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Postoperative Pain Following Eye Enucleation: A Prospective Observational Study.

Nicolas Leister1, Johannes Löser1,2, Antoniu-Oreste Gostian3

  • 1Department of Anesthesiology and Intensive Care Medicine, Faculty of Medicine and University Hospital Cologne, University of Cologne, 50937 Cologne, Germany.

Medicina (Kaunas, Lithuania)
|April 27, 2024
PubMed
Summary

Eye enucleation surgery causes significant postoperative pain, with most patients desiring better pain management. Standardized, interdisciplinary pain treatment protocols are urgently needed to improve patient outcomes after this invasive procedure.

Keywords:
anophthalmic surgerypain assessmentpain therapytherapy side-effects

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Area of Science:

  • Ophthalmology
  • Pain Management
  • Surgical Procedures

Background:

  • Eye enucleation, a major ophthalmic surgery, is performed for various severe conditions.
  • This procedure results in the loss of a highly innervated organ, potentially leading to significant pain.
  • Postoperative pain following eye enucleation requires systematic evaluation.

Purpose of the Study:

  • To systematically assess and quantify postoperative pain levels in patients undergoing eye enucleation.
  • To evaluate patient satisfaction with existing pain management strategies.
  • To identify the need for improved pain control protocols.

Main Methods:

  • A prospective, single-center study involving 24 patients undergoing eye enucleation.
  • Patients completed standardized pain and side-effect questionnaires preoperatively and on days 1-3 post-surgery.
  • Pain intensity (average and maximum) was recorded using validated scales (QUIPS, painDETECT®).

Main Results:

  • Preoperative average pain intensity was 3.29, peaking at 4.67 on day 1 post-surgery.
  • Mean maximum pain intensity was 4.71 preoperatively, rising to 5.75 on day 1 post-surgery.
  • A significant majority (79.2%) of patients expressed a desire for more effective pain therapy.

Conclusions:

  • Patients undergoing eye enucleation experience substantial postoperative pain requiring intervention.
  • Current pain management is insufficient, necessitating improved, standardized approaches.
  • Interdisciplinary, standardized pain treatment concepts, including regional procedures, are crucial for better patient care.