Pain in patients who have undergone retinal surgery: a review of a research project

Abstract

Aims: This research project was used to ascertain: whether patients suffer from pain after retinal detachment surgery at Moorfields Eye Hospital, London, UK; if the care being delivered in relation to patients’ pain levels is satisfactory; if enough is being done in relation to education postoperatively regarding pain levels. Methods: A total of 40 patients were sampled and randomly selected into two groups of 20 patients. The first 20 patients (control group) were given a visual pain scoring chart and a form to fill in at certain times postoperatively to monitor their pain levels, how they controlled their pain and whether these methods were effective in pain control. Verbal information was given to them as it is at present, but they did not receive any written information. The second group of 20 patients (advice group) also received a visual pain scoring chart and a form to fill in at certain times postoperatively to monitor their pain levels, how they controlled their pain and whether these methods were effective in pain control. These patients had the same verbal information given to them as the first group, but in addition they also received detailed written information on what to do if they had any pain, with contact telephone numbers to phone for advice. Results: There was little difference in the results between the two groups, with the majority of patients reporting the surgical procedure to be less painful than they had expected. However, both groups wanted to recieve the information regarding pain prior to their admission so they could be prepared at home with the recommended pain relief. Conclusion: This research project has alerted the staff involved into preparing patients for retinal detachment surgery to ensure they have the correct knowledge regarding pain relief prior to their admission for surgery.