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Postoperative pain after cataract surgery
Susanna Porela-Tiihonen1, Kai Kaarniranta, Hannu Kokki
1Department of Anesthesiology and Intensive Care, Kuopio University Hospital, School of Medicine, University of Eastern Finland, Kuopio, Finland.
Journal of Cataract and Refractive Surgery
|April 24, 2013
Summary
Cataract surgery rarely causes severe pain, but some patients experience moderate to severe pain lasting weeks. Effective pain management and patient counseling are crucial for those affected by postoperative pain.
Area of Science:
- Ophthalmology
- Pain Management
- Surgical Outcomes
Background:
- Cataract extraction is a common procedure, yet understanding of postoperative pain is limited.
- Phacoemulsification is the prevalent surgical technique for cataract removal.
Purpose of the Study:
- To systematically review the incidence, prevalence, and management of pain following cataract surgery.
- To identify effective interventions for managing postoperative pain and inflammation.
Main Methods:
- Systematic review of randomized controlled trials (RCTs) sourced from PubMed and Scopus.
- Inclusion criteria focused on studies addressing postoperative inflammation and pain after phacoemulsification.
- Data extraction from 105 articles, with 21 studies meeting final inclusion criteria.
Main Results:
- Most studies reported no or mild postoperative pain after cataract surgery.
- A subset of studies indicated moderate to severe pain, with some cases persisting for weeks.
- Interventions included pharmacological (NSAIDs, corticosteroids, paracetamol), perioperative injections, eye pads, and surgical techniques.
Conclusions:
- Cataract surgery can be associated with significant postoperative pain in some individuals.
- Appropriate patient counseling regarding potential pain is recommended.
- Tailored pain treatment strategies should be implemented for affected patients.
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