Current trends in pain management after photorefractive and phototherapeutic keratectomy

Purpose of review: Since the introduction of photoablative procedures, postoperative pain management has been a major challenge for both the patient and the surgeon. Over the years, significant advances have been made in our ability to overcome this challenge. The purpose of this article is to discuss the most current strategies for pain control after photorefractive keratectomy and phototherapeutic keratectomy. Recent findings: Methods for pain control can be targeted locally or systemically and can be pharmacological or nonpharmalogical. Options include anesthetics, NSAIDs, opiates, and anticonvulsants, as well as bandage contact lenses and corneal cooling. Summary: Literature and experience provide insight on the efficacy and safety of the many options for postphotorefractive keratectomy pain control. Generally, refractive surgeons are using a combination approach to achieve pain control with excellent results.