Prospective cohort study investigating frequency and risk factors for acute pain 1 day after refractive surgery
Background/aims To examine demographic and clinical factors associated with ocular pain 1 day after refractive surgery.Methods Prospective study of individuals undergoing refractive surgery. Participants rated their ocular pain on a 0–10 numerical rating scale (NRS) presurgery and 1 day after surger...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-03-01
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| Series: | BMJ Open Ophthalmology |
| Online Access: | https://bmjophth.bmj.com/content/9/1/e001624.full |
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| author | Anat Galor Jodi Lapidus Winston Chamberlain Elyana Vittoria Tessa Locatelli Jason Betz Brooke M Harkness Maricarmen Perez-Blanco Steven J Everist Siting Chen Richard Stutzman Afshan Nanji Sue A Aicher |
| author_facet | Anat Galor Jodi Lapidus Winston Chamberlain Elyana Vittoria Tessa Locatelli Jason Betz Brooke M Harkness Maricarmen Perez-Blanco Steven J Everist Siting Chen Richard Stutzman Afshan Nanji Sue A Aicher |
| author_sort | Anat Galor |
| collection | DOAJ |
| description | Background/aims To examine demographic and clinical factors associated with ocular pain 1 day after refractive surgery.Methods Prospective study of individuals undergoing refractive surgery. Participants rated their ocular pain on a 0–10 numerical rating scale (NRS) presurgery and 1 day after surgery. Presurgery, participants completed questionnaires on demographics, comorbidities, medications and dry eye and ocular pain symptoms; and an anaesthetised Schirmer test was performed. Acute ocular pain 1 day after surgery was defined as an NRS score of worst pain since surgery ≥3 and this group was compared with individuals with NRS scores<3.Results 251 individuals underwent refractive surgery (89% laser-assisted in situ keratomileusis, n=222; 11% PRK, n=29). Mean age was 35±8 years (range 19 to 60); 60% (n=150) self-identified as female, 80% (n=203) as White, and 36% (n=89) as Hispanic. Thirteen (5%) individuals reported ocular pain (NRS ≥3) prior to surgery and 67% (n=168) reported ocular pain 1 day after surgery (nine individuals had pain at both time points). Factors that were associated with pain 1 day after surgery included Hispanic ethnicity (adjusted relative risk (aRR) 1.42, 95% CI 1.21 to 1.68, p<0.001) and the presence of eye pain presurgery (aRR 1.10, 95% CI 1.02 to 1.18, p=0.02).Conclusion A majority of individuals report moderate or greater pain within 24 hours of refractive surgery. Hispanic ethnicity and eye pain prior to surgery were associated with self-reported acute postsurgical pain. |
| format | Article |
| id | doaj-art-e582073f70b24b3590ddde71891126d0 |
| institution | Kabale University |
| issn | 2397-3269 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Ophthalmology |
| spelling | doaj-art-e582073f70b24b3590ddde71891126d02025-02-06T10:15:11ZengBMJ Publishing GroupBMJ Open Ophthalmology2397-32692024-03-019110.1136/bmjophth-2023-001624Prospective cohort study investigating frequency and risk factors for acute pain 1 day after refractive surgeryAnat Galor0Jodi Lapidus1Winston Chamberlain2Elyana Vittoria Tessa Locatelli3Jason Betz4Brooke M Harkness5Maricarmen Perez-Blanco6Steven J Everist7Siting Chen8Richard Stutzman9Afshan Nanji10Sue A Aicher11Ophthalmology, University of Miami Health System Bascom Palmer Eye Institute, Miami, Florida, USASchool of Public Health, Oregon Health & Science University, Portland, Oregon, USAOphthalmology, Oregon Health & Science University Casey Eye Institute, Portland, Oregon, USAOphthalmology, University of Miami Health System Bascom Palmer Eye Institute, Miami, Florida, USAOphthalmology, University of Miami Health System Bascom Palmer Eye Institute, Miami, Florida, USACasey Eye Institute, Oregon Health & Science University, Portland, Oregon, USAOphthalmology, University of Miami Health System Bascom Palmer Eye Institute, Miami, Florida, USADepartment of Chemical Physiology & Biochemistry, Oregon Health & Science University, Portland, Oregon, USASchool of Public Health, Oregon Health & Science University, Portland, Oregon, USACasey Eye Institute, Oregon Health & Science University, Portland, Oregon, USACasey Eye Institute, Oregon Health & Science University, Portland, Oregon, USADepartment of Chemical Physiology & Biochemistry, Oregon Health & Science University, Portland, Oregon, USABackground/aims To examine demographic and clinical factors associated with ocular pain 1 day after refractive surgery.Methods Prospective study of individuals undergoing refractive surgery. Participants rated their ocular pain on a 0–10 numerical rating scale (NRS) presurgery and 1 day after surgery. Presurgery, participants completed questionnaires on demographics, comorbidities, medications and dry eye and ocular pain symptoms; and an anaesthetised Schirmer test was performed. Acute ocular pain 1 day after surgery was defined as an NRS score of worst pain since surgery ≥3 and this group was compared with individuals with NRS scores<3.Results 251 individuals underwent refractive surgery (89% laser-assisted in situ keratomileusis, n=222; 11% PRK, n=29). Mean age was 35±8 years (range 19 to 60); 60% (n=150) self-identified as female, 80% (n=203) as White, and 36% (n=89) as Hispanic. Thirteen (5%) individuals reported ocular pain (NRS ≥3) prior to surgery and 67% (n=168) reported ocular pain 1 day after surgery (nine individuals had pain at both time points). Factors that were associated with pain 1 day after surgery included Hispanic ethnicity (adjusted relative risk (aRR) 1.42, 95% CI 1.21 to 1.68, p<0.001) and the presence of eye pain presurgery (aRR 1.10, 95% CI 1.02 to 1.18, p=0.02).Conclusion A majority of individuals report moderate or greater pain within 24 hours of refractive surgery. Hispanic ethnicity and eye pain prior to surgery were associated with self-reported acute postsurgical pain.https://bmjophth.bmj.com/content/9/1/e001624.full |
| spellingShingle | Anat Galor Jodi Lapidus Winston Chamberlain Elyana Vittoria Tessa Locatelli Jason Betz Brooke M Harkness Maricarmen Perez-Blanco Steven J Everist Siting Chen Richard Stutzman Afshan Nanji Sue A Aicher Prospective cohort study investigating frequency and risk factors for acute pain 1 day after refractive surgery BMJ Open Ophthalmology |
| title | Prospective cohort study investigating frequency and risk factors for acute pain 1 day after refractive surgery |
| title_full | Prospective cohort study investigating frequency and risk factors for acute pain 1 day after refractive surgery |
| title_fullStr | Prospective cohort study investigating frequency and risk factors for acute pain 1 day after refractive surgery |
| title_full_unstemmed | Prospective cohort study investigating frequency and risk factors for acute pain 1 day after refractive surgery |
| title_short | Prospective cohort study investigating frequency and risk factors for acute pain 1 day after refractive surgery |
| title_sort | prospective cohort study investigating frequency and risk factors for acute pain 1 day after refractive surgery |
| url | https://bmjophth.bmj.com/content/9/1/e001624.full |
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