Pain perception enhancement in consecutive secondeye phacoemulsification cataract surgeries under topical anesthesia  

作　　者：Jia-Wei Luo Yan-Hua Chen Jian-Feng Yu Yi-Xun Chen Min Ji Huai-Jin Guan 

机构地区：[1]Eye Institute,Affiliated Hospital of Nantong University,Medical School of Nantong University,Nantong 226001,Jiangsu Province,China [2]Nantong Center for Disease Control and Prevention,Nantong 226001,Jiangsu Province,China

出　　处：《International Journal of Ophthalmology(English edition)》2024年第8期1510-1518,共9页国际眼科杂志（英文版）

基　　金：Supported by the National Natural Science Foundation of China (No.82171038;No.81974129);Jiangsu Provincial Medical Key Discipline (No.JSDW202245).

摘　　要：Cataract is the main cause of visual impairment and blindness worldwide while the only effective cure for cataract is still surgery.Consecutive phacoemulsification under topical anesthesia has been the routine procedure for cataract surgery.However,patients often grumbled that they felt more painful during the second-eye surgery compared to the first-eye surgery.The intraoperative pain experience has negative influence on satisfaction and willingness for second-eye cataract surgery of patients with bilateral cataracts.Intraoperative ocular pain is a complicated process induced by the nociceptors activation in the peripheral nervous system.Immunological,neuropsychological,and pharmacological factors work together in the enhancement of intraoperative pain.Accumulating published literatures have focused on the pain enhancement during the secondeye phacoemulsification surgeries.In this review,we searched PubMed database for articles associated with pain perception differences between consecutive cataract surgeries published up to Feb.1,2024.We summarized the recent research progress in mechanisms and interventions for pain perception enhancement in consecutive secondeye phacoemulsification cataract surgeries.This review aimed to provide novel insights into strategies for improving patients’intraoperative experience in second-eye cataract surgeries.

关 键 词：ocular pain cataract surgery topical anesthesia intraoperative experience second-eye phacoemulsification 

分 类 号：R779.66[医药卫生—眼科]