Second Eye Syndrome: Patients’ Perspectives Regarding First Eye versus Second Eye Phacoemulsification and Intraocular Lens Implantation Surgery
Asem Alqudah,1 Rami Al-Dwairi,1 Abdallah Sharayah,1 Nour Sufyan Al-Qudah,2 Yazan Salah Almustafa,2 Ahmad Al-Qudah,2 Diya’ Alharahsheh,2 Rahma Kamal Al Awam,2 Hashim Al-Qudah,2 Abdelwahab Aleshawi1 1Division of Ophthalmology, Department of Special Surgery, Faculty of Medicine, Jordan University of Sc...
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Dove Medical Press
2025-07-01
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| author | Alqudah A Al-Dwairi R Sharayah A Al-Qudah NS Almustafa YS Al-Qudah A Alharahsheh D Al Awam RK Al-Qudah H Aleshawi A |
| author_facet | Alqudah A Al-Dwairi R Sharayah A Al-Qudah NS Almustafa YS Al-Qudah A Alharahsheh D Al Awam RK Al-Qudah H Aleshawi A |
| author_sort | Alqudah A |
| collection | DOAJ |
| description | Asem Alqudah,1 Rami Al-Dwairi,1 Abdallah Sharayah,1 Nour Sufyan Al-Qudah,2 Yazan Salah Almustafa,2 Ahmad Al-Qudah,2 Diya’ Alharahsheh,2 Rahma Kamal Al Awam,2 Hashim Al-Qudah,2 Abdelwahab Aleshawi1 1Division of Ophthalmology, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, 22110, Jordan; 2Faculty of Medicine, Jordan University of Science and Technology, Irbid, 22110, JordanCorrespondence: Asem Alqudah, Division of Ophthalmology, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan, Tel +962795458496, Fax +962 27095010, Email asemq981@yahoo.comBackground: “Second eye syndrome” is a term used to reflect the feeling of more pain, anxiety, and longer duration of second eye cataract surgery than first eye cataract surgery. Many theories were elaborated to explain this phenomenon. This study aims to assess the subjective responses of pain, anxiety, duration of surgery, and recovery of patients who underwent bilateral uncomplicated cataract surgery.Methods: A cross-sectional design utilizing a well-structured questionnaire was adopted in this study. All patients who underwent bilateral uncomplicated cataract surgery through phacoemulsification and intraocular lens implant, with similar best-corrected visual acuity in both eyes, were interviewed through and after each surgery. Demographics, medical history, and preoperative and operative details were collected.Results: In this study, 347 patients were included; 199 (57.3%) were males. The operations were without intraoperative complications for both eyes. The mean value of the VAS score of the first eye was 1.95 and was 2.37 for the second eye (P = 0.02). Seventy (20.2%) patients reported that second eye surgery was more painful in comparison to 26 (7.5%) patients who reported the first eye to be more painful. The overall experience for the second eye was better in 56 (16.1%) cases and worse in 141 (40.6%). No medical or operative factor was found to affect the responses.Conclusion: This study revealed that patients perceived more pain and less quality of visual recovery in the second eye surgery, which could be associated with psychological factors. We would suggest that all cataract surgeons pay attention to informing and reassuring patients that they are likely to feel more pain during the second eye operation.Keywords: cataract, pain, intraocular lens implant, second eye syndrome, local anesthesia |
| format | Article |
| id | doaj-art-3f3aec81da3a4219a1765d4f939c0a51 |
| institution | Kabale University |
| issn | 1177-889X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Patient Preference and Adherence |
| spelling | doaj-art-3f3aec81da3a4219a1765d4f939c0a512025-08-20T03:25:08ZengDove Medical PressPatient Preference and Adherence1177-889X2025-07-01Volume 19Issue 120812094104994Second Eye Syndrome: Patients’ Perspectives Regarding First Eye versus Second Eye Phacoemulsification and Intraocular Lens Implantation SurgeryAlqudah A0Al-Dwairi R1Sharayah AAl-Qudah NSAlmustafa YSAl-Qudah A2Alharahsheh DAl Awam RKAl-Qudah HAleshawi A3Special Surgery/ Ophthalmology ServiceOphthalmologyIrbidOphthalmologyAsem Alqudah,1 Rami Al-Dwairi,1 Abdallah Sharayah,1 Nour Sufyan Al-Qudah,2 Yazan Salah Almustafa,2 Ahmad Al-Qudah,2 Diya’ Alharahsheh,2 Rahma Kamal Al Awam,2 Hashim Al-Qudah,2 Abdelwahab Aleshawi1 1Division of Ophthalmology, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, 22110, Jordan; 2Faculty of Medicine, Jordan University of Science and Technology, Irbid, 22110, JordanCorrespondence: Asem Alqudah, Division of Ophthalmology, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan, Tel +962795458496, Fax +962 27095010, Email asemq981@yahoo.comBackground: “Second eye syndrome” is a term used to reflect the feeling of more pain, anxiety, and longer duration of second eye cataract surgery than first eye cataract surgery. Many theories were elaborated to explain this phenomenon. This study aims to assess the subjective responses of pain, anxiety, duration of surgery, and recovery of patients who underwent bilateral uncomplicated cataract surgery.Methods: A cross-sectional design utilizing a well-structured questionnaire was adopted in this study. All patients who underwent bilateral uncomplicated cataract surgery through phacoemulsification and intraocular lens implant, with similar best-corrected visual acuity in both eyes, were interviewed through and after each surgery. Demographics, medical history, and preoperative and operative details were collected.Results: In this study, 347 patients were included; 199 (57.3%) were males. The operations were without intraoperative complications for both eyes. The mean value of the VAS score of the first eye was 1.95 and was 2.37 for the second eye (P = 0.02). Seventy (20.2%) patients reported that second eye surgery was more painful in comparison to 26 (7.5%) patients who reported the first eye to be more painful. The overall experience for the second eye was better in 56 (16.1%) cases and worse in 141 (40.6%). No medical or operative factor was found to affect the responses.Conclusion: This study revealed that patients perceived more pain and less quality of visual recovery in the second eye surgery, which could be associated with psychological factors. We would suggest that all cataract surgeons pay attention to informing and reassuring patients that they are likely to feel more pain during the second eye operation.Keywords: cataract, pain, intraocular lens implant, second eye syndrome, local anesthesiahttps://www.dovepress.com/second-eye-syndrome-patients-perspectives-regarding-first-eye-versus-s-peer-reviewed-fulltext-article-PPACataractPainIntraocular lens implantsecond eye syndromelocal anesthesia |
| spellingShingle | Alqudah A Al-Dwairi R Sharayah A Al-Qudah NS Almustafa YS Al-Qudah A Alharahsheh D Al Awam RK Al-Qudah H Aleshawi A Second Eye Syndrome: Patients’ Perspectives Regarding First Eye versus Second Eye Phacoemulsification and Intraocular Lens Implantation Surgery Patient Preference and Adherence Cataract Pain Intraocular lens implant second eye syndrome local anesthesia |
| title | Second Eye Syndrome: Patients’ Perspectives Regarding First Eye versus Second Eye Phacoemulsification and Intraocular Lens Implantation Surgery |
| title_full | Second Eye Syndrome: Patients’ Perspectives Regarding First Eye versus Second Eye Phacoemulsification and Intraocular Lens Implantation Surgery |
| title_fullStr | Second Eye Syndrome: Patients’ Perspectives Regarding First Eye versus Second Eye Phacoemulsification and Intraocular Lens Implantation Surgery |
| title_full_unstemmed | Second Eye Syndrome: Patients’ Perspectives Regarding First Eye versus Second Eye Phacoemulsification and Intraocular Lens Implantation Surgery |
| title_short | Second Eye Syndrome: Patients’ Perspectives Regarding First Eye versus Second Eye Phacoemulsification and Intraocular Lens Implantation Surgery |
| title_sort | second eye syndrome patients amp rsquo perspectives regarding first eye versus second eye phacoemulsification and intraocular lens implantation surgery |
| topic | Cataract Pain Intraocular lens implant second eye syndrome local anesthesia |
| url | https://www.dovepress.com/second-eye-syndrome-patients-perspectives-regarding-first-eye-versus-s-peer-reviewed-fulltext-article-PPA |
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