Key result
Sub-Tenons anaesthesia after previous peribulbar anaesthesia was associated with significantly higher pain scores, while the presence of a handholder significantly increased patient satisfaction.
Why the study?
What factors influence the perception of pain, anxiety, and overall satisfaction during local anaesthetic cataract surgery?
Observational
No
What factors influence the perception of pain, anxiety, and overall satisfaction during local anaesthetic cataract surgery?
The presence of a handholder during cataract surgery significantly improves patient satisfaction, while sub-Tenons anaesthesia after previous peribulbar anaesthesia is associated with higher pain scores.
Handholding may improve satisfaction in local cataract surgery; level 5 data leaves open prior peribulbar effects on sub-Tenons pain.
To assess factors influencing perception of pain, anxiety and overall satisfaction during local anaesthetic cataract surgery an audit was carried out at the West of England Eye Unit. Patients receiving sub-Tenons after previous peribulbar anaesthesia had significantly higher pain scores. Patient satisfaction was significantly higher when a handholder was present in theatre. Finally, no difference was found in the three variables whether anaesthesia was administered by an anaesthetic practitioner or an anaesthetist.
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Modi et al. (2008) conducted an observational in Cataract surgery under local anaesthetic. Sub-Tenons anaesthesia, presence of handholder, and anaesthesia administrator vs. Previous peribulbar anaesthesia, absence of handholder, anaesthetist was evaluated on Perception of pain, anxiety and overall satisfaction. Sub-Tenons anaesthesia after previous peribulbar anaesthesia was associated with significantly higher pain scores, while the presence of a handholder significantly increased patient satisfaction.
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