Satisfaction Of Patients In Relation To The Surgical Moment When They Have Cataract Surgery With Topical Anaesthesia Without Sedation.
Published 2023 - 41st Congress of the ESCRS
Reference: PO0454 | DOI: 10.82333/fxy8-4p25
Authors: Cristina Montón Giménez 1 , Álvaro Sánchez Ventosa* 2 , Esther Mata Díaz 3 , Eduardo Conesa Hernández 4 , Pilar Méndez Cepeda 5
1Hospital Universitario Severo Ochoa,Leganés,Spain, 2Hospital La Arruzafa,Córdoba,Spain, 3Hospital Cruz Roja,Madrid,Spain, 4Hospital Infanta Sofía,San Sebastián de los Reyes,Spain, 5Complejo Hospitalario Universitario de Ferrol,Ferrol,Spain
To compare the subjective ocular experience of cataract patients with topical and intraocular anaesthesia when they have had previous preoperative extended assessment vs. usual counselling.
Severo Ochoa University Hospital. We present 40 cases of patients who have had cataract surgery by phacoemulsification and intraocular lens implantation in the posterior chamber under topical and intraocular anaesthesia without sedation.
The surgeries were performed by the same surgeon. Patients answered a satisfaction questionnaire 24 hours after surgery.
The patients were randomly divided into two equal groups. The first group were carefully explained the sensations they would perceive during the surgery and how they should collaborate.
The second group were given the usual explanations instead.
The explanations regarding ocular sensations included: perception of lights, pressure sensation, itching sensation and watery sensation on the eye.
The recommendations were not to cough or sneeze, advice on how to avoid it (to moisten the throat periodically) or warn the doctor if they could not avoid it, and do not perform intra-abdominal pressure.
The majority of patients with higher satisfaction regarding the surgical moment belonged to the group with previous extended counselling.
Fear and anxiety can cause some patients not to cooperate during surgery. In addition, they can induce hypertension by stimulating the sympathetic response. These effects are not desirable since most patients with cataracts are elderly and have comorbidity.
Proper preoperative counselling is effective to reduce fear in patients and encourage collaboration, thus decreasing the possibility of intraoperative complications and increasing their satisfaction. It can reduce the need of sedation and cause fewer side effects in elderly people.
The surgeon and the anaesthetist can use these results to reassure patients during surgery.