Patient’s pain feeling and surgeon’s 
comfort: ECCE versus 
phacoemulsification

Jakub Kałużny; Iwona Eliks; Andrzej Mierzejewski; Bartłomiej Kałużny

Abstract

1/2/2004 vol. 106

Original paper

Patient’s pain feeling and surgeon’s comfort: ECCE versus phacoemulsification

Jakub J. Kałużny ¹

,

Iwona Eliks ¹

,

Andrzej Mierzejewski ²

,

Bartłomiej Kałużny ¹

Z Kliniki Okulistycznej Akademii Medycznej w Bydgoszczy
Z Oddziału Okulistycznego Szpitala Wojewódzkiego w Kaliszu

Online publish date: 2004/02/21

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AMA

Kałużny JJ, Eliks I, Mierzejewski A, Kałużny B. Patient’s pain feeling and surgeon’s comfort: ECCE versus phacoemulsification. Klinika Oczna / Acta Ophthalmologica Polonica. 2004;106(1):11-13.

APA

Kałużny, J. J., Eliks, I., Mierzejewski, A., & Kałużny, B. (2004). Patient’s pain feeling and surgeon’s comfort: ECCE versus phacoemulsification. Klinika Oczna / Acta Ophthalmologica Polonica, 106(1), 11-13.

Chicago

Kałużny, Jakub J, Iwona Eliks, Andrzej Mierzejewski, and Bartłomiej Kałużny. 2004. "Patient’s pain feeling and surgeon’s comfort: ECCE versus phacoemulsification". Klinika Oczna / Acta Ophthalmologica Polonica 106 (1): 11-13.

Harvard

Kałużny, J., Eliks, I., Mierzejewski, A., and Kałużny, B. (2004). Patient’s pain feeling and surgeon’s comfort: ECCE versus phacoemulsification. Klinika Oczna / Acta Ophthalmologica Polonica, 106(1), pp.11-13.

MLA

Kałużny, Jakub et al. "Patient’s pain feeling and surgeon’s comfort: ECCE versus phacoemulsification." Klinika Oczna / Acta Ophthalmologica Polonica, vol. 106, no. 1, 2004, pp. 11-13.

Vancouver

Kałużny J, Eliks I, Mierzejewski A, Kałużny B. Patient’s pain feeling and surgeon’s comfort: ECCE versus phacoemulsification. Klinika Oczna / Acta Ophthalmologica Polonica. 2004;106(1):11-13.

Purpose

To compare patient's pain and surgeon's comfort during ECCE performed under retrobulbar anesthesia and phacoemulsification under topical anesthesia.

Material and methods

120 patients scheduled for planned routine cataract extraction were divided in 2 groups: group I – 60 eyes, ECCE under retrobulbar anesthesia and group II – 60 eyes, phacoemulsification under topical anesthesia. Immediately after operation patients were asked, to answer questions about their feeling during surgery. Simultaneously, the surgeon filled up the questionnaire, concerning patients behavior during the entire procedure.

Results

Statistically significant higher level of pain was reported in group I (ECCE). The most painful moment of the procedure was retrobulbar injection. During surgery pain feeling in both groups was similar. Both types of anesthesia provided very good level of surgeon's comfort. The longer operation, the higher level of pain and lower surgeon's comfort were reported in both groups.

Conclusions

Patients having ECCE performed under retrobulbar anesthesia reported more pain comparing to phacoemulsification under topical anesthesia. Both anesthesia methods provided high level of surgeon's comfort.

Keywords

cataract, ECCE, phacoemulsification, patient’s pain, surgeon’s comfort