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Phantom pain after eye amputation.

Marie L R Rasmussen1, Jan U Prause, Peter B Toft

  • 1Department of Neuroscience and Pharmacology, University of Copenhagen, Denmark. dr.roed@gmail.com

Acta Ophthalmologica
|December 17, 2010
PubMed
Summary
This summary is machine-generated.

Phantom pain after eye amputation is common, with varied qualities and intensity. Triggers include weather and stress, and patients should be informed pre-surgery.

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Area of Science:

  • Ophthalmology
  • Pain Medicine
  • Neurosurgery

Background:

  • Phantom pain is a recognized phenomenon following limb amputation.
  • The characteristics and prevalence of phantom pain after ocular amputation are less understood.

Purpose of the Study:

  • To characterize the quality, intensity, and frequency of phantom pain post-eye amputation.
  • To identify potential triggers and relievers of this type of phantom pain.

Main Methods:

  • Retrospective review of 267 patients undergoing ocular amputation (1993-2003).
  • Structured interviews conducted with 173 participants regarding pain experiences.
  • Analysis of pain characteristics, intensity (visual analogue scale), frequency, and triggers.

Main Results:

  • 39 out of 173 patients (22.5%) reported phantom pain.
  • Pain qualities included cutting/gnawing, radiating/shooting, and burning/stinging.
  • Median pain intensity was 36/100; one-third experienced daily pain.
  • Common triggers were chilliness, weather changes, and psychological stress.

Conclusions:

  • Phantom pain is a frequent complication of eye amputation.
  • The pain characteristics resemble those reported by limb amputees.
  • Pre-operative patient counseling regarding potential phantom pain is recommended.