Clinical Study

Perceived Pain during Cataract Surgery with Topical Anesthesia: A Comparison between First-Eye and Second-Eye Surgery

Table 3

Differences between two subgroups of patients who underwent bilateral sequential cataract surgery.

ParameterMore pain ()Same or less pain () value

Mean age (y) ± SD71 ± 1166 ± 80.073
Gender (male/female)11/2011/110.300
Median pain (range)
 VAS-pain2 (1, 8)1.5 (0, 4)0.032
 Wong-Baker Faces Pain Rating Scale2 (0, 6)2 (0, 6)0.003
Median value of anxiety (range)
 STAI6 (6, 24)9.5 (6, 17)0.566
 VAS anxiety1 (0, 8)1.5 (0, 5)0.293
Median cataract (range)
 Nuclear3 (2, 3)3 (2.5, 4)0.260
 Cortical0 (0, 1)0 (0, 1)0.513
 Posterior subcapsular0 (0, 1)0 (0, 1)0.807
Mean operating room time (min) ± SD10 ± 210 ± 40.831
Mean phacoemulsification time (min) ± SD0.7 ± 0.31 ± 0.80.061
SBP/DBP (mmHg) ± SD
 Preoperative147 ± 21/82 ± 11145 ± 25/83 ± 140.760/0.815
 Intraoperative153 ± 23/85 ± 13155 ± 22/89 ± 140.769/0.335
 Postoperative 146 ± 23/79 ± 13 140 ± 22/78 ± 150.326/0.640
Mean arterial pressure (mmHg) ± SD
 Preoperative104 ± 13103 ± 170.959
 Intraoperative108 ± 15110 ± 160.660
 Postoperative102 ± 1599 ± 150.451
Heart rate (bpm) ± SD
 Preoperative76 ± 1373 ± 150.418
 Intraoperative76 ± 1276 ± 140.960
 Postoperative75 ± 1171 ± 170.203

Mean arterial pressure = systolic pressure × 1/3 + diastolic pressure × 2/3.
Significantly different between the two groups (two-tailed Wilcoxon test).
SD, standard deviation; VAS, visual analog scale, STAI, State-Trait Anxiety Inventory; SBP, systolic blood pressure; DBP, diastolic blood pressure.