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KMID : 0213520230370030201
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Korean Journal of Ophthalmology
2023 Volume.37 No. 3 p.201 ~ p.206
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Comparison of Pain between First and Second Operated Eyelids after Upper Eyelid Blepharoplasty
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Mehmet Icoz
Bilge Tarım
Sule Gokcek Gurturk Icoz
Emine Kalkan Akca
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Abstract
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Purpose: To evaluate and compare intraoperative pain during upper eyelid blepharoplasty (UEB) between on first and secondoperated eyelids.
Methods: In this cross-sectional observational study, the patients were divided into two groups, with group 1 representing40 patients whose surgery was first started on the right and group 2 representing the other 40 patients who started surgeryon the left first. UEB was performed to all patients by the same surgeon under the same and equal amount of local anesthesia.
Degree of pain felt during surgery on first and second operated eyelid was evaluated with the visual analoge scale (VAS)and Wong-Baker Facial Pain Expression Scale (WBFPES) of all patients immediately after surgery and was compared usingpaired t-test.
Results: There were 20 female and 20 male patients in both groups. In group 1, the VAS value was 2.8 ± 1.5 and WBFPESvalue was 2.7 ± 1.6 UEB in the first operated eyelid; the VAS value was 4.1 ± 1.8 and WBFPES value was 3.9 ± 1.8 UEB in thesecond operated eyelid. A significant difference was found between pains felt during first and second operated eyelid UEBregarding VAS and WBFPES values in group 1 (p = 0.003 and p = 0.002, respectively). In group 2, the VAS value was 1.9 ± 1.0and WBFPES value was 2.0 ± 1.0 UEB in the first operated eyelid; the VAS value was 3.0 ± 1.5 and WBFPES value was 2.8 ± 1.6UEB in the second operated eyelid. A significant difference was found between pains felt during first operated and secondoperated eyelid UEB regarding VAS and WBFPES values in group 2 (p = 0.009 and p = 0.005, respectively).
Conclusions: To the best of our knowledge, this study is the first to evaluate which eyelid is more painful during surgery inUEB. Patients tend to feel more pain during surgery on the second operated eyelid. Therefore, surgeons should consider usinglocal anesthetics with more volume or longer duration in the second operating eyelid in light of this information and patientsshould be given detailed information about pain.
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KEYWORD
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Blepharoplasty, Eyelid, Pain, Visual analog scale
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