Assam Jed H, Bernhisel Ashlie, Lin Amy
University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA.
John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA.
Surv Ophthalmol. 2018 Jan-Feb;63(1):75-85. doi: 10.1016/j.survophthal.2017.07.002. Epub 2017 Jul 22.
Technologic improvements in cataract surgery have not only improved visual outcomes, but also have minimized intraoperative and postoperative pain. We review the mechanisms, risk factors, and management of intraoperative and postoperative pain. Summaries of less common sources of physiologic pain have been included to reinforce recognition of when pain represents an expected physiologic reaction to surgery as opposed to signaling a more serious complication. We also discuss various current and emerging anesthetic and analgesic modalities.
白内障手术技术的改进不仅改善了视觉效果,还将术中及术后疼痛降至最低。我们回顾了术中及术后疼痛的机制、危险因素和管理方法。文中纳入了不太常见的生理性疼痛来源总结,以强化对疼痛何时代表手术预期的生理反应而非更严重并发症信号的认识。我们还讨论了当前及新出现的各种麻醉和镇痛方式。