Patient pain during stretching of small pupils in phacoemulsification performed using topical anesthesia.
J Cataract Refract Surg
; 31(9): 1760-3, 2005 Sep.
Article
en En
| MEDLINE
| ID: mdl-16246780
ABSTRACT
PURPOSE:
To assess the pain experienced by patients with small pupils during pupil stretching in phacoemulsification performed using topical anesthesia.SETTING:
Royal Victoria Eye & Ear Hospital and Mater Misericordiae University Hospital, Dublin, Ireland.METHODS:
This was a prospective study that included 26 eyes with small pupils requiring mechanical pupil stretching during phacoemulsification cataract surgery performed under topical anesthesia without sedation.RESULTS:
The mean pain score for the instillation of anesthetic drops (2.02) was higher than the mean pain score for the pupil stretch (1.63), but this difference was not significant (signed rank test = -32; P = .2738). There was no significant correlation between the duration of surgery and the overall pain score (r = 0.345; P = .08). There was no significant correlation between change in pupil size and either the pupil stretch score (r = -0.069; P = .74) or the overall pain score (r = -0.032; P = .8739).CONCLUSIONS:
Pupil stretching during phacoemulsification in patients with small pupils was performed with minimal patient-reported pain using topical anesthesia. Stretching small pupils with a mechanical device during phacoemulsification performed under topical anesthesia was a safe procedure and did not result in significant patient discomfort.
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Bases de datos:
MEDLINE
Asunto principal:
Dolor
/
Dimensión del Dolor
/
Pupila
/
Facoemulsificación
/
Anestesia Local
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
J Cataract Refract Surg
Asunto de la revista:
OFTALMOLOGIA
Año:
2005
Tipo del documento:
Article
País de afiliación:
Irlanda