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Related Experiment Video

Updated: May 20, 2026

Ultrasound Cyclo Plasty in Eyes with Glaucoma

Ultrasound Cyclo Plasty in Eyes with Glaucoma

Published on: January 26, 2018

Is second eye phacoemulsification really more painful?

Andras Hari-Kovacs¹, Peter Lovas, Andrea Facsko

¹Department of Ophthalmology, University of Szeged, Koranyi fasor 10-11, 6720, Szeged, Hungary. harikovacs@gmail.com

Wiener Klinische Wochenschrift

|July 17, 2012

Summary

This summary is machine-generated.

Phacoemulsification pain scores for the first and second eye surgeries were similar. Patients may perceive the second surgery as more painful due to recalling less pain from the first procedure.

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Area of Science:

Ophthalmology
Pain Management

Background:

Cataract surgery, specifically phacoemulsification, is a common procedure.
Understanding patient-reported pain is crucial for managing expectations and improving outcomes.

Purpose of the Study:

To quantify intraoperative pain during phacoemulsification.
To compare pain experienced during the first and second eye cataract surgeries.

Main Methods:

Prospective observational study of 187 patients undergoing bilateral cataract removal.
Pain assessed using a 10-point visual analogue scale (VAS) perioperatively and at follow-up (2-4 weeks).
Statistical comparison of pain scores between the first and second eye procedures using ANOVA.

Main Results:

No significant difference in pain scores between the first and second eyes, either intraoperatively or at follow-up.
Patients reported lower pain at follow-up compared to the immediate perioperative period, indicating pain recall bias.
Median pain scores were low for both procedures.

Conclusions:

Phacoemulsification pain is comparable between consecutive eye surgeries.
Patients may overestimate pain for the second eye due to memory bias.
Pre-operative counseling regarding expected pain can manage patient expectations for the second surgery.