Pain perception description after advanced surface ablation

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• dc.contributor.author Sobas, Eva M.
• dc.contributor.author Videla, Sebastià
• dc.contributor.author Vázquez, Amanda
• dc.contributor.author Fernández, Itziar
• dc.contributor.author Maldonado, Miguel J.
• dc.contributor.author Pastor, José-Carlos
• dc.date.accessioned 2025-01-14T08:20:53Z
• dc.date.available 2025-01-14T08:20:53Z
• dc.date.issued 2017
• dc.description.abstract Purpose: The objective of this study was to characterize the evolution of ocular pain after advanced surface ablation (ASA) to improve strategies in postoperative pain management. Methods: This was a multicenter, prospective, descriptive, cohort study. The inclusion criteria were healthy individuals ≥18 years old receiving bilateral alcohol-assisted surface ablation with epithelial removal. Pain intensity was evaluated with the visual analog scale (VAS) and the numeric pain rating scale before and after surgery. Comorbidities (photophobia, burning, tearing, and foreign body sensation) and Hospital Anxiety and Depression (HAD) questionnaire were evaluated before and at 6 hours after surgery. Postoperative treatments included cold patch, topical cold antibiotics, topical steroids, and benzodiazepines. Results: Thirty-two consecutive patients having similar profiles of postoperative pain evolution were included. At 0.5 hour after ASA, the pain score by VAS was 37±20 mm, and the maximum pain, 61±31 mm, occurred at 24 hours. Afterward, it decreased progressively until 72 hours after surgery (19±20 mm). Most patients (81%) scored >60 mm, and 44% required rescue medication. Among the comorbidities, all patients had photophobia and 84% had burning sensation. At 6 hours, the HAD score was 5.4±3.9, within the range of values considered as normal. Conclusion: Postoperative acute ocular pain after ASA showed a characteristic evolution over time. Recognition of the pattern could be important for improving the acceptance of ASA and for improving strategies in pain management in the postoperative period.en
• dc.format.mimetype application/pdf
• dc.identifier.citation Sobas EM, Videla S, Vázquez A, Fernández I, Maldonado MJ, Pastor JC. Pain perception description after advanced surface ablation. Clin Ophthalmol. 2017 Apr;11:647-55. DOI: 10.2147/OPTH.S134542
• dc.identifier.doi http://dx.doi.org/10.2147/OPTH.S134542
• dc.identifier.issn 1177-5467
• dc.identifier.uri http://hdl.handle.net/10230/69104
• dc.language.iso eng
• dc.publisher Taylor & Francis
• dc.rights © 2017 The Author(s). This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc/3.0/
• dc.subject.keyword Ocular painen
• dc.subject.keyword Advanced surface ablationen
• dc.subject.keyword Model acute surgical painen
• dc.title Pain perception description after advanced surface ablation
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion