pressure, and HR. Conclusions. Cataract patients were likely to have more pain during second-eye surgery, which may be related to lower preoperative anxiety. Monitoring perioperative BP and HR may help to identify patients with intraoperative pain.http://dx.doi.org/10.1155/2015/383456 |
| spellingShingle | Lin Jiang Keke Zhang Wenwen He Xiangjia Zhu Peng Zhou Yi Lu Perceived Pain during Cataract Surgery with Topical Anesthesia: A Comparison between First-Eye and Second-Eye Surgery Journal of Ophthalmology |
| title | Perceived Pain during Cataract Surgery with Topical Anesthesia: A Comparison between First-Eye and Second-Eye Surgery |
| title_full | Perceived Pain during Cataract Surgery with Topical Anesthesia: A Comparison between First-Eye and Second-Eye Surgery |
| title_fullStr | Perceived Pain during Cataract Surgery with Topical Anesthesia: A Comparison between First-Eye and Second-Eye Surgery |
| title_full_unstemmed | Perceived Pain during Cataract Surgery with Topical Anesthesia: A Comparison between First-Eye and Second-Eye Surgery |
| title_short | Perceived Pain during Cataract Surgery with Topical Anesthesia: A Comparison between First-Eye and Second-Eye Surgery |
| title_sort | perceived pain during cataract surgery with topical anesthesia a comparison between first eye and second eye surgery |
| url | http://dx.doi.org/10.1155/2015/383456 |
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