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Mehdi Lemdani, Hassaam Choudhry, Aman Patel, Mustafa Jaffry, Mohammad Dastjerdi; Pain following cataract surgery is impacted by objective and patient perceived surgical duration. Invest. Ophthalmol. Vis. Sci. 2022;63(7):2865 – F0002.
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© ARVO (1962-2015); The Authors (2016-present)
Previous research suggesting some agreement between patients’ perceived duration (PSD) of cataract surgery (CS) and objective duration (OSD) also explored the pain perception. We performed retrospective data analysis to explore the relationship between a patient’s perception of pain following CS.
Retrospective data analysis was carried out on data published in the Dryad database and collected CS cases between 17 May 2011 and 22 July 2011 in the Department of Ophthalmology of Hôpital Cochin, a teaching university hospital located in Paris, France. Multivariate regression analysis was also run to assess significant associations of various factors, including age, gender, operative duration, and complication rate, with both objective and patient percieved duration of cataract surgery.
356 total cases were collected between 17 May 2011 and 22 July 2011 in the Department of Ophthalmology of Hôpital Cochin. 151 patients were male and 205 were female. In males, OSD and PSD significantly predicted the pain level perceived, with each minute in objective and percieved surgery duration corresponding with increases in log odds of .082 (95% CI .022 to .141, p=.007) and .064 (95% CI .012 to .115, p=.016). In females, only PSD significantly predicted pain, with each minute corresponding to .49 increase in experienced pain level (95% CI .008 to .090, p=.020). Age groups were stratified into <60, >=60 and <69, >=69 and <79, and >=79. In the youngest age stratification for each minute of OSD there was a predicted increase of 0.64 in experienced level of pain (95% CI 0.16 to 1.12, p=0.009*). However for every minute in PSD, there was a predicted decrease of 0.25 in the experienced pain level (95% CI -0.49 to -0.01, p=0.039). In ages >=60 and <69 and >=69 and <79 , each minute of PSD corresponded to an increase of .10 (95% CI 0.02 to 0.18, p=.019) and 0.06 (95% CI 0 to 0.11, p=.036) in experienced pain level. In the oldest age group, only an increase in OSD significantly predicted patient perceived pain, where each minute corresponded to an increase of 0.12 in experienced pain level (95% CI 0.04 to 0.20, p=.003).
These findings suggest variation in OSD and PSD impact on pain across age groups and gender. However, our study also suggests that OSD and PSD are more likely to predict patient perceived pain than other factors such as postoperative complications.
This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.
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