Posters

Pain catastrophising score (PCS): a predictor of intraoperative patient behaviour and outcomes of cataract surgery

Poster Details

First Author: N.Bhuta INDIA

Co Author(s):    R. Shetty   V. Lalgudi Ganesan   P. Paritekar   N. Balakrishnan           

Abstract Details

Purpose:

Various patients perceive pain differently. With the aid of this questionnaire we gauge the different levels of sensitivity to pain that patients perceive, hence enabling us to predict Intraoperative Patient Behavior and Outcomes of Cataract Surgery.

Setting:

This study was conducted on patients undergoing Cataract Surgery at Narayana Nethralaya Bangalore after prior ethics committee  approval.

Methods:

100 patients undergoing Cataract Surgery at Narayana Nethralaya were given the PCS questionnaire preoperatively. PCS scores were evaluated and graded as low or high. Patients with high scores were deemed to perceive pain poorly and were hence operated under Peribulbar Anaesthesia. All patients with low PCS scores were operated under Topical Anesthesia.

Results:

87 of the 100 patients had low PCS scores and hence were operated under Topical Anesthesia. Only 1 of these 87 patients had pain intraoperatively. This was statistically insignificant . 13 of the 100 patients had high PCS scores and were administered a Peribulbar block preoperatively. None of these 13 patients showed signs of pain or discomfort intraoperatively.

Conclusions:

PCS was an appropriate Questionnaire to assess the perception of Pain preoperatively in patients undergoing Cataract Surgery. Poor Pain perception of only 1 of the 100 patients undergoing Cataract Surgery was not picked up with the PCS Questionnaire. The questionnaire was easily comprehendible and barely took 5 minutes to fill preoperatively. Use of this questionnaire could be included as a part of the preoperative regimen to predict intraoperative patient behavior and hence ensure successful surgical outcomes.

Financial Disclosure:

None