IS THERE ANY RELATIONSHIP BETWEEN PHACOEMULSIFICATION PARAMETERS AND INCREASED SECOND EYE PAIN COMPLAINT?

Yıl 2018, Cilt: 81 Sayı: 3, 71 - 76, 20.09.2018

Rukiye Aydın Merve Özbek Sevil Karaman Erdur Mustafa Özsütçü Eyyup Karahan

Öz

Objective: To evaluate the relation between pain complaints after cataract surgery and phacoemulsification parameters.
Materials and Methods: This prospective study was based on studies of 94 eyes across 47 patients, who underwent cataract surgery at 15 day intervals. The mean values of nucleus grade, total duration of surgery, U/S total time, U/S total equivalent power in foot position 3, cumulative dissipated energy, phacoemulsification time, average phacoemulsification power and average phacoemulsification power in foot position 3 were recorded. Patients were asked to score their pain on the first day, after the first week and after the first month following surgery on each eye.
Results: The mean nucleus grade, cumulative dissipated energy, and U/S total time were found significantly higher in the first eye compared with the second eye (p= 0.01, 0.016, and 0.03, respectively). There was no statistically significant difference in mean operation time, phacoemulsification time, U/S total equivalent power position 3, average phacoemulsification power and average phacoemulsification power position 3 between the first and second eyes. Although there was no statistically significant difference in pain scores between first and second eyes on the first postoperative day and first month, there was a significant difference at one week (p=0.080, 0.269 and 0.004, respectively). There was no correlation between phacoemulsification parameters and pain scores after both surgeries.
Conclusion: This study showed no correlation between the phacoemulsification parameters and postoperative pain scores after both first and second surgeries. In addition, there was a significant difference between the pain scores of the first and that of the second surgery at the first postoperative week.

Anahtar Kelimeler

Pain, postoperative, cataract extraction, phacoemulsification

FAKOEMÜLSİFİKASYON PARAMETRELERİ İLE İKİNCİ GÖZDE ARTMIŞ AĞRI ŞİKAYETİ ARASINDA HERHANGİ BİR İLİŞKİ VAR MI?

Öz

Amaç: Katarakt ameliyatı sonrası ağrı şikayeti ile fakoemülsifikasyon parametreleri arasındaki ilişkiyi değerlendirmek. Gereç ve Yöntem: Bu prospektif çalışmaya, 15 gün arayla katarakt ameliyatı yapılan 47 hastanın 94 gözü dahil edildi. Ortalama nukleus sertliği, ameliyat süresi, total ultrason (U/S) zamanı, total enerji (U/S total equivalent power in foot position 3), kümülatif yayılan enerji, fakoemülsifikasyon zamanı, ortalama fakoemülsifikasyon enerjisi ve ayak pedalı 3. pozisyonda iken kullanılan ortalama fakoemülsifikasyon enerjisi kaydedildi. Hastalardan ağrılarını postoperatif birinci gün, birinci hafta ve birinci ay kontrollerinde skorlamaları istendi.
Bulgular: Ortalama nukleus sertliği, kümülatif yayılan enerji, total U/S zamanı ilk gözde ikinci göze göre anlamlı olarak artmış bulundu. (sırasıyla p= 0.01, 0.016, ve 0.03). İlk göz ve ikinci göz arasında ortalama ameliyat süresi, fakoemülsifikasyon zamanı, total enerji, ortalama fakoemülsifikasyon enerjisi ve ayak pedalı 3. pozisyonda iken kullanılan ortalama fakoemülsifikasyon enerjisi arasında anlamlı fark yoktu. Postoperatif birinci gün ve birinci ayda ağrı skorunda birinci ve ikinci göz arasında istatistiksel olarak bir fark bulunmamasına rağmen, birinci hafta skorlarında anlamlı farklılık vardı. (sırasıyla p=0.080, 0.269 ve 0.004). Her iki ameliyattan sonra da fakoemülsifikasyon parametreleri ile ağrı skorları arasında herhangi bir korelasyon yoktu.
Sonuç: Bu çalışma, hem birinci hem de ikinci ameliyatlardan sonra fakoemülsifikasyon parametreleri ile postoperatif ağrı skorları arasında korelasyon olmadığını gösterdi. Ek olarak, posoperatif birinci haftada ilk ameliyatın ağrı skorları ile ikinci ameliyatın ağrı skorları arasında anlamlı fark vardı.

Anahtar Kelimeler

Ağrı, postoperatif, katarakt ekstraksiyonu, fakoemülsifikasyon

Kaynakça

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