IS THERE ANY RELATIONSHIP BETWEEN PHACOEMULSIFICATION PARAMETERS AND INCREASED SECOND EYE PAIN COMPLAINT?

Year 2018, Volume: 81 Issue: 3, 71 - 76, 20.09.2018

Rukiye Aydın , Merve Özbek Sevil Karaman Erdur , Mustafa Özsütçü , Eyyup Karahan

Abstract

Objective: To evaluate the relation between pain complaints after cataract surgery and phacoemulsification parameters.
Materials and Methods: This prospective study was based on studies of 94 eyes across 47 patients, who underwent cataract surgery at 15 day intervals. The mean values of nucleus grade, total duration of surgery, U/S total time, U/S total equivalent power in foot position 3, cumulative dissipated energy, phacoemulsification time, average phacoemulsification power and average phacoemulsification power in foot position 3 were recorded. Patients were asked to score their pain on the first day, after the first week and after the first month following surgery on each eye.
Results: The mean nucleus grade, cumulative dissipated energy, and U/S total time were found significantly higher in the first eye compared with the second eye (p= 0.01, 0.016, and 0.03, respectively). There was no statistically significant difference in mean operation time, phacoemulsification time, U/S total equivalent power position 3, average phacoemulsification power and average phacoemulsification power position 3 between the first and second eyes. Although there was no statistically significant difference in pain scores between first and second eyes on the first postoperative day and first month, there was a significant difference at one week (p=0.080, 0.269 and 0.004, respectively). There was no correlation between phacoemulsification parameters and pain scores after both surgeries.
Conclusion: This study showed no correlation between the phacoemulsification parameters and postoperative pain scores after both first and second surgeries. In addition, there was a significant difference between the pain scores of the first and that of the second surgery at the first postoperative week.

Keywords

Pain, postoperative, cataract extraction, phacoemulsification

FAKOEMÜLSİFİKASYON PARAMETRELERİ İLE İKİNCİ GÖZDE ARTMIŞ AĞRI ŞİKAYETİ ARASINDA HERHANGİ BİR İLİŞKİ VAR MI?

Abstract

Amaç: Katarakt ameliyatı sonrası ağrı şikayeti ile fakoemülsifikasyon parametreleri arasındaki ilişkiyi değerlendirmek. Gereç ve Yöntem: Bu prospektif çalışmaya, 15 gün arayla katarakt ameliyatı yapılan 47 hastanın 94 gözü dahil edildi. Ortalama nukleus sertliği, ameliyat süresi, total ultrason (U/S) zamanı, total enerji (U/S total equivalent power in foot position 3), kümülatif yayılan enerji, fakoemülsifikasyon zamanı, ortalama fakoemülsifikasyon enerjisi ve ayak pedalı 3. pozisyonda iken kullanılan ortalama fakoemülsifikasyon enerjisi kaydedildi. Hastalardan ağrılarını postoperatif birinci gün, birinci hafta ve birinci ay kontrollerinde skorlamaları istendi.
Bulgular: Ortalama nukleus sertliği, kümülatif yayılan enerji, total U/S zamanı ilk gözde ikinci göze göre anlamlı olarak artmış bulundu. (sırasıyla p= 0.01, 0.016, ve 0.03). İlk göz ve ikinci göz arasında ortalama ameliyat süresi, fakoemülsifikasyon zamanı, total enerji, ortalama fakoemülsifikasyon enerjisi ve ayak pedalı 3. pozisyonda iken kullanılan ortalama fakoemülsifikasyon enerjisi arasında anlamlı fark yoktu. Postoperatif birinci gün ve birinci ayda ağrı skorunda birinci ve ikinci göz arasında istatistiksel olarak bir fark bulunmamasına rağmen, birinci hafta skorlarında anlamlı farklılık vardı. (sırasıyla p=0.080, 0.269 ve 0.004). Her iki ameliyattan sonra da fakoemülsifikasyon parametreleri ile ağrı skorları arasında herhangi bir korelasyon yoktu.
Sonuç: Bu çalışma, hem birinci hem de ikinci ameliyatlardan sonra fakoemülsifikasyon parametreleri ile postoperatif ağrı skorları arasında korelasyon olmadığını gösterdi. Ek olarak, posoperatif birinci haftada ilk ameliyatın ağrı skorları ile ikinci ameliyatın ağrı skorları arasında anlamlı fark vardı.

Keywords

Ağrı, postoperatif, katarakt ekstraksiyonu, fakoemülsifikasyon

References

• Zhao LQ, Zhu H, Zhao PQ, Wu QR, Hu YQ. Topical Anesthesia versus Regional Anesthesia for Cataract Surgery: A Meta-Analysis of Randomized Controlled Trials. Ophthalmology 2012;119(4):659-67.
• Thevi T, Godinho MA. Trends and Complications of Local Anesthesia in Cataract Surgery: An 8-Year Analysis of 12 992 Patients. Br J Ophthalmol 2016;100(12):1708-13.
• Haddadi S, Marzban S, Fazeli B, Heidarzadeh A, Parvizi A, Naderinabi B et al. Comparing the Effect of Topical Anesthesia and Retrobulbar Block with Intravenous Sedation on Hemodynamic Changes and Satisfaction in Patients Undergoing Cataract Surgery (Phaco Method).Anesth Pain Med 2015;28;5(2):e24780.
• Ursea R, Feng MT, Zhou M, Lien V, Loeb R. Pain Perception in Sequential Cataract Surgery: Comparison of First and Second Procedures. J Cataract Refract Surg 2011;37(6):1009-14.
• Jiang L, Zhang K, He W, Zhu X, Zhou P, Lu Y. Perceived Pain During Cataract Surgery with Topical Anesthesia: A Comparison Between First-Eye and Second-Eye Surgery. Ophthalmol 2015;2015:383456.
• Hari-Kovacs A, Lovas P, Facsko A, Crate ID. Is Second Eye Phacoemulsification Really More Painful? Wien KlinWochenschr 2012;124(15-16):516-9.
• Aslan L, Aslankurt M, Cekic O, Aksoy A, Yildiz H. The Pain Experience and Cooperation of Patients in Consecutive Cataract Surgery. Eur J Ophthalmol 2013;23(3):339-43.
• Bardocci A. Second-Eye Pain in Cataract Surgery. J Cataract Refract Surg 2012;38(9):1705.
• Zhu XJ, Wolff D, Zhang KK, He WW, Sun XH, Lu Y et al. Molecular Inflammation in the Contralateral Eye After Cataract Surgery in the First Eye. Invest Ophthalmol Vis Sci 2015;56(9):5566-73.
• Bardocci A, Ciucci F, LofocoG, Perdicaro S, Lischetti A. Pain During Second Eye Cataract Surgery Under Topical Anesthesia: An Intraindividual Study. Graefes Arch Clin Exp Ophthalmol 2011;249(10):1511-4.
• Sharma NS, Ooi JL, Figueira EC, Rosenberg ML, Masselos K, Papalkar DP et al. Patient Perceptions of Second Eye Clear Corneal Cataract Surgery Using Assisted Topical Anaesthesia. Eye 2008;22(4):547-50.