JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (6): 60-63.doi: 10.6040/j.issn.1673-3770.0.2015.205

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Postoperative pain and corneal irritation after surface corneal refractive surgery

CUI Changxia1, TAO Xiangchen2, ZHU Wei3   

  1. 1. Physical Examination Center, Jinan Central Hospital Affiliated to Shandong University, Jinan 250013, Shandong, China;
    2. Department of Ophthalmology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China;
    3. Department of Ophthalmology, Jinan Central Hospital Affiliated to Shandong University, Jinan 250013, Shandong, China
  • Received:2015-05-27 Online:2015-12-16 Published:2015-12-16

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Abstract: Objective To investigate the postoperative pain and corneal irritation after superficial corneal refractive surgery by different surgical procedures. Methods A total of 600 cases (1 200 eyes) of surface corneal refractive surgery were divided into 3 groups according to different operation methods as photorefractive keratectomy group (PRK group), laser epithelial keratomileusis group (LASEK group) and epipolis laser in-situ keratomileusis group (Epi-LASIK group). The pain index and corneal irritation among the three groups were compared. Results On day 1 after surgery, there was no statistical difference in the pain index and corneal irritation between PRK group and LASEK group, but there was statistical difference between Epi-LASIK group and the other two groups. On day 2 and 3 postoperatively, there was statistical difference between the PRK group and the other two groups, but there was no statistical difference between LASEK group and Epi-LASIK group. One day 5 after surgery, there was no difference among the three groups. Conclusion The pain after surface corneal refractive surgery is the major factor of postoperative discomfort for patients. Postoperative pain index and corneal irritation are different for different operation methods.

Key words: Pain, Photorefractive keratectomy, Laser epithelial keratomileusis, Epipolis laser in-situ keratomileusis

CLC Number: 

  • R778.1
[1] Rudolf A, Jaroslav R. Laser-assisted subepithelial keratectomy and photorefractive keratectomy for the correction of hyperopia: Results of a 2-year follow-up [J]. J Cataract Refract Surg, 2003, 29(11):2105-2114.
[2] 王勤美. 屈光手术学[M]. 北京: 人民卫生出版社, 2011:81-122.
[3] Ghoreishi M, Attarzadeh H. Alcohol-assisted versus mechanical epithelium removal in photorefractive keratectomy [J]. J Ophthalmic Vis Res, 2010, 5(4):223-227.
[4] Ghadhfan F, AL-Rajhi A, Wagoner M D. Laser in situ keratomileusis versus surface ablation: visual outcomes and complications[J]. J Cataract Refract Surg, 2007, 33(12):2041-2048.
[5] Angunawela R I, Winkler von Mohrenfels C, Kumar A, et al. Live or let die: epithelial flap vitality and keratocyte proliferation following LASEK and epi-LASIK in hurnan donor and porcine eyes[J]. J Refract Surg, 2011, 27(2):111-118.
[6] Kim J H, Lim T, Lee H G, et al. Bilateral comparison of conventional epithelial laser in situ keratomileusis and lamellar epithelial debridement for moderate to high myopia[J]. Cornea, 2010, 29(8):853-857.
[7] O'Doherty M, Kirwan C, O'Keeffe M, et al. Postoperative pain following Epi-LASIK, LASEK, and PRK for myopia [J]. J Refract Surg, 2007, 23(2):133-138.
[8] 刘维锋, 杜之渝, 赵武校, 等. 兔Epi-LASIK术后早期角膜创伤愈合反应的研究[J]. 眼科研究, 2008, 26(2):92-95. LIU Weifeng, DU Zhiyu, ZHAO Wuxiao, et al. Early corneal wound healing response after epipolis laser in-situ keratomileusis in rabbits [J]. Chin Ophthal Res, 2008, 26(2):92-95.
[9] 钱志刚, 柯敏, 黄刚, 等. PRK与LASEK治疗近视比较的Meta分析[J]. 中华眼视光与视觉科学杂志, 2012, 14(9): 530-535. QIAN Zhigang, KE Min, HUANG Gang, et al. Photorefractive keratectomy versus laser subepithelial keratectomy (LASEK) for the correction of myopia: a meta-analysis [J]. Chin J Optometry Ophthalmol, 2012, 14(9):530-535.
[10] Magone M T, Engle A T, Easter T H, et al. Flap-off epi-LASIK versus automated epithelial brush in PRK: a prospective comparison study of pain and reepithelialization times[J]. J Refract Surg, 2012, 28(10):682-688.
[11] Doherty M, Kirwan, Keeffe M. Postoperative pain following Epi-LASIK, LASEK, and PRK for myopia[J]. J Refract Surg, 2007, 23(2):133-138.
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