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Post Operative Pain Management Following Pterygium Surgery

Phase 4
Completed
Conditions
Pain severity following pterygium excision (with free conjunctival graft and glue)
Eye - Diseases / disorders of the eye
Anaesthesiology - Pain management
Registration Number
ACTRN12616001125415
Lead Sponsor
Waikato Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
32
Inclusion Criteria

Age >18
Primary nasal pterygium excision with conjunctival graft and glue
Understands the risks/benefits of the study
Able to give consent

Exclusion Criteria

Recurrent pterygium
Multiple pterygiums present in the operated eye
Surgery performed under general anaesthesia
Suture required during surgery

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
All patients will be asked to complete a questionaire for days 3 post surgery. Ms Hughes will contact patients daily for four days and document the following variables (pain, irritation, light sensitivity) as well as total pain relief consumed. . .<br><br>Pain score graded on a continous scale from 1-10. <br>0 = no pain<br>10 = severe pain<br><br>Patients always receive a drop of topical anaesthetic (tetracaine 1%) immediately prior to surgery. This drop causes a stinging senation/pain in the eye.. As pain is a subjective experience, patients will be asked to quantify their pain following instillation of topical anaesthetic. This information will allow adjustments to be carried out for individual pain tolerance when interpreting pain scores.[Daily assessment of pain for three days postoperatively.]
Secondary Outcome Measures
NameTimeMethod
Irritation graded as none/mild/moderate/severe[Irritation severity graded daily for three days postoperatively.];Light sensitvity as graded as none/mild/moderate/severe[Light sensitivity severity grade daily for three days postoperatively.];Ms Hughes will contact patients daily for four days to assess the total amount and type of pain relief consumed each day. The questionnaire also asks patients to self report the type (and time) of pain relief consumed each day based on a list of options ie paracetamol 1g QID/prn, ibuprofen 400mg TDS/prn (with food) and tramadol 50mg QID/prn. [Total pain relief consumed daily for the first three postoperative days.]
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