TY - JOUR T1 - Factors Affecting Pain Following Transepithelial Photorefractive Keratectomy for Myopia and Astigmatism TT - Miyopi ve Astigmatizma Hastalarında Transepitelyal Fotorefraktif Keratektomi Sonrası Ağrıyı Etkileyen Faktörler AU - Sahan, Berna AU - Kerci, Süleyman Gökhan PY - 2025 DA - September Y2 - 2025 DO - 10.16919/bozoktip.1703471 JF - Bozok Tıp Dergisi PB - Yozgat Bozok University WT - DergiPark SN - 2146-4006 SP - 368 EP - 373 VL - 15 IS - 3 LA - en AB - Purpose: In this study, to clarify predictive factors related to postoperative pain following T-PRK.Material and Methods: Detailed medical history was taken and ophthalmological examinations were done in all patients undergoing T-PRK. Presence of pain in the preoperative era, size of ablation during T-PRK procedure, postoperative complaints and Visual analogue scale (VAS) score were recorded on the postoperative 1st day. During evaluation of postoperative complaints, patients were asked to give a score between 1 and 10 regarding complaint severity. Patients with VAS score KW - astigmatism KW - myopia KW - pain KW - T-PRK N2 - Amaç: Bu çalışmada, T-PRK sonrası postoperatif ağrı ile ilgili prediktif faktörleri açıklığa kavuşturmayı amaçladıkGereç ve yöntemler: T-PRK yapılan tüm hastalardan ayrıntılı tıbbi öykü alındı ve oftalmolojik muayeneler yapıldı. Preoperatif dönemde ağrı varlığı, T-PRK işlemi sırasında ablasyonun boyutu, postoperatif şikayetler ve postoperatif 1. günde görsel analog skala (VAS) skoru kaydedildi. Ameliyat sonrası şikayetler değerlendirilirken hastalardan şikayet şiddetine göre 1 ile 10 arasında bir puan vermeleri istendi. Ameliyat sonrası 1. günde VAS skoru CR - 1. Medina A. The cause of myopia development and progression: Theory, evidence, and treatment. Surv Ophthalmol. 2022;67(2):488- 509. CR - 2. Pan CW, Ramamurthy D, Saw SM. Worldwide prevalence and risk factors for myopia. Ophthalmic Physiol Opt. 2012;32(1):3-16. CR - 3. Rose K, Harper R, Tromans C, Waterman C, Goldberg D, Haggerty C, et al. Quality of life in myopia. Br J Ophthalmol. 2000;84(9):1031- 4. CR - 4. Chong EW, Mehta JS. High myopia and cataract surgery. Curr Opin Ophthalmol. 2016;27(1):45-50. CR - 5. Çetinkaya S. Miyopi ve miyopik astigmatizma tedavisinde uygulanan PRK ve FS-LASİK prosedürlerinin kıyaslanması. Bozok Tıp Dergisi. 2019;9(3):26-31. CR - 6. Chang JY, Lin PY, Hsu CC, Liu CJ. Comparison of clinical outcomes of LASIK, Trans-PRK, and SMILE for correction of myopia. J Chin Med. Assoc. 2022;85(2):145-51. CR - 7. Fadlallah A, Fahed D, Khalil K, Dunia I, Menassa J, El Rami H, et al. Transepithelial photorefractive keratectomy: clinical results. J Cataract Refract Surg. 2011;37(10):1852-7. CR - 8. Celik U, Bozkurt E, Celik B, Demirok A, Yilmaz OF. Pain, wound healing and refractive comparison of mechanical and transepithelial debridement in photorefractive keratectomy for myopia: results of 1 year follow-up. Contact Lens and Anterior Eye. 2014;37(6):420-6. CR - 9. Scott J, Huskisson EC. Graphic representation of pain. Pain. 1976;2(2):175–84. CR - 10. Rymer P, Moscovici BK, Gomes R, Couto B, Schor P, Campos M. Pain response and symptoms in photorefractive keratectomy: mechanical de-epithelization compared with transepithelial ablation. Arq Bras Oftalmol. 2021;85(2):152-7. CR - 11. Özülken K, İlhan Ç. Transepitelyal ve Konvansiyonel Alkol Destekli Fotorefraktif Keratektomi Sonrası Yüksek Sıralı Aberasyonların Karşılaştırılması. Turk J Ophthalmol. 2020;50(3):127-32. CR - 12. van Dijk JFM, Zaslansky R, van Boekel RLM, Cheuk-Alam JM, Baart SJ, Huygen FJPM, et al. Postoperative Pain and Age: A Retrospective Cohort Association Study. Anesthesiology. 2021;135(6):1104-19. CR - 13. Henzler D, Kramer R, Steinhorst UH, Piepenbrock S, Rossaint R, Kuhlen R. Factors independently associated with increased risk of pain development after ophthalmic surgery. Eur J Anaesthesiol. 2004;21(12):101-6. CR - 14. Ghanem VC, Ghanem RC, De Oliveira R. Postoperative pain after corneal collagen cross-linking. Cornea. 2013;32(1):20-4. CR - 15. Munnerlyn CR, Koons SJ, Marshall J. Photorefractive keratectomy: a technique for laser refractive surgery. J Cataract Refract Surg. 1988;14(1):46-52. CR - 16. Al-Mohaimeed MM. Factors affecting single-step transepithelial photorefractive keratectomy outcome in the treatment of mild, moderate, and high myopia: a cohort study. Int J Ophthalmol. 2022;15(5):786-92. CR - 17. Porela-Tiihonen S, Kaarniranta K, Kokki M, Purhonen S, Kokki H. A prospective study on postoperative pain after cataract surgery. Clin Ophthalmol. 2013:1429-35. CR - 18. Dell SJ, Gaster RN, Barbarino SC, Cunningham DN. Prospective evaluation of intense pulsed light and meibomian gland expression efficacy on relieving signs and symptoms of dry eye disease due to meibomian gland dysfunction. Clin Ophthalmol. 2017:11:817-27. UR - https://doi.org/10.16919/bozoktip.1703471 L1 - https://dergipark.org.tr/en/download/article-file/4888901 ER -