- 作者：Murat Aslankurt ; Lokman Aslan ; Ahmet M. Ba艧kan ; Adnan Aksoy ; Emin Silay ; H眉seyin Y谋ld谋z
- 刊名：Journal of Cataract and Refractive Surgery
- 出版年：February, 2014
- 年：2014
- 卷：40
- 期：2
- 页码：199-202
- 全文大小：137 K
Purpose
To evaluate the relationship between laterality and perceived pain and cooperation during phacoemulsification under combined topical and intracameral anesthesia.Setting
University ophthalmology clinic and eye hospital, Kahramanmara艧, Turkey.
Design
Cohort study.
Methods
Seventy-eight patients with senile cataracts who had ocular surgery were included prospectively. The dominant side was determined with the Edinburg Handedness Inventory. Phacoemulsification and intraocular lens implantation were performed. The surgeon graded the patient's cooperation from 0 (best) to 3 (worst). The duration of surgery was recorded. Another researcher rated perceived pain from 0 (no pain) to 10 (unbearable pain) using a visual analogue scale (VAS). Pain scores and the degree of cooperation for dominant-side and nondominant-side surgery were the primary outcomes.
Results
Forty-six patients had surgery in the dominant eye and 32 in the nondominant eye. The 2聽groups were similar in age, sex, and severity and type of cataract. The mean VAS score was significantly higher in patients having dominant-side surgery than in those having nondominant-side surgery (P<.01). Similarly, the mean cooperation score was significantly poorer in the patients having dominant-side surgery (P<.05). Visual analogue scores were correlated with patient cooperation (r = 0.890, P<.0001).
Conclusion
Pain scores were higher in dominant-side surgery for cataract under topical and intracameral anesthesia, which should be kept in mind when selecting anesthesia and in studies in which pain is scored.
Financial Disclosure
No author has a financial or proprietary interest in any material or method mentioned.