Predictors of Early Postoperative Pain After Photorefractive Keratectomy

Imagem de Miniatura
Arquivos
art_GARCIA_Predictors_of_Early_Postoperative_Pain_After_Photorefractive_Keratectomy_2016.PDF (252.98 KB)
Citações na Scopus
9
Tipo de produção
article
Data de publicação
2016
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
LIPPINCOTT WILLIAMS & WILKINS
Autores
Citação
CORNEA, v.35, n.8, p.1062-1068, 2016
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Purpose: To compare the profiles of postoperative photorefractive keratectomy (PRK) pain between both eyes under the same conditions and to verify the preoperative predictors of pain such as gender, anxiety, knowledge of the procedure, and spherical equivalent refractive error (SERE). Methods: This prospective study included 86 eyes of 43 patients with myopia who underwent PRK in both eyes at an interval of 14 days between the procedures. Before surgery, subjects answered the State Anxiety Inventory. After surgery, usual PRK pain treatment was given. Subjects answered the Visual Analog Scale, the Brief Pain Inventory (BPI), and the McGill Pain Questionnaire at 1, 24, 48, 72, and 96 hours after surgery. Pain scores and anxiety were compared between each eye using the Wald test and paired Student t test, respectively. The Wald test was performed for gender and SERE for each eye separately. Results: There were no statistically significant differences between both eyes for all time points regarding the Visual Analog Scale, BPI, and McGill Pain Questionnaire Pain Rating Index pain scores. Subjects were less anxious on average before the second surgery compared with before the first surgery (P < 0.001); however, it was not related to pain ratings after surgery. Gender did not significantly affect any scale of pain, and the SERE between 3 diopters (D) and 5 D (P = 0.035) revealed effects on the BPI. Conclusions: The profiles of postoperative pain after PRK were similar between both eyes under the same conditions. In this study, a high SERE was the only predictor for increased pain after PRK.
Palavras-chave
photorefractive keratectomy, pain, predictors, post-operative
URI
https://observatorio.fm.usp.br/handle/OPI/16435
Referências
  1. Bisgaard T, 2001, PAIN, V90, P261, DOI 10.1016/S0304-3959(00)00406-1
  2. Blake CR, 2005, J CATARACT REFR SURG, V31, P1314, DOI 10.1016/j.jcrs.2004.11.046
  3. Daltroy LH, 1998, ARTHRIT CARE RES, V11, P469, DOI 10.1002/art.1790110607
  4. Dao TTT, 2000, J OROFAC PAIN, V14, P169
  5. Dionne RA, 2005, TRENDS PHARMACOL SCI, V26, P125, DOI 10.1016/j.tips.2005.01.009
  6. Donnenfeld ED, 2007, ADV THER, V24, P852, DOI 10.1007/BF02849978
  7. EGBERT LD, 1964, NEW ENGL J MED, V270, P825, DOI 10.1056/NEJM196404162701606
  8. El Rami H, 2012, J CATARACT REFR SURG, V38, P453, DOI 10.1016/j.jcrs.2011.10.028
  9. Fagerholm P, 2000, J CATARACT REFR SURG, V26, P432, DOI 10.1016/S0886-3350(99)00436-8
  10. Fekrat S, 2001, RETINA-J RET VIT DIS, V21, P627, DOI 10.1097/00006982-200112000-00010
  11. Ferreira KA, 2011, SUPPORT CARE CANCER, V19, P505, DOI 10.1007/s00520-010-0844-7
  12. Gallar J, 2007, INVEST OPHTH VIS SCI, V48, P4033, DOI 10.1167/iovs.07-0012
  13. Gammon J, 1996, J ADV NURS, V24, P303, DOI 10.1046/j.1365-2648.1996.17911.x
  14. Garcia R, 2015, CLIN J PAIN, V20, P2015
  15. Garcia R, 2016, CORNEA, V35, P205, DOI 10.1097/ICO.0000000000000704
  16. Gjeilo KH, 2007, J PAIN SYMPTOM MANAG, V34, P648, DOI 10.1016/j.jpainsymman.2007.01.010
  17. GORENSTEIN C, 1995, PSYCHOL REP, V77, P635
  18. Henzler D, 2004, EUR J ANAESTH, V21, P101, DOI 10.1017/S0265021504002042
  19. Hong JW, 2001, INVEST OPHTH VIS SCI, V42, P2795
  20. Kain ZN, 2000, J PSYCHOSOM RES, V49, P417, DOI 10.1016/S0022-3999(00)00189-6
  21. Kalkman CJ, 2003, PAIN, V105, P415, DOI 10.1016/S0304-3959(03)00252-5
  22. Koshimizu J, 2010, GRAEF ARCH CLIN EXP, V248, P1817, DOI 10.1007/s00417-010-1312-2
  23. LANGER EJ, 1975, J EXP SOC PSYCHOL, V11, P155, DOI 10.1016/S0022-1031(75)80018-7
  24. Lautenbacher S, 1997, CLIN J PAIN, V13, P189, DOI 10.1097/00002508-199709000-00003
  25. Lesin M, 2015, SURV OPHTHALMOL, V60, P196, DOI 10.1016/j.survophthal.2014.10.003
  26. Main CJ, 1999, MANUAL THER, V4, P203, DOI 10.1054/math.1999.0208
  27. MCCORMACK HM, 1988, PSYCHOL MED, V18, P1007
  28. MELZACK R, 1975, PAIN, V1, P277, DOI 10.1016/0304-3959(75)90044-5
  29. Morin C, 2000, PAIN, V85, P79, DOI 10.1016/S0304-3959(99)00248-1
  30. Nelson FV, 1998, J PAIN SYMPTOM MANAG, V15, P102, DOI 10.1016/S0885-3924(98)80007-9
  31. Netto MV, 2006, J REFRACT SURG, V22, P562
  32. Nielsen CS, 2009, J PAIN, V10, P231, DOI 10.1016/j.jpain.2008.09.010
  33. Pimenta C A, 1996, Rev Esc Enferm USP, V30, P473
  34. Racine M, 2012, PAIN, V153, P619, DOI 10.1016/j.pain.2011.11.026
  35. SCOTT LE, 1983, PAIN, V15, P283, DOI 10.1016/0304-3959(83)90063-5
  36. Sharma NS, 2008, EYE, V22, P547, DOI 10.1038/sj.eye.6702711
  37. Sjoling M, 2003, PATIENT EDUC COUNS, V51, P169, DOI 10.1016/S0738-3991(02)00191-X
  38. Sommer M, 2010, CLIN J PAIN, V26, P87, DOI 10.1097/AJP.0b013e3181b43d68
  39. Spielberger C. D., 1983, MANUAL STATE TRAIT A
  40. Tan CO, 2015, BMC ANESTHESIOL, V15, DOI 10.1186/s12871-015-0077-x
  41. Unruh AM, 1996, PAIN, V65, P123, DOI 10.1016/0304-3959(95)00214-6
  42. Ursea R, 2011, J CATARACT REFR SURG, V37, P1009, DOI 10.1016/j.jcrs.2011.01.020
  43. Vetrugno M, 2000, CLIN THER, V22, P719, DOI 10.1016/S0149-2918(00)90006-7

Coleções
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/33