June 2023
Volume 64, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2023
Effect of music as an adjuvant in the analgesic effect in the postoperative period of LASEK surgery and in patients with chronic eye pain after LASIK surgery
Author Affiliations & Notes
  • Eva M Sobas Abad
    IOBA-University of Valladolid, Valladolid, Valladolid, Spain
    Ophthalmology, Nursing Faculty, Valladolid, Valladolid, Spain
  • María Cillero de la Fuente
    IOBA-University of Valladolid, Valladolid, Valladolid, Spain
  • Inmaculada Pérez Soto
    IOBA-University of Valladolid, Valladolid, Valladolid, Spain
    Ophthalmology, Nursing Faculty, Valladolid, Valladolid, Spain
  • Alfredo Holgueras López
    IOBA-University of Valladolid, Valladolid, Valladolid, Spain
  • Jesús Villoria
    Department of Design and Biometrics, Medicxact SL, Madrid, Madrid, Spain
  • Sebastián Videla
    Pharmacology Unit, Department of Pathology and Experimental Therapeutics, School of Medicine and Health Sciences, IDIBELL, Barcelona University, Barcelona, Barcelona, Spain
  • Salvador Pastor-Idoate
    IOBA-University of Valladolid, Valladolid, Valladolid, Spain
    Hospital Clinico Universitario de Valladolid, Valladolid, Castilla y León, Spain
  • Footnotes
    Commercial Relationships   Eva Sobas Abad None; María Cillero de la Fuente None; Inmaculada Pérez Soto None; Alfredo Holgueras López None; Jesús Villoria None; Sebastián Videla None; Salvador Pastor-Idoate None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2023, Vol.64, 4812. doi:
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      Eva M Sobas Abad, María Cillero de la Fuente, Inmaculada Pérez Soto, Alfredo Holgueras López, Jesús Villoria, Sebastián Videla, Salvador Pastor-Idoate; Effect of music as an adjuvant in the analgesic effect in the postoperative period of LASEK surgery and in patients with chronic eye pain after LASIK surgery. Invest. Ophthalmol. Vis. Sci. 2023;64(8):4812.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To provide evidence on the effectiveness of music (music therapy) as an analgesic coadjuvant treatment in postoperative LASEK surgery patients

Methods : The study population consisted of two types of patients:
1. LASEK cohort: Patients who underwent LASEK surgery in both eyes at the Refractive Surgery Unit of the IOBA.
2. LASIK cohort: Patients with chronic ocular pain after LASIK surgery with prescribed analgesic treatment from the IOBA Oculo-facial Pain Unit.
Both cohorts were stratified according to: no listen to music regularly and listen to music regularly.
The LASEK group received "the patient's notebook" where they recorded the intensity of pain before entering the operating room and during the 72 hours after surgery. He also filled the Hospital Anxiety and Depression Scale (HAD), the comorbidities questionnaire (SIDEQ) and the music questionnaire. The LASIK pain group did the same for 72 hours after the day of inclusion in the study.
Although the main design feature of this study is the comparison of the effects of two exposures (pain medications alone and pain medications plus music) within the LASEK group, to meet the three conditions of positivity, interchangeability, and coherence that allow the causal effects to be identified, it will be necessary to also evaluate patients with chronic pain after LASIK surgery

Results : A total of 30 patients were included in the LASEK cohort, 15 of them did not listen to music. All patients reported postoperative ocular pain (VAS ≥20 mm) from 0.5 h to 60 h after surgery. For all patients, the peak pain occurred at 24 h after surgery with VAS and NPRS scores of 61±31 mm and 6.0±2.8 respectively
We are currently analyzing the data of the 15 patients who listen to music in LASEK cohort and the group of 10 patient’s whit chronic ocular pain after LASIK to address the aforementioned purpose

Conclusions : Our results suggest that postoperative acute ocular pain after LASEK presents a characteristic evolution. The pain increased rapidly during the first 9 h after surgery. It peaked at 24 h in the moderate to severe range and it was then stable until 36 h before it began to decrease until 72 h.
Our working hypothesis is that music may have an adjuvant analgesic effect in the postoperative period of LASEK surgery, reducing the amount of analgesia required during the first 72 hours

This abstract was presented at the 2023 ARVO Annual Meeting, held in New Orleans, LA, April 23-27, 2023.

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