Clinical Analysis of Ocular Parameters Contributing to Intraoperative Pain during Standard Phacoemulsification

Purpose. To study the correlation between ocular parameters and subjective pain that patients perceived during phacoemulsification. Methods. Medical records of 142 patients who underwent standard phacoemulsification under topical anesthesia between March and August 2016 were retrospectively reviewed...

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Main Authors: Yong Koo Kang, Myung Jun Kim, Hong Kyun Kim, Bo Young Chun
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2017/9463871
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author Yong Koo Kang
Myung Jun Kim
Hong Kyun Kim
Bo Young Chun
author_facet Yong Koo Kang
Myung Jun Kim
Hong Kyun Kim
Bo Young Chun
author_sort Yong Koo Kang
collection DOAJ
description Purpose. To study the correlation between ocular parameters and subjective pain that patients perceived during phacoemulsification. Methods. Medical records of 142 patients who underwent standard phacoemulsification under topical anesthesia between March and August 2016 were retrospectively reviewed. The pain during phacoemulsification and 1 h after surgery was assessed and compared using a visual analog scale. In addition, demographic data, preoperative biometric parameters, and intraoperative surgical parameters were recorded. Results. Mean age of patients was 67.49 ± 12.50 years. The mean pain score was 2.26 ± 0.85 during phacoemulsification and 0.40 ± 0.69 postoperatively. Intraoperative pain was significantly associated with higher preoperative intraocular pressure (β = 0.220, P=0.016), greater anterior chamber depth (β = 0.210, P=0.028), and greater axial length (β = 0.181, P=0.043). Conclusions. To reduce the subjective pain when patients have high preoperative intraocular pressure, large anterior chamber depth, or great axial length, supplementary procedures may be required.
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spelling doaj-art-6fa9f34e87b340c4bcb0cbb71ef720092025-08-20T02:06:13ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/94638719463871Clinical Analysis of Ocular Parameters Contributing to Intraoperative Pain during Standard PhacoemulsificationYong Koo Kang0Myung Jun Kim1Hong Kyun Kim2Bo Young Chun3Department of Ophthalmology, Kyungpook National University School of Medicine, Daegu, Republic of KoreaDepartment of Ophthalmology, Cheil Eye Hospital, Daegu, Republic of KoreaDepartment of Ophthalmology, Kyungpook National University School of Medicine, Daegu, Republic of KoreaDepartment of Ophthalmology, Kyungpook National University School of Medicine, Daegu, Republic of KoreaPurpose. To study the correlation between ocular parameters and subjective pain that patients perceived during phacoemulsification. Methods. Medical records of 142 patients who underwent standard phacoemulsification under topical anesthesia between March and August 2016 were retrospectively reviewed. The pain during phacoemulsification and 1 h after surgery was assessed and compared using a visual analog scale. In addition, demographic data, preoperative biometric parameters, and intraoperative surgical parameters were recorded. Results. Mean age of patients was 67.49 ± 12.50 years. The mean pain score was 2.26 ± 0.85 during phacoemulsification and 0.40 ± 0.69 postoperatively. Intraoperative pain was significantly associated with higher preoperative intraocular pressure (β = 0.220, P=0.016), greater anterior chamber depth (β = 0.210, P=0.028), and greater axial length (β = 0.181, P=0.043). Conclusions. To reduce the subjective pain when patients have high preoperative intraocular pressure, large anterior chamber depth, or great axial length, supplementary procedures may be required.http://dx.doi.org/10.1155/2017/9463871
spellingShingle Yong Koo Kang
Myung Jun Kim
Hong Kyun Kim
Bo Young Chun
Clinical Analysis of Ocular Parameters Contributing to Intraoperative Pain during Standard Phacoemulsification
Journal of Ophthalmology
title Clinical Analysis of Ocular Parameters Contributing to Intraoperative Pain during Standard Phacoemulsification
title_full Clinical Analysis of Ocular Parameters Contributing to Intraoperative Pain during Standard Phacoemulsification
title_fullStr Clinical Analysis of Ocular Parameters Contributing to Intraoperative Pain during Standard Phacoemulsification
title_full_unstemmed Clinical Analysis of Ocular Parameters Contributing to Intraoperative Pain during Standard Phacoemulsification
title_short Clinical Analysis of Ocular Parameters Contributing to Intraoperative Pain during Standard Phacoemulsification
title_sort clinical analysis of ocular parameters contributing to intraoperative pain during standard phacoemulsification
url http://dx.doi.org/10.1155/2017/9463871
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