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Topical anesthesia for cataract surgery: the patients' perspective
Aytekin Apil1, Baki Kartal2, Metin Ekinci3
1Department of Ophthalmology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
Pain Research and Treatment
|July 23, 2014
Summary
Topical anesthesia with 0.5% propacaine hydrochloride during phacoemulsification surgery is not completely painless. Pain intensity during cataract surgery varies significantly with cataract type and surgical stage.
Area of Science:
- Ophthalmology
- Anesthesiology
Background:
- Phacoemulsification is a common cataract surgery technique.
- Topical anesthesia is frequently used to manage pain during the procedure.
Purpose of the Study:
- To evaluate the analgesic efficacy of 0.5% propacaine hydrochloride.
- To assess pain intensity during different stages of phacoemulsification surgery.
Main Methods:
- Intraoperative pain was assessed using a 5-category verbal rating scale.
- Pain scores were analyzed based on patient demographics and cataract type.
Main Results:
- Pain intensity varied significantly across surgical stages.
- Patients with white mature cataract (WMC) and corticonuclear plus posterior subcapsular cataract (CN + PSC) reported higher pain scores compared to posterior subcapsular cataract (PSC)-only.
- Mean total pain scores and mean stage 2 pain scores were significantly higher in WMC and CN + PSC groups.
Conclusions:
- Phacoemulsification with topical anesthesia is not entirely painless.
- Cataract type significantly influences intraoperative pain perception.
- Pain management strategies may need to be tailored based on cataract characteristics.
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