Limits...
Cataract surgery under topical anesthesia: Gender-based study of pain experience.

Gupta SK, Kumar A, Agarwal S - Oman J Ophthalmol (2010)

Bottom Line: MedCalc version 10.2.0.0 (www.medcalc.be) for windows was used to analyze the results.Analysis of variance (ANOVA) test and Kruskal-Walis test were used to analyze the data.The overall visual analog scale (VAS) score was 0.8 (SD 1.3 range 0-8), with no statistical difference among the groups (P=0.5).

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Chatrapati Sahuji Maharaaj University, Lucknow, India.

ABSTRACT

Background: Pain perception, expression, tolerance, and the healthcare provider's evaluation and management of pain are affected by the gender of the patient. To the best of our knowledge, there is lack of gender-based evaluation of pain during cataract surgery under topical anesthesia.

Aims: This study has been initiated to evaluate and determine pain experience during cataract surgery under topical anesthesia and to study the gender-based differences of the same.

Settings and design: Hospital-based study involving cataract surgery under topical anesthesia using standard cataract surgery. It was an interventional comparative case series.

Materials and methods: One hundred and sixty patients were included in four groups, according to the gender and choice of surgery. Patients underwent either phacoemulsification with foldable intra ocular lens (IOL) or manual small incision cataract surgery with rigid IOL under topical anesthesia. Patients ranked their pain experience on VAS scale after the surgery and the surgeon recorded the ease/difficulty accordingly using a questionnaire.

Statistical analysis used: MedCalc version 10.2.0.0 (www.medcalc.be) for windows was used to analyze the results. Analysis of variance (ANOVA) test and Kruskal-Walis test were used to analyze the data.

Results: The overall visual analog scale (VAS) score was 0.8 (SD 1.3 range 0-8), with no statistical difference among the groups (P=0.5). The average surgeon's score was 3.3 (SD 0.71 range 3-7), with no statistical difference between the groups (P=0.37).There were no sight threatening complications during the surgery in any group.

Conclusions: The outcome of the study demonstrates that the patients undergoing cataract surgery under topical anesthesia perceive comparable pain and discomfort irrespective of their gender.

No MeSH data available.


Related in: MedlinePlus

The pain evaluation form containing VAS and modified Wong scale to be filled by the patient after the surgery. The second part contains the surgeon’s questionnaire for evaluating his experience during the surgery of the same patient
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2992162&req=5

Figure 0001: The pain evaluation form containing VAS and modified Wong scale to be filled by the patient after the surgery. The second part contains the surgeon’s questionnaire for evaluating his experience during the surgery of the same patient

Mentions: During the surgery, the patients were instructed to communicate verbally regarding any pain during the surgery. This was recorded with the surgical step. At the end of the surgery, the eye was patched and patients were given a pain evaluation form containing modified Wong scale and a VAS for indicating the grade of pain experienced during the surgery [Figure 1]. Those patients, who could not read the form, were explained the questionnaire and verbal response was recorded by the ophthalmic assistant. The eye patch was removed after a period of 20 to 30 min and topical medications were initiated in all the groups.


Cataract surgery under topical anesthesia: Gender-based study of pain experience.

Gupta SK, Kumar A, Agarwal S - Oman J Ophthalmol (2010)

The pain evaluation form containing VAS and modified Wong scale to be filled by the patient after the surgery. The second part contains the surgeon’s questionnaire for evaluating his experience during the surgery of the same patient
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2992162&req=5

Figure 0001: The pain evaluation form containing VAS and modified Wong scale to be filled by the patient after the surgery. The second part contains the surgeon’s questionnaire for evaluating his experience during the surgery of the same patient
Mentions: During the surgery, the patients were instructed to communicate verbally regarding any pain during the surgery. This was recorded with the surgical step. At the end of the surgery, the eye was patched and patients were given a pain evaluation form containing modified Wong scale and a VAS for indicating the grade of pain experienced during the surgery [Figure 1]. Those patients, who could not read the form, were explained the questionnaire and verbal response was recorded by the ophthalmic assistant. The eye patch was removed after a period of 20 to 30 min and topical medications were initiated in all the groups.

Bottom Line: MedCalc version 10.2.0.0 (www.medcalc.be) for windows was used to analyze the results.Analysis of variance (ANOVA) test and Kruskal-Walis test were used to analyze the data.The overall visual analog scale (VAS) score was 0.8 (SD 1.3 range 0-8), with no statistical difference among the groups (P=0.5).

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, Chatrapati Sahuji Maharaaj University, Lucknow, India.

ABSTRACT

Background: Pain perception, expression, tolerance, and the healthcare provider's evaluation and management of pain are affected by the gender of the patient. To the best of our knowledge, there is lack of gender-based evaluation of pain during cataract surgery under topical anesthesia.

Aims: This study has been initiated to evaluate and determine pain experience during cataract surgery under topical anesthesia and to study the gender-based differences of the same.

Settings and design: Hospital-based study involving cataract surgery under topical anesthesia using standard cataract surgery. It was an interventional comparative case series.

Materials and methods: One hundred and sixty patients were included in four groups, according to the gender and choice of surgery. Patients underwent either phacoemulsification with foldable intra ocular lens (IOL) or manual small incision cataract surgery with rigid IOL under topical anesthesia. Patients ranked their pain experience on VAS scale after the surgery and the surgeon recorded the ease/difficulty accordingly using a questionnaire.

Statistical analysis used: MedCalc version 10.2.0.0 (www.medcalc.be) for windows was used to analyze the results. Analysis of variance (ANOVA) test and Kruskal-Walis test were used to analyze the data.

Results: The overall visual analog scale (VAS) score was 0.8 (SD 1.3 range 0-8), with no statistical difference among the groups (P=0.5). The average surgeon's score was 3.3 (SD 0.71 range 3-7), with no statistical difference between the groups (P=0.37).There were no sight threatening complications during the surgery in any group.

Conclusions: The outcome of the study demonstrates that the patients undergoing cataract surgery under topical anesthesia perceive comparable pain and discomfort irrespective of their gender.

No MeSH data available.


Related in: MedlinePlus