This cross-sectional study was carried out in Aga Khan University Hospital, a tertiary care hospital, in Karachi, Pakistan from August 2010 to July 2011. We examined the visual experience and its associated fear among patients undergoing phacoemulsification cataract surgery under topical anaesthesia. This phenomenon has not been studied in Pakistan to-date. Taking this information into consideration allows the introduction of effective methods of eliminating the patient's negative feelings in connection with cataract surgery, which leads to an improvement in the results of the operation and an increase in the patients' sense of satisfaction and quality of life.ĭata from several published studies indicate that patients undergoing phacoemulsification cataract surgery can experience a variety of visual sensations which can result in fear.
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In order to reduce patients' negative experiences, pharmacological sedation, preoperative education and counselling, manual massage immediately before surgery, and listening to music during surgery are used. Patients operated on both eyes experienced greater fear and anxiety before the operation of the first eye surgery. The greatest intensity of negative emotions occurred on the day of the cataract surgery. Women and hypochondriacs showed higher levels of anxiety.
Abstaining and visual sensations experienced during cataract surgery also increased the preoperative anxiety. Anxiety is mainly caused by fear of the surgery itself, fright of pain, and loss of vision. The objective of this review was to determine the causes and frequency of fear and anxiety, as well as methods for improving intraoperative experience and supporting the patient prior to surgery. A systematic review of the recent literature regarding the emotional states experienced during cataract surgery under local anaesthesia was performed based on the PubMed and Scopus databases. Patients usually experience strong negative emotions, such as fear and anxiety. Cataract surgery is one of the most frequently performed surgical procedures worldwide.
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