ISSN : 2663-2187

Comparison of patient anxiety, pain perception, AC reaction between 1st and 2nd eye cataract surgery in a tertiary care centre in Tamil Nadu

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Dr Abijith Vasan Kumaran, Dr Adnan Mohamed Matheen, Dr Shankar Chokkalingam, Dr Ishwarya R, Dr Anantha Lakshmi Chittode Kodumudi
» doi: 10.33472/AFJBS.6.6.2024.1959-1965

Abstract

Background: Cataract remains one of the most significant cause of blindness in the world. Effective pain and anxiety management during cataract surgery are crucial for patient comfort and procedure prognosis. Objectives:1. To determine preoperative anxiety and information scores using the Amsterdam Preoperative Anxiety and Information Scale (APIAS). 2. To assess postoperative pain using the Numerical Pain Rating Scale 6 hours post-surgery. 3. To compare anxiety and pain perception between the first and second cataract surgeries. 4. To compare the anterior chamber reaction post first and second cataract surgery. Methodology:The study, conducted over a year in the Department of Ophthalmology, included 75 patients undergoing successive cataract surgeries. Preoperative anxiety and information scores, postoperative pain, comfort, and anterior chamber (AC) cell count were assessed. Statistical analysis and ethical considerations were applied. Results:Participants exhibited a mean age of 60 ± 8 years, with a female preponderance of 58.3%. The first cataract surgery group showed significantly higher preoperative anxiety and information scores, lower postoperative pain, and higher postoperative comfort. AC cell counts increased in subsequent surgeries. Conclusion: Elevated anxiety and patient seeking more information were noted in initial surgeries, while subsequent surgeries were associated with increased pain, anterior chamber reaction and decreased comfort. These findings underscore the importance of tailored interventions and counselling to enhance patient experiences, meet expectations and satisfaction during sequential cataract surgeries.

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