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Prevalence Of Postoperative Pain In Eye Surgery Following General Anaesthesia Based On

Type Of Eye Surgery

Wan Anis Wan Lokman ' , Andriamuri Primaputra Lubis2

1 Graduate Student for Bachelor Degree, Faculty of Medicine, University Sumatera Utara, H.
Adam Malik General Hospital, Medan, Indonesia
2Senior Consultant, Department of Anesthesiology & Intensive Care, Faculty of Medicine,
University Sumatera Utara, H. Adam Malik General Hospital, Medan, Indonesia

ABSTRACT

Introduction
Pain following eye surgery is a one of the leading cause for postoperative discomfort. The level
of pain is influenced by several aspects, such as age, duration and type of surgery. In general,
eye surgery is divided into two, intraocular and extraocular procedures both induce different level
of pain. Therefore, we studied the prevalence of postoperative pain following general anesthesia
based on type of eye surgery.

Method
This study is an observational descriptive research using patient's interview as primary data.
A total of 51 patients who had general anaesthesia from September - November 2015 were
included in the study. Pain was evaluated by Visual Analogue Scale(VAS) using numeric scale
score from 1-10, taken in the period of 8,16 and 24 hours following eye surgery.

Results
82.3% patients complained of pain following eye surgery. 64.7% patients and 17.6% patients
following intraocular and extraocular surgery, respectively had pain. In most of the patients, the
pain score was ranging between 1-3 score (Mild). 76.5% patients had pain during the first 8 hours
following surgery and it gradually decreased with time.

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Conclusion
Mild pain was perceived by patients following intraocular surgery mostly in early postoperative
period and it gradually decreased with time.

Keywords: pain, eye surgery, general anesthesia

References
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Topics in Pain. New York: Cambridge University Press, 161.

3. O'Brien. PO, Ho SL, Fitzpatrick P, Power W. 2007. Risk factor for a postoperative
intraocular pressure spike after phacoemulsification. Can J Opthalmol ; 42: 51-5.

4. Smith Howard S., et aI., 2008. Opioids for Pain. In: Pain and Chemical Dependency. USA
:Oxford University Press. 183-185

5. Sulastomo, 2007. Manajemen Kesehatan . Gramedia Pustaka Utama, Jakarta

6. Whitten E Christine., et ai , 2005. Pain Management Doesn't have to be a pain : Working


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