Management of Pain after Photorefractive Keratectomy A Report by the American Academy of Ophthalmology

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSTEIGLEMAN, Walter Allan
dc.contributor.authorROSE-NUSSBAUMER, Jennifer
dc.contributor.authorAL-MOHTASEB, Zaina
dc.contributor.authorSANTHIAGO, Marcony R.
dc.contributor.authorLIN, Charlies C.
dc.contributor.authorPANTANELLI, Seth M.
dc.contributor.authorKIM, Stephen J.
dc.contributor.authorSCHALLHORN, Julie M.
dc.date.accessioned2024-04-05T19:36:35Z
dc.date.available2024-04-05T19:36:35Z
dc.date.issued2023
dc.description.abstractObjective: To evaluate current best practices for postoperative photorefractive keratectomy (PRK) pain control.Methods: Literature searches in the PubMed database were last conducted in October 2021 and were restricted to publications in English. This search identified 219 citations, of which 84 were reviewed in full text for their relevance to the scope of this assessment. Fifty-one articles met the criteria for inclusion; 16 studies were rated level I, 33 studies were rated level II, and 2 studies were rated level III.Results: Systemic opioid and nonsteroidal anti-inflammatory drugs (NSAIDs); topical NSAIDs; postoperative cold patches; bandage soft contact lenses (BCLs), notably senofilcon A contact lenses; and topical anesthetics were demonstrated to offer significantly better pain control than comparison treatments. Some other commonly reported pain mitigation interventions such as systemic gabapentinoids, chilled intraoperative balanced salt solution (BSS) irrigation, cycloplegia, and specific surface ablation technique strategies offered limited improvement in pain control over control treatments.Conclusions: Systemic NSAIDs and opioid medications, topical NSAIDs, cold patches, BCLs, and topical an-esthetics have been shown to provide improved pain control over alternative strategies and allow PRK-associated pain to be more tolerable for patients. Ophthalmology 2023;130:87-98 2022 by the American Academy of Ophthalmologyeng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexScopus
dc.description.indexDimensions
dc.description.indexWoS
dc.identifier.citationOPHTHALMOLOGY, v.130, n.1, p.87-98, 2023
dc.identifier.doi10.1016/j.ophtha.2022.07.028
dc.identifier.eissn1549-4713
dc.identifier.issn0161-6420
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/59107
dc.language.isoeng
dc.publisherELSEVIER SCIENCE INCeng
dc.relation.ispartofOphthalmology
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright ELSEVIER SCIENCE INCeng
dc.subjectphotorefractive keratectomyeng
dc.subjectpain managementeng
dc.subjectPKReng
dc.subject.otherbandage contact-lenseseng
dc.subject.othernonsteroidal antiinflammatory drugseng
dc.subject.otherpreoperative topical diclofenaceng
dc.subject.othercodeine plus acetaminopheneng
dc.subject.otherearly postoperative paineng
dc.subject.otherepi-lasikeng
dc.subject.othersurface ablationeng
dc.subject.othervisual outcomeseng
dc.subject.otherreducing paineng
dc.subject.otherlotrafilcon beng
dc.subject.wosOphthalmologyeng
dc.titleManagement of Pain after Photorefractive Keratectomy A Report by the American Academy of Ophthalmologyeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryisous
hcfmusp.author.externalSTEIGLEMAN, Walter Allan:Univ Florida, Coll Med, Gainesville, FL USA; Amer Acad Ophthalmol, Qual & Data Sci, POB 7424, San Francisco, CA 94120 USA
hcfmusp.author.externalROSE-NUSSBAUMER, Jennifer:Stanford Univ, Dept Ophthalmol, Byers Eye Inst, Palo Alto, CA USA
hcfmusp.author.externalAL-MOHTASEB, Zaina:Baylor Coll Med, Houston, TX USA
hcfmusp.author.externalLIN, Charlies C.:Stanford Eye Inst, Palo Alto, CA USA
hcfmusp.author.externalPANTANELLI, Seth M.:Penn State Coll Med, Dept Ophthalmol, Hershey, PA USA
hcfmusp.author.externalKIM, Stephen J.:Vanderbilt Univ, Dept Ophthalmol, Sch Med, Nashville, TN USA
hcfmusp.author.externalSCHALLHORN, Julie M.:Univ Calif San Francisco, Francis I Proctor Fdn, San Francisco, CA USA; Univ Calif San Francisco, Dept Ophthalmol, San Francisco, CA USA
hcfmusp.citation.scopus6
hcfmusp.contributor.author-fmusphcMARCONY RODRIGUES DE SANTHIAGO
hcfmusp.description.beginpage87
hcfmusp.description.endpage98
hcfmusp.description.issue1
hcfmusp.description.volume130
hcfmusp.origemWOS
hcfmusp.origem.dimensionspub.1151571790
hcfmusp.origem.pubmed36207168
hcfmusp.origem.scopus2-s2.0-85140208803
hcfmusp.origem.wosWOS:000908805100001
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.publisher.countryUSAeng
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