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

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Citações na Scopus
5
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Dimensions
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER SCIENCE INC
Autores
STEIGLEMAN, Walter Allan
ROSE-NUSSBAUMER, Jennifer
AL-MOHTASEB, Zaina
LIN, Charlies C.
PANTANELLI, Seth M.
KIM, Stephen J.
SCHALLHORN, Julie M.
Citação
OPHTHALMOLOGY, v.130, n.1, p.87-98, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective: 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 Ophthalmology
Palavras-chave
photorefractive keratectomy, pain management, PKR
URI
https://observatorio.fm.usp.br/handle/OPI/59107
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Artigos e Materiais de Revistas Científicas - FM/Outros