Abstract
The experience of 55 consecutive individuals undergoing outpatient vitreoretinal surgery was evaluated. Objective variables, including preoperative and intraoperative information, subjective postoperative pain, and discomfort were measured with a previously validated 100 mm visual analogue scale. Patients also ranked the overall experience. Average pain and discomfort scores in the recovery room were 21.8 and 22.6 and overnight were 26.7 and 30.4 (scale 0 to 100), respectively. Eighty eight per cent of subjects were satisfied with the experience. Elevated pain and discomfort scores were statistically correlated with scleral buckling, prolonged surgical or recovery room time, requirement for parenteral pain medications, and high intraocular pressure on the first postoperative visit. None of the patients needed further hospital treatment. This study suggests that vitreoretinal surgery in an appropriately selected population does not require routine inpatient care.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Beaver W. T., Forbes J. A., Shackleford R. W. A method for the 12-hour evaluation of analgesic efficacy in outpatients with postoperative oral surgery pain. Three studies of diflunisal. Pharmacotherapy. 1983 Mar-Apr;3(2 Pt 2):23S–37S. [PubMed] [Google Scholar]
- Block P. C., Ockene I., Goldberg R. J., Butterly J., Block E. H., Degon C., Beiser A., Colton T. A prospective randomized trial of outpatient versus inpatient cardiac catheterization. N Engl J Med. 1988 Nov 10;319(19):1251–1255. doi: 10.1056/NEJM198811103191904. [DOI] [PubMed] [Google Scholar]
- Callahan L. F., Brooks R. H., Summey J. A., Pincus T. Quantitative pain assessment for routine care of rheumatoid arthritis patients, using a pain scale based on activities of daily living and a visual analog pain scale. Arthritis Rheum. 1987 Jun;30(6):630–636. doi: 10.1002/art.1780300605. [DOI] [PubMed] [Google Scholar]
- Freeman L. N., Schachat A. P., Manolio T. A., Enger C. Multivariate analysis of factors associated with unplanned admission in 'outpatient' ophthalmic surgery. Ophthalmic Surg. 1988 Oct;19(10):719–723. [PubMed] [Google Scholar]
- Gross J. G., Meyer D. R., Robin A. L., Filar A. A., Kelley J. S. Increased intraocular pressure in the immediate postoperative period after extracapsular cataract extraction. Am J Ophthalmol. 1988 May 15;105(5):466–469. doi: 10.1016/0002-9394(88)90236-x. [DOI] [PubMed] [Google Scholar]
- Isernhagen R. D., Michels R. G., Glaser B. M., de Bustros S., Enger C. Hospitalization requirements after vitreoretinal surgery. Arch Ophthalmol. 1988 Jun;106(6):767–770. doi: 10.1001/archopht.1988.01060130837035. [DOI] [PubMed] [Google Scholar]
- Karhunen U., Summanen P., Laatikainen L. Concomitant problems to the anaesthesia of diabetic vitrectomy patients. Acta Ophthalmol (Copenh) 1987 Apr;65(2):190–196. doi: 10.1111/j.1755-3768.1987.tb06999.x. [DOI] [PubMed] [Google Scholar]
- Mein C. E., Woodcock M. G. Local anesthesia for vitreoretinal surgery. Retina. 1990;10(1):47–49. [PubMed] [Google Scholar]
- Ohnhaus E. E., Adler R. Methodological problems in the measurement of pain: a comparison between the verbal rating scale and the visual analogue scale. Pain. 1975 Dec;1(4):379–384. doi: 10.1016/0304-3959(75)90075-5. [DOI] [PubMed] [Google Scholar]
- Seymour R. A., Meechan J. G., Blair G. S. An investigation into post-operative pain after third molar surgery under local analgesia. Br J Oral Maxillofac Surg. 1985 Dec;23(6):410–418. doi: 10.1016/0266-4356(85)90025-7. [DOI] [PubMed] [Google Scholar]
- Taenzer P., Melzack R., Jeans M. E. Influence of psychological factors on postoperative pain, mood and analgesic requirements. Pain. 1986 Mar;24(3):331–342. doi: 10.1016/0304-3959(86)90119-3. [DOI] [PubMed] [Google Scholar]
- Wilson D., Barr C. C. Outpatient and abbreviated hospitalization for vitreoretinal surgery. Ophthalmic Surg. 1990 Feb;21(2):119–122. [PubMed] [Google Scholar]