Evaluation of Factors Affecting Post Cataract Surgery Headache

Document Type : Original Article (s)

Authors

1 Associate Professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Student of Medicine, School of Medicine AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Prevalence of post-surgery headache is different based on the type of operation, but there are no reports on prevalence of headache after cataract surgery. Therefore, in this study we have investigated the factors that influence this kind of headache.Methods: This study was performed on 770 patients undergoing cataract surgery. After collecting demographic information, patients underwent phacoemulsification and extracapsular cataract surgery. The data about headache after recovery period and 24 hours after surgery, surgery type, anesthesia method and drugs consumption was also recorded. The variables were analyzed using t-test, chi-square and Mann-Whitney tests.Findings: The incidence of headache in recovery period was higher among men (44.8%) (P < 0.001), extracapsular technique (57.1%) (P < 0.004), in general anesthesia (43.8%) (P < 0.004), the use of fentanyl (46.2%) (P < 0.05), in patients with a history of headache (69.5%) (P < 0.001), in patients without a history of caffeine consumption (50.5%) (P < 0.001), with no history of using analgesic drugs (41.4%) (P < 0.001), eye pain (41.6 %) (P < 0.001) and surgery in the afternoon (39.3%) (P < 0.001). Similarly, 24 hours after surgery, this number was higher in extracapsular technique (39.1%) (P < 0.001), the use of fentanyl (25.8%) (P < 0.027), surgery lasting more than 30 minutes (40.0%) (P < 0.001), in patients with a history of headache (32.0%) (P < 0.001), in patients with a history of sinusitis (19.4%) (P < 0.001), in patients without a history of smoking and drug abuse (18.3%) (P < 0.001) and surgery in the afternoon (17.2%) (P < 0.027).Conclusion: The prevalence of headache in patients undergoing cataract surgery is high and the risk factors are male, general anesthesia, use of fentanyl, extracapsular surgery, history of previous headaches, sinusitis, pain of eye after surgery and patients without a history of caffeine, cigarettes and analgesic drug use.

Keywords

References

  1. Sharon R, Rayhill ML, Kurth T, Loder E. Headache rounds: sudden, transient neurologic symptoms in a woman with migraine. Headache 2015; 55(9): 1274-82.
  2. Yuan H, Silberstein SD. Vagus nerve stimulation and headache. Headache 2015.
  3. Mosek AC, Dodick DW, Ebersold MJ, Swanson JW. Headache after resection of acoustic neuroma. Headache 1999; 39(2): 89-94.
  4. Barnett SL, Whittemore B, Thomas J, Samson D. Intradural clinoidectomy and postoperative headache in patients undergoing aneurysm surgery. Neurosurgery 2010; 67(4): 906-9.
  5. Faithfull NS. Post-operative headache--a multifactorial analysis. Eur J Anaesthesiol 1991; 8(1): 59-63.
  6. Atlee JL. Complications in anesthesia. Philadelphia, PA: Saunders; 1999.
  7. Ryzenman JM, Pensak ML, Tew JM. Headache: a quality of life analysis in a cohort of 1,657 patients undergoing acoustic neuroma surgery, results from the acoustic neuroma association. Laryngoscope 2005; 115(4): 703-11.
  8. Weber JG, Ereth MH, Danielson DR. Perioperative ingestion of caffeine and postoperative headache. Mayo Clin Proc 1993; 68(9): 842-5.
  9. Prata TS, Ushida M, Dorairaj S. Cataract surgery alone cannot be considered an IOP-lowering procedure for open-angle glaucoma patients: an evidence-based perspective. Arq Bras Oftalmol 2015; 78(5): V-VI.
  10. Hashemi H, Alipour F, Rezvan F, Khabazkhoob M, Alaeddini F, Fotouhi A. Intraoperative complications of cataract surgeries in Iran: 2000-2005 Iranian cataract surgery survey. Iran J Ophthalmol 2011; 23(1): 3-10.
  11. Gil-Gouveia R, Fonseca A. Cluster headache after cataract surgery. Clin J Pain 2013; 29(11): e19-e21.
  12. Maggioni F, Dainese F, Mainardi F, Lisotto C, Zanchin G. Cluster-like headache after surgical crystalline removal and intraocular lens implant: a case report. J Headache Pain 2005; 6(2): 88-90.
  13. Manzoni GC. Cluster headache and lifestyle: remarks on a population of 374 male patients. Cephalalgia 1999; 19(2): 88-94.
Journal of Isfahan Medical School
Volume 34, Issue 370 - Serial Number 370
January and February 2016
Pages 56-63

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History

  • Receive Date: 27 October 2015
  • Revise Date: 27 May 2024
  • Accept Date: 06 April 2022

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