Management of post-photorefractive keratectomy pain

Fasika A Woreta; Arusha Gupta; Bradley Hochstetler; Kraig S Bower

doi:10.1016/j.survophthal.2012.11.004

Management of post-photorefractive keratectomy pain

Surv Ophthalmol. 2013 Nov-Dec;58(6):529-35. doi: 10.1016/j.survophthal.2012.11.004.

Authors

Fasika A Woreta¹, Arusha Gupta, Bradley Hochstetler, Kraig S Bower

Affiliation

¹ Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, Maryland, USA.

PMID: 24160728
DOI: 10.1016/j.survophthal.2012.11.004

Abstract

Photorefractive keratectomy (PRK) is a refractive procedure gaining popularity that eliminates the risk of ectasia and flap complications that can occur after laser in situ keratomileusis. Post-operative discomfort is a major drawback after PRK and thus the management of pain and discomfort following PRK is of great importance. We summarize corneal pain pathways and summarize current approaches to pain management after PRK.

Keywords: LASEK; epi-LASIK; gabapentin; nonsteroidal anti-inflammatory drug; pain; photorefractive keratectomy; sumitriptan; topical anesthetics; topical morphine.

Publication types

Review

MeSH terms

Eye Pain / etiology
Eye Pain / therapy*
Humans
Lasers, Excimer / therapeutic use*
Pain Management*
Pain, Postoperative*
Photorefractive Keratectomy*