Abstract
Purpose :
To analyze the effectiveness of music as an adjuvant analgesic treatment in post-PRK patients and in patients with chronic eye pain post-LASIK
Methods :
The sample included two types of patients:
1. Acute pain group: patients undergoing PRK surgery in both eyes at the Refractive Surgery Unit of the IOBA
2. Chronic pain group: patients with chronic ocular pain after LASIK surgery with prescribed analgesic treatment from the IOBA Oculofacial Pain Unit
Both cohorts were stratified based on their habits: individuals who do not listen to music regularly and those who do so frequently.
Both cohorts were provided with “the patient's notebook" in which they documented: the Hospital Anxiety and Depression Scale (HAD), the comorbidities questionnaire (SIDEQ), the visual function questionnaire (VFQ-25) and the music questionnaire
The LASIK pain group did the same for 72 hr after the day of inclusion in the study
Results :
Fourteen patients were included. Five patients were included in the PRK cohort, (3 male and 2 female). Mean age was 36.2±10.55. Three of them did not listen to music. Nine patients were included in the chronic ocular pain cohort, (3 male and 6 female). Mean age was 42.78±8.71. Five of them did not listen to music.
In the acute cohort at medium pain levels, the first postoperative hours and after 60 hr, the music group has less pain than the control group, but when the pain becomes severe, the music group presents more pain than the control.
In chronic patients, music has a pain-reducing effect, although no statistically significant differences are observed
There is no impact on anxiety and depression in the acute cohort. However, in chronic pain patients, music appears to influence anxiety.
When evaluating ocular symptoms using SIDEQ in both cohorts, music is associated with more ocular symptoms. However, in VFQ 25, patients who listen to music score better in visual function compared to those who do not, although the differences are not statistically significant
Conclusions :
Music therapy can have a different impact on acute pain and chronic pain and within acute pain depending on the intensity:
ACUTE PAIN: In postoperative period, in low levels of pain, patients who listened to music reported lower levels of pain but in severe pain the opposite happens.
CHRONIC PAIN: patients who participated in music therapy reported reduction in pain.
This abstract was presented at the 2024 ARVO Annual Meeting, held in Seattle, WA, May 5-9, 2024.