PMID- 32372954 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220414 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 11 DP - 2020 TI - Pain Following the Use of Anesthesia Formulation Among Individuals Undergoing Cataract Surgery: A Randomized Controlled Trial. PG - 440 LID - 10.3389/fphar.2020.00440 [doi] LID - 440 AB - PURPOSE: To assess the pain intensity of two intracameral anesthetic solutions in patients undergoing cataract surgery and evaluate the factors influencing the patients' postoperative activities. METHODS: Sixty-two patients undergoing cataract surgery were randomized to receive the study drug - a manufactured solution of 0.02% tropicamide/0.31% phenylephrine/1% lidocaine (Mydrane) or a traditional anesthetic formulation - solution of 1% lidocaine/0.025% adrenaline as an intraocular anesthetic. The pain intensity was assessed by Visual Analog Scale for Pain (VAS Pain) and Brief Pain Inventory-short form (BPI) on the next day after the surgery. RESULTS: The mean pain score measured preoperatively with VAS Pain was 0.34 in Mydrane group and 0.09 in the reference group (p = 0.51). There were no statistically significant differences between the two anesthetic methods with respect to pain intensity during the surgery (p = 0.94) and the influence of pain during the last 24 h on activity (p = 0.79), mood (p = 0.31), social contacts (p = 0.29), sleep (p = 0.5) and the joy of life (p = 0.39). Additionally, there was no statistically significant influence of age, sex, lateralization, co-existing ophthalmological diseases (p = 0.98) and post-operative complications (p = 0.4) on the experienced pain measured during the surgery and in the last 24 h. CONCLUSIONS: New commercially available intraocular anesthetic solution (Mydrane) seems to be as effective as off-label traditional anesthetic formulation, in reducing the pain experienced during cataract surgery under topical anesthesia. CI - Copyright (c) 2020 Toro, Nowakowska, Brzozowska, Reibaldi, Avitabile, Bucolo, Murabito, Chisari, Nowomiejska and Rejdak. FAU - Toro, Mario D AU - Toro MD AD - Department of General Ophthalmology, Medical University of Lublin, Lublin, Poland. AD - Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszynski University, Warsaw, Poland. FAU - Nowakowska, Dominika AU - Nowakowska D AD - Department of General Ophthalmology, Medical University of Lublin, Lublin, Poland. FAU - Brzozowska, Agnieszka AU - Brzozowska A AD - Department of Mathematics and Medical Biostatistics, Medical University of Lublin, Lublin, Poland. FAU - Reibaldi, Michele AU - Reibaldi M AD - Department of Ophthalmology, School of Medicine, University of Catania, Catania, Italy. FAU - Avitabile, Teresio AU - Avitabile T AD - Department of Ophthalmology, School of Medicine, University of Catania, Catania, Italy. FAU - Bucolo, Claudio AU - Bucolo C AD - Department of Biomedical and Biotechnological Sciences, School of Medicine, University of Catania, Catania, Italy. FAU - Murabito, Paolo AU - Murabito P AD - Department of General Surgery and Surgical Specialties, Division of Anesthesiology, Azienda Ospedaliero-Universitaria Policlinico, Catania, Italy. FAU - Chisari, Clara AU - Chisari C AD - Department "GF. Ingrassia", Section of Neurosciences, University of Catania, Catania, Italy. FAU - Nowomiejska, Katarzyna AU - Nowomiejska K AD - Department of General Ophthalmology, Medical University of Lublin, Lublin, Poland. FAU - Rejdak, Robert AU - Rejdak R AD - Department of General Ophthalmology, Medical University of Lublin, Lublin, Poland. LA - eng PT - Journal Article DEP - 20200416 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC7176993 OTO - NOTNLM OT - cataract surgery OT - intraocular anesthesia OT - lidocaine OT - ophthalmologic anesthesia OT - pain OT - phenylephrine OT - tropicamide EDAT- 2020/05/07 06:00 MHDA- 2020/05/07 06:01 PMCR- 2020/04/16 CRDT- 2020/05/07 06:00 PHST- 2019/11/24 00:00 [received] PHST- 2020/03/20 00:00 [accepted] PHST- 2020/05/07 06:00 [entrez] PHST- 2020/05/07 06:00 [pubmed] PHST- 2020/05/07 06:01 [medline] PHST- 2020/04/16 00:00 [pmc-release] AID - 10.3389/fphar.2020.00440 [doi] PST - epublish SO - Front Pharmacol. 2020 Apr 16;11:440. doi: 10.3389/fphar.2020.00440. eCollection 2020.