Patient perceptions of second eye clear corneal cataract surgery using assisted topical anaesthesia

Abstract

AimTo assess patient recall of intraoperative pain, anxiety, fear, and sensory (visual and auditory) perceptions during second eye clear corneal cataract surgery using assisted topical anaesthesia (ATA), in comparison with first eye cataract surgery using the same technique.MethodsThis prospective, consecutive, observational study was conducted in a free-standing dedicated ophthalmic day surgery centre. A voluntary questionnaire was distributed to 129 consecutive patients who underwent clear corneal cataract surgery using ATA. Two patients had to be converted to block anaesthesia, and were excluded.Patients were asked to rate intraoperative pain, anxiety, and fear using a visual analogue scale (VAS), and recollection of intraoperative visual and auditory perceptions. Results were analysed using the Mann–Whitney U and Spearman correlation tests.ResultsThere were 70/127 (55%) patients undergoing first eye cataract surgery and 57/127 (45%) undergoing second eye surgery. There was no significant difference in mean pain, anxiety, and fear scores between those undergoing the second eye operation compared with those undergoing their first eye operation. Similarly, there was no significant difference in sensory perceptions between the two cohorts. Overall, there was a small but significant positive correlation between recall of visual and auditory perceptions and combined pain, fear, and anxiety scores (r=0.33, P=0.0002).ConclusionThere was no significant difference in levels of intraoperative pain, anxiety, fear, and sensory perceptions experienced by patients between the first eye and second eye surgeries. We recommend that preoperative counselling for a patient's second eye be as comprehensive as for the first eye surgery.

DOI: 10.1038/sj.eye.6702711

Statistics

050020102011201220132014201520162017
Citations per Year

843 Citations

Semantic Scholar estimates that this publication has 843 citations based on the available data.

See our FAQ for additional information.

Cite this paper

@article{Sharma2008PatientPO, title={Patient perceptions of second eye clear corneal cataract surgery using assisted topical anaesthesia}, author={Narian S Sharma and J-L Ooi and Edwin C Figueira and Michael L. Rosenberg and Katherine Masselos and Daya Papalkar and Nirosha Paramanathan and Ian Francis and Stella L Alexander and N I Ferch}, journal={Eye}, year={2008}, volume={22}, pages={547-550} }