title: A prospective study on postoperative pain after cataract surgery.
abstract: OBJECTIVE
  To evaluate postoperative pain and early recovery in cataract patients.
  
  
  METHODS
  A total of 201 patients who underwent elective first eye cataract extraction surgery were enrolled, and 196 were included in the final analysis. The study design was a single-center, prospective, follow-up study in a tertiary hospital in eastern Finland. Postoperative pain was evaluated with the Brief Pain Inventory at four time points: at baseline, and at 24 hours, 1 week, and 6 weeks postsurgery.
  
  
  RESULTS
  Postoperative pain was relatively common during the first hours after surgery, as it was reported by 67 (34%) patients. After hospital discharge, the prevalence decreased; at 24 hours, 1 week, and 6 weeks, 18 (10%), 15 (9%) and 12 (7%) patients reported having ocular pain, respectively. Most patients with eye pain reported significant pain, with a score of ≥4 on a pain scale of 0-10, but few had taken analgesics for eye pain. Those who had used analgesics rated the analgesic efficacy of paracetamol and ibuprofen as good or excellent. Other ocular irritation symptoms were common after surgery; as a new postoperative symptom, foreign-body sensation was reported by 40 patients (22%), light sensitivity by 29 (16%), burning by 15 (8%), and itching by 15 (8%).
  
  
  CONCLUSIONS
  Moderate or severe postoperative pain was relatively common after cataract surgery. Thus, all patients undergoing cataract surgery should be provided appropriate counseling on pain and pain management after surgery.
authors.affiliation: Department of Anesthesia and Operative Services, Kuopio University Hospital, School of Medicine, University of Eastern Finland, Kuopio, Finland.
authors.forename: Susanna
authors.initials: S
authors.lastname: Porela-Tiihonen
authors.forename: Kai
authors.initials: K
authors.lastname: Kaarniranta
authors.forename: Merja
authors.initials: M
authors.lastname: Kokki
authors.forename: Sinikka
authors.initials: S
authors.lastname: Purhonen
authors.forename: Hannu
authors.initials: H
authors.lastname: Kokki
keywords: aged; cataract extraction; eye; follow-up study; phacoemulsification; recovery; refractive surgical procedures