Comparison between Subjective Sensations during First and Second Phacoemulsification Eye Surgeries in Patients with Bilateral Cataract

Purpose. To evaluate and compare the subjective sensations reported by patients during first and second cataract extractions. Methods. Consecutive patients undergoing bilateral sequential cataract extraction using phacoemulsification were recruited. Following cataract surgery, patients completed que...

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Main Authors: Ji-guo Yu, Ting Ye, Qing Huang, Yi-fan Feng, Jue Wang, Xun-an Fu, Yi Xiang
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/6521567
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author Ji-guo Yu
Ting Ye
Qing Huang
Yi-fan Feng
Jue Wang
Xun-an Fu
Yi Xiang
author_facet Ji-guo Yu
Ting Ye
Qing Huang
Yi-fan Feng
Jue Wang
Xun-an Fu
Yi Xiang
author_sort Ji-guo Yu
collection DOAJ
description Purpose. To evaluate and compare the subjective sensations reported by patients during first and second cataract extractions. Methods. Consecutive patients undergoing bilateral sequential cataract extraction using phacoemulsification were recruited. Following cataract surgery, patients completed questionnaires designed to evaluate subjective sensations, including anxiety, eye bulges, pain, and light sensitivity. Changes in painful sensations experienced by patients between the two surgeries were also recorded. Comparisons were also performed for each subjective sensation between different age groups (<50, 50–59, 60–69, 70–79, and >79 years). Results. A total of 127 patients were included in the final evaluation. Statistical comparison of the results showed that there were significant differences in perception of anxiety, eye bulges, and pain scores between the first and second cataract surgeries (P<0.05). However, there was no statistically significant difference for light sensitivity scores between the two surgeries (P=0.555). The differences in anxiety, perception of eye bulges, pain, and light sensitivity scores between both the surgeries showed no correlation with age (P>0.05 for all). Conclusions. Our research confirms the common observation that patients with bilateral cataracts often report more ocular discomfort during the second surgery. There are, therefore, additional factors that should be considered upon treating patients with bilateral cataracts, and the provision of preoperative counseling could play an important role in providing adequate patient care.
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spelling doaj-art-33abf0bc625f4011b5132af15529aec72025-02-03T01:07:30ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/65215676521567Comparison between Subjective Sensations during First and Second Phacoemulsification Eye Surgeries in Patients with Bilateral CataractJi-guo Yu0Ting Ye1Qing Huang2Yi-fan Feng3Jue Wang4Xun-an Fu5Yi Xiang6Department of Ophthalmology, The Central Hospital of Wuhan, Wuhan, Hubei 430014, ChinaDepartment of Ophthalmology, The Puai Hospital of Wuhan, Wuhan, Hubei 430033, ChinaDepartment of Ophthalmology, The Central Hospital of Wuhan, Wuhan, Hubei 430014, ChinaDepartment of Ophthalmology, Zhongshan Hospital, Fudan University, Shanghai 200032, ChinaDepartment of Ophthalmology, The Central Hospital of Wuhan, Wuhan, Hubei 430014, ChinaDepartment of Ophthalmology, The Central Hospital of Wuhan, Wuhan, Hubei 430014, ChinaDepartment of Ophthalmology, The Central Hospital of Wuhan, Wuhan, Hubei 430014, ChinaPurpose. To evaluate and compare the subjective sensations reported by patients during first and second cataract extractions. Methods. Consecutive patients undergoing bilateral sequential cataract extraction using phacoemulsification were recruited. Following cataract surgery, patients completed questionnaires designed to evaluate subjective sensations, including anxiety, eye bulges, pain, and light sensitivity. Changes in painful sensations experienced by patients between the two surgeries were also recorded. Comparisons were also performed for each subjective sensation between different age groups (<50, 50–59, 60–69, 70–79, and >79 years). Results. A total of 127 patients were included in the final evaluation. Statistical comparison of the results showed that there were significant differences in perception of anxiety, eye bulges, and pain scores between the first and second cataract surgeries (P<0.05). However, there was no statistically significant difference for light sensitivity scores between the two surgeries (P=0.555). The differences in anxiety, perception of eye bulges, pain, and light sensitivity scores between both the surgeries showed no correlation with age (P>0.05 for all). Conclusions. Our research confirms the common observation that patients with bilateral cataracts often report more ocular discomfort during the second surgery. There are, therefore, additional factors that should be considered upon treating patients with bilateral cataracts, and the provision of preoperative counseling could play an important role in providing adequate patient care.http://dx.doi.org/10.1155/2016/6521567
spellingShingle Ji-guo Yu
Ting Ye
Qing Huang
Yi-fan Feng
Jue Wang
Xun-an Fu
Yi Xiang
Comparison between Subjective Sensations during First and Second Phacoemulsification Eye Surgeries in Patients with Bilateral Cataract
Journal of Ophthalmology
title Comparison between Subjective Sensations during First and Second Phacoemulsification Eye Surgeries in Patients with Bilateral Cataract
title_full Comparison between Subjective Sensations during First and Second Phacoemulsification Eye Surgeries in Patients with Bilateral Cataract
title_fullStr Comparison between Subjective Sensations during First and Second Phacoemulsification Eye Surgeries in Patients with Bilateral Cataract
title_full_unstemmed Comparison between Subjective Sensations during First and Second Phacoemulsification Eye Surgeries in Patients with Bilateral Cataract
title_short Comparison between Subjective Sensations during First and Second Phacoemulsification Eye Surgeries in Patients with Bilateral Cataract
title_sort comparison between subjective sensations during first and second phacoemulsification eye surgeries in patients with bilateral cataract
url http://dx.doi.org/10.1155/2016/6521567
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