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Year : 2012  |  Volume : 5  |  Issue : 2  |  Page : 138  

Authors' reply

Department of Ophthalmology, Chatrapati Sahuji Maharaaj University, Lucknow, India

Date of Web Publication4-Aug-2012

Correspondence Address:
Sanjiv K Gupta
Department of Ophthalmology, Chatrapati Sahuji Maharaaj Medical University, Lucknow, U.P.
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Source of Support: None, Conflict of Interest: None

PMID: 22993480

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How to cite this article:
Gupta SK. Authors' reply. Oman J Ophthalmol 2012;5:138

How to cite this URL:
Gupta SK. Authors' reply. Oman J Ophthalmol [serial online] 2012 [cited 2022 May 28];5:138. Available from: https://www.ojoonline.org/text.asp?2012/5/2/138/99388


We thank Colin et al. for their interest in the publication and are grateful for their constructive and encouraging comments.

Their comment on necessity to identify the factors affecting patient's cooperation during surgery under topical anaesthesia is agreed upon by us as well. Pain perception during the surgery is one of the factors which can affect the patient's cooperation during surgery under local anaesthesia. As stated in our article [1] pain perception, reporting and tolerance are variable among individuals and besides other factors gender is also one of them. However, there are contradictory reports regarding relation between gender and pain perception, reporting and tolerance as highlighted by the studies mentioned in the communication received from Colin et al. [2],[3]

As mentioned in the communication the average pain score as reported by the patients was more in the female group when compared to the male counterparts but was not statistically significant. We agree that a larger sample size may provide relatively stronger conclusive evidence, but it will be premature to say whether this will prove if the pain perception is different among the two genders. Nevertheless a larger study is warranted for a definite answer.

We congratulate Colin et al. for their observation and raising the research question regarding the possibility of gender based differences in pain perception and reporting among patients having significant pain during cataract surgery under topical anaesthesia.

   References Top

1.Gupta SK, Kumar A, Agarwal S. Cataract surgery under topical anesthesia: Gender-based study of pain experience. Oman J Ophthalmol 2010;3:140- 4.  Back to cited text no. 1
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2.Gillow T, Scotcher SM, Deutsch J, While A, Quinlan MP. Efficacy of supplementary intracameral lidocaine in routine phacoemulsification under topical anesthesia. Ophthalmology 1999;106:2173-7.  Back to cited text no. 2
3.Tan CS, Fam HB, Heng WJ, Lee HM, Saw SM, Au Eong KG. Analgesic effect of supplemental intracameral lidocaine during phacoemulsification under topical anaesthesia: A randomised controlled trial. Br J Ophthalmol 2011;95:837-41.  Back to cited text no. 3


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