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Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram
Published on: July 7, 2023
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Pain management after photorefractive keratectomy
Oren Golan1,2, J Bradley Randleman1,3
1Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.
Current Opinion in Ophthalmology
|May 1, 2018
Summary
Managing postoperative pain after photorefractive keratectomy (PRK) involves topical nonsteroidal anti-inflammatory drugs (NSAIDs) and oral medications. Local treatments are preferred for fewer side effects, with systemic opiates reserved for severe breakthrough pain.
Area of Science:
- Ophthalmology
- Pain Management
- Surgical Recovery
Background:
- Photorefractive keratectomy (PRK) is a common refractive surgery.
- Postoperative pain is a significant concern for patients undergoing PRK.
- Understanding pain mechanisms is crucial for effective management.
Purpose of the Study:
- To review current concepts on postoperative pain mechanisms following PRK.
- To evaluate available treatment options for PRK-induced pain.
Main Methods:
- Literature review of clinical studies.
- Analysis of therapeutic agents and techniques for pain management.
- Comparison of different treatment regimens.
Main Results:
- Topical nonsteroidal anti-inflammatory agents (NSAIDs) and oral NSAIDs/narcotics are effective.
- Postoperative pain severity varies widely among individuals.
- No single strategy is universally optimal for acute pain control.
Conclusions:
- Topical NSAIDs and diluted anesthetics, combined with oral NSAIDs/opiates, are recommended.
- Local agents and techniques offer a better side effect profile.
- Systemic opiates are reserved for breakthrough pain management.
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