Factors Affecting Pain Following Transepithelial Photorefractive Keratectomy for Myopia and Astigmatism

Berna Sahan

Makale detayları

Factors Affecting Pain Following Transepithelial Photorefractive Keratectomy for Myopia and Astigmatism

Yazarlar:

Berna Sahan

Yayıncı:

Yozgat Bozok University

Ana Başlıklar:

Göz Hastalıkları | Optik Teknoloji

Dergi:

Bozok Tıp Dergisi Vol.15 Issue 3, pp.368-373

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358227

pISSN:

2146-4006

Anahtar kelimeler:

Özet:

 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 5 on 1st post operative day were classified as Group 1, and patients with VAS score 5 on 1st post operative day were categorized as Group 2. Groups were compared with regards to patient demographic features, preoperative ocular measurements, size of ablation during surgery, postoperative complaints, and VAS scores on 1st postoperative day. Results: During the study period, 64 patients who underwent T-PRK were enrolled in the study, and 24 patients had VAS score 5. Mean VAS score was 2.1 in Group 1 and 7.0 in Group 2, which was significantly higher for Group 2 p 0.001 Being under the age of 30 was a predictive factor for higher postoperative painp 0.020. In addition, larger ablation depth, presence of foreign body sensation, and eyelid swelling increased postoperative pain 2.182 times, 2.667 times and 2.812 times, respectivelyp 0.032, p 0.004, and p 0.006, respectively. Conclusions: The present study demonstrated that almost two out of five individuals who underwent T-PRK suffered from severe pain following the procedure. Our findings demonstrated that younger age below 30 years, larger ablation depth, and symptoms including foreign body sensation and eyelid swelling were predictive factors for severe postoperative pain following the T-PRK procedure.

 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 5 on 1st post operative day were classified as Group 1, and patients with VAS score 5 on 1st post operative day were categorized as Group 2. Groups were compared with regards to patient demographic features, preoperative ocular measurements, size of ablation during surgery, postoperative complaints, and VAS scores on 1st postoperative day. Results: During the study period, 64 patients who underwent T-PRK were enrolled in the study, and 24 patients had VAS score 5. Mean VAS score was 2.1 in Group 1 and 7.0 in Group 2, which was significantly higher for Group 2 p 0.001 Being under the age of 30 was a predictive factor for higher postoperative painp 0.020. In addition, larger ablation depth, presence of foreign body sensation, and eyelid swelling increased postoperative pain 2.182 times, 2.667 times and 2.812 times, respectivelyp 0.032, p 0.004, and p 0.006, respectively. Conclusions: The present study demonstrated that almost two out of five individuals who underwent T-PRK suffered from severe pain following the procedure. Our findings demonstrated that younger age below 30 years, larger ablation depth, and symptoms including foreign body sensation and eyelid swelling were predictive factors for severe postoperative pain following the T-PRK procedure.

 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 5 on 1st post operative day were classified as Group 1, and patients with VAS score 5 on 1st post operative day were categorized as Group 2. Groups were compared with regards to patient demographic features, preoperative ocular measurements, size of ablation during surgery, postoperative complaints, and VAS scores on 1st postoperative day. Results: During the study period, 64 patients who underwent T-PRK were enrolled in the study, and 24 patients had VAS score 5. Mean VAS score was 2.1 in Group 1 and 7.0 in Group 2, which was significantly higher for Group 2 p 0.001 Being under the age of 30 was a predictive factor for higher postoperative painp 0.020. In addition, larger ablation depth, presence of foreign body sensation, and eyelid swelling increased postoperative pain 2.182 times, 2.667 times and 2.812 times, respectivelyp 0.032, p 0.004, and p 0.006, respectively. Conclusions: The present study demonstrated that almost two out of five individuals who underwent T-PRK suffered from severe pain following the procedure. Our findings demonstrated that younger age below 30 years, larger ablation depth, and symptoms including foreign body sensation and eyelid swelling were predictive factors for severe postoperative pain following the T-PRK procedure.

 Amaç: Bu çalışmada, T-PRK sonrası postoperatif ağrı ile ilgili prediktif faktörleri açıklığa kavuşturmayı amaçladık Gereç 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 5 olan hastalar Grup 1, ameliyat sonrası 1. günde VAS skoru 5 olan hastalar Grup 2 olarak sınıflandırıldı. Gruplar hastaların demografik özellikleri, ameliyat öncesi oküler ölçümler, ameliyat sırasında ablasyonun boyutu, ameliyat sonrası şikayetler ve ameliyat sonrası 1. günde VAS skorları açısından karşılaştırıldı. Bulgular: Çalışmamıza T-PRK uygulanan 64 hasta çalışmaya dahil edildi ve 24 hastanın VAS skoru 5 idi. Ortalama VAS skoru Grup 1de 2.1 ve Grup 2de 7.0 idi ve Grup 2 için anlamlı olarak daha yüksekti p 0.001 30 yaşın altında olmak daha yüksek postoperatif ağrı için prediktif bir faktördü p 0.020. Ayrıca, daha büyük ablasyon derinliği, yabancı cisim hissi varlığı ve göz kapağı şişliği ameliyat sonrası ağrıyı sırasıyla 2.182 kat, 2.667 kat ve 2.812 kat artırdı sırasıyla p 0.032, p 0.004 ve p 0.006. Sonuç: Bu çalışma, T-PRK uygulanan her beş kişiden neredeyse ikisinin işlem sonrasında şiddetli ağrı çektiğini göstermiştir. Bulgularımız, 30 yaş altı genç yaş, daha büyük ablasyon derinliği ve yabancı cisim hissi ve göz kapağı şişmesi gibi semptomların T-PRK işlemini takiben şiddetli postoperatif ağrı için öngörücü faktörler olduğunu göstermiştir.

Makale detayları

Factors Affecting Pain Following Transepithelial Photorefractive Keratectomy for Myopia and Astigmatism

Yazarlar:

Berna Sahan

Yayıncı:

Yozgat Bozok University

Ana Başlıklar:

Göz Hastalıkları | Optik Teknoloji

Dergi:

Bozok Tıp Dergisi Vol.15 Issue 3, pp.368-373

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358227

pISSN:

2146-4006

astigmatism

myopia

pain

T-PRKastigmatizma

miyopi

ağrı

T-PRK

Sayı

Makale detayları

Yazarlar: Berna Sahan

Yayıncı: Yozgat Bozok University

Ana Başlıklar: Göz Hastalıkları | Optik Teknoloji

Dergi: Bozok Tıp Dergisi Vol.15 Issue 3, pp.368-373

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001358227

pISSN: 2146-4006

Sayı

Yazarlar:

Berna Sahan

Yayıncı:

Yozgat Bozok University

Ana Başlıklar:

Göz Hastalıkları | Optik Teknoloji

Dergi:

Bozok Tıp Dergisi Vol.15 Issue 3, pp.368-373

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358227

pISSN:

2146-4006