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Assessment of acute pain related to phacoemulsification with topical anesthesia of the second eye

Poster Details

First Author: L.Ibares-Frías SPAIN

Co Author(s):    M. Velasco Martin   L. Diaz-Cabanas   M. Para Prieto   S. Sanchez Tabernero           

Abstract Details

Purpose:

The purpose of this study was to compare clinical, physiologic, surgery related parameters and subjective perception of anxiety and pain in patients undergoing phacoemulsification using assisted topical anaesthesia in both eyes

Setting:

Hospital Clínico Universitario de Valladolid- Universidad de Valladolid, Valladolid Spain

Methods:

This was a longitudinal prospective single center study with patients requiring bilateral cataracts removal. Seven consultations were performing in each patient. In preoperatory of both eyes and 1 month after surgery in each eye ocular surface asses, biometry and dual topography was checked. 24 hours after surgery the intraocular and surface inflammation was assessed. The patients also completed simplified State-Trait Anxiety Inventory and Visual analog Scale for anxiety and pain. In the theatre was collected information regarding surgery. A t student depend test was used to compared data between first and second eye and more painfull and contralateral eye.

Results:

11 patients were included of 74.16 ± 7,6 years old. 6 men and 5 women. In 63,6% of the patients. the right eye (RE) was the first eye. Time between both surgeries was 29,63± 8,24 days. The pain scores were higher in second eye surgery in 63,6% of the patients. There were no statistically significant differences between any clinical and physiological parameters analyzed between first and second eye and more painful eye and contralateral. However Preoperativelly anxiety was lower in second eye surgery with statistically significant results.

Conclusions:

Patients with cataracts feel more pain in second eye surgeries with may be related to lower preoperatively anxiety.

Financial Disclosure:

NONE

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