From the Department of Ophthalmology (Aslankurt, Aslan, Aksoy) and Department of Anesthesiology and Reanimation (Silay, Yıldız), Faculty of Medicine, Sutcu Imam University, and Uğur Eye Hospital (Başkan), Kahramanmaraş, Turkey.
From the Department of Ophthalmology (Aslankurt, Aslan, Aksoy) and Department of Anesthesiology and Reanimation (Silay, Yıldız), Faculty of Medicine, Sutcu Imam University, and Uğur Eye Hospital (Başkan), Kahramanmaraş, Turkey.
J Cataract Refract Surg. 2014 Feb;40(2):199-202. doi: 10.1016/j.jcrs.2013.07.038. Epub 2013 Dec 2.
To evaluate the relationship between laterality and perceived pain and cooperation during phacoemulsification under combined topical and intracameral anesthesia.
University ophthalmology clinic and eye hospital, Kahramanmaraş, Turkey.
Cohort study.
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.
Forty-six patients had surgery in the dominant eye and 32 in the nondominant eye. The 2 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).
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.
No author has a financial or proprietary interest in any material or method mentioned.
评估在局部和眼内麻醉下进行超声乳化白内障吸除术中的偏侧性与感知疼痛和合作的关系。
土耳其卡赫拉曼马拉什大学眼科诊所和眼科医院。
队列研究。
前瞻性纳入 78 例接受眼部手术的老年性白内障患者。用爱丁堡手性量表确定优势侧。行超声乳化白内障吸除术和人工晶状体植入术。手术医生对患者的合作程度从 0（最佳）到 3（最差）进行分级。记录手术时间。另一位研究人员使用视觉模拟量表（VAS）从 0（无痛）到 10（无法忍受的疼痛）对感知疼痛进行评分。主要结局为优势侧和非优势侧手术的疼痛评分和合作程度。
46 例患者在优势眼手术，32 例在非优势眼手术。2 组在年龄、性别、白内障严重程度和类型方面相似。在优势侧手术的患者中，VAS 评分明显高于非优势侧手术的患者（P<.01）。同样，在优势侧手术的患者中，合作评分明显较低（P<.05）。VAS 评分与患者合作呈正相关（r = 0.890，P<.0001）。
在局部和眼内麻醉下进行白内障超声乳化吸除术时，优势侧手术的疼痛评分较高，在选择麻醉时和在疼痛评分的研究中应牢记这一点。
没有作者在提到的任何材料或方法中具有经济或所有权利益。
