Improved Evaluation of Postoperative Pain After Photorefractive Keratectomy
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Citações na Scopus
11
Tipo de produção
article
Data de publicação
2016
Título da Revista
ISSN da Revista
Título do Volume
Editora
LIPPINCOTT WILLIAMS & WILKINS
Citação
CORNEA, v.35, n.2, p.205-209, 2016
Resumo
Purpose:Postoperative pain remains an important limiting factor to the selection of photorefractive keratectomy (PRK). There is a consensus in neurology pain research that pain should be evaluated as a multidimensional concept, which differs from current practice in ophthalmology. The purpose of this paper was to validate the use of multidimensional questionnaires, such as the Brief Pain Inventory (BPI) and the McGill Pain Questionnaire (MPQ), to provide an improved analysis of pain after PRK and to better describe its temporal profile.Methods:This prospective study included 43 eyes of 43 myopic patients who underwent unilateral PRK. After surgery, usual pain treatment was administered. All of the participants responded to the Visual Analogue Scale (VAS), the BPI and the MPQ 1, 24, 48, 72, and 96 hours after surgery. The internal consistency was evaluated, different postoperative periods were compared, and convergent validity was assessed using correlation testing.Results:The Cronbach alpha test showed high internal consistency for each of the questionnaire subscales. Patients reported higher postoperative pain values at the first measurement of the VAS (4.93 2.38), MPQ-pain rating index (26.95 +/- 10.58), BPI-pain severity index (14.53 +/- 7.36), and BPI-pain interference index (22.30 +/- 15.13). Almost all of the scales and subscales showed a statistically significant direct correlation with the VAS at all of the evaluation periods.Conclusions:This study validated the utility of multidimensional questionnaires to expand the assessment of the PRK postoperative pain profile, including intensity and other qualitative aspects.
Palavras-chave
photorefractive keratectomy, pain, refractive surgery, questionnaire
Referências
- Ali JL, 2008, AM J OPHTHALMOL, V145, P29
- Ferreira KA, 2011, SUPPORT CARE CANCER, V19, P505, DOI 10.1007/s00520-010-0844-7
- Hawker GA, 2011, ARTHRIT CARE RES, V63, pS240, DOI 10.1002/acr.20543
- Alio JL, 2009, BRIT J OPHTHALMOL, V93, P1313, DOI 10.1136/bjo.2007.131748
- Duffey RJ, 2004, J CATARACT REFR SURG, V30, P1781, DOI 10.1016/j.jcrs.2004.05.038
- Belmonte C, 2004, EXP EYE RES, V78, P513, DOI 10.1016/j.exer.2003.09.023
- Scrimshaw SV, 2001, J MANIP PHYSIOL THER, V24, P501, DOI 10.1067/mmt.2001.118208
- [Anonymous], 1951, PSYCHOMETRIKA
- Gallar J, 2007, INVEST OPHTH VIS SCI, V48, P4033, DOI 10.1167/iovs.07-0012
- Melzack R, 1999, ACTA ANAESTH SCAND, V43, P880, DOI 10.1034/j.1399-6576.1999.430903.x
- Solomon KD, 2009, OPHTHALMOLOGY, V116, P691, DOI 10.1016/j.ophtha.2008.12.037
- MCCORMACK HM, 1988, PSYCHOL MED, V18, P1007
- GRUSHKA M, 1984, PAIN, V19, P49, DOI 10.1016/0304-3959(84)90064-2
- READING AE, 1982, PAIN, V13, P185, DOI 10.1016/0304-3959(82)90028-8
- Bruce J, 2004, CLIN J PAIN, V20, P70, DOI 10.1097/00002508-200403000-00002
- MELZACK R, 1991, J PAIN SYMPTOM MANAG, V6, P476, DOI 10.1016/0885-3924(91)90003-M
- Richards P, 2013, CLIN THER, V35, P498, DOI 10.1016/j.clinthera.2013.03.002
- BURCKHARDT CS, 1984, PAIN, V19, P305, DOI 10.1016/0304-3959(84)90007-1
- Duffey RJ, 2005, J REFRACT SURG, V21, P742
- Vetrugno M, 2000, CLIN THER, V22, P719, DOI 10.1016/S0149-2918(00)90006-7
- Gjeilo KH, 2007, J PAIN SYMPTOM MANAG, V34, P648, DOI 10.1016/j.jpainsymman.2007.01.010
- Terwee CB, 2007, J CLIN EPIDEMIOL, V60, P34, DOI 10.1016/j.jclinepi.2006.03.012
- Mendoza TR, 2004, CLIN J PAIN, V20, P357, DOI 10.1097/00002508-200409000-00011
- Katz J, 1999, SURG CLIN N AM, V79, P231, DOI 10.1016/S0039-6109(05)70381-9
- MELZACK R, 1975, PAIN, V1, P277, DOI 10.1016/0304-3959(75)90044-5
- MELZACK R, 1987, PAIN, V29, P67, DOI 10.1016/0304-3959(87)90179-5
- Hong JW, 2001, INVEST OPHTH VIS SCI, V42, P2795
- Ghadhfan F, 2007, J CATARACT REFR SURG, V33, P2041, DOI 10.1016/j.jcrs.2007.07.026
- Fernandez E, 2001, J PAIN, V2, P318, DOI 10.1054/jpai.2001.25530
- Keller S, 2004, CLIN J PAIN, V20, P309, DOI 10.1097/00002508-200409000-00005
- Cohen MM, 1989, PAIN, V29, P275
- Pimenta C A, 1996, Rev Esc Enferm USP, V30, P473