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The hydroxyapatite orbital implant: post-operative pain
H Waterman1, B Leatherbarrow, R Slater
1Manchester Royal Eye Hospital, UK.
Eye (London, England)
|May 18, 1999
Summary
Patients undergoing primary hydroxyapatite orbital implantation reported more post-operative pain than those receiving secondary implants. Pain levels from this surgery were previously underestimated.
Area of Science:
- Ophthalmology
- Plastic and Reconstructive Surgery
- Pain Management
Background:
- Hydroxyapatite orbital implants are used for primary and secondary reconstructions.
- Understanding post-operative pain is crucial for patient management and recovery.
Purpose of the Study:
- To compare and quantify post-operative pain in patients undergoing primary versus secondary hydroxyapatite orbital implantation.
- To assess the degree of pain experienced by patients following these procedures.
Main Methods:
- Prospective survey design over one year.
- Fifty-five patients undergoing primary or secondary hydroxyapatite orbital implantation were monitored.
- Pain was assessed pre-operatively and up to 7 days post-operatively using an 11-item numerical rating scale by nurses and patients.
Main Results:
- Patients undergoing primary implant surgery generally experienced more post-operative pain than those undergoing secondary implant surgery.
- A small subset of patients reported severe post-operative pain.
Conclusions:
- The extent of post-operative pain associated with hydroxyapatite orbital implantation has been underestimated.
- Findings support improved pre-operative patient counseling and informed discharge planning.