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Associated factors with patient's post-operative pain by laser-assisted sub-epithelial keratomileusis (LASEK) surgery

Poster Details

First Author: S.Sara Serahati IRAN

Co Author(s):    F. Nejat   K. Jadidi   L. Janani   S. Mosavi     

Abstract Details



Purpose:

This study attempted to assess the impact of preoperative level of anxiety, pain perception, visual and refractive outcomes on patient's postoperative pain after laser subepithelial keratomileusis(LASEK) surgery.

Setting:

Department of Ophthalmology, Bina Eye Hospital Research Center, Tehran, Iran

Methods:

In this preliminary study patients who underwent lasek surgery for the first time from Binaafarin eye clinic, Tehran, Iran were enrolled. Post-operative pain at the 1st and forth day was assessed based on 11-point Numerical Analogue scale(NARS11). Additionally, the anxiety scale was completed using the self rating speilberger's state-trait anxiety questionnaire(STAI) questionnaire.

Results:

From 40 patients (52.5%men, the mean(SD) age: 26.7 (4.13) years), 40, 40, 17.5 and 2.5% of participants had severe, moderate, mild and no pain at the 1st post-operative day, respectively. Whereas, at the fourth post-operative day no patient reported severe pain. The mean of pain was higher at the first v.s forth post-operative day(5.77 (2.57) vs. 1.73 (1.72), P< 0.001). We observed significant correlation between anxiety trait scoring and pain scoring at the 1st post-operative day(r=0.402, p=0.01). Also, there was a significant correlation between cooperation of patient and pain(r=-0.331, p=0.037). Furthermore, no differences were found between pain and other factors

Conclusions:

This study reports on the greater intensity of pain at the 1st post-operative day. Likewise, it allows patients and refractive surgeons to illustrate post-operative pain perception based on patient's psychological situation and cooperation irrespective of their gender. However, it needs further studies. FINANCIAL INTEREST: NONE

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