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Published on: July 7, 2023
Visual experience during cataract surgery: a nation-wide survey on the knowledge of optometry students
Colin S H Tan1, Wilfred Tang, Say Beng Tan
1The Eye Institute at Tan Tock Seng Hospital, National Healthcare Group, Singapore.
Purpose:
Many patients experience a variety of visual sensations during cataract surgery under local anaesthesia. Up to 16.2% of patients are frightened by their intraoperative visual experience. This study aimed to determine the knowledge and beliefs of optometry students on this subject.
Methods:
A nationwide survey using a standardised, self-administered questionnaire was conducted on all optometry students in Singapore.
Results:
For cataract surgery under regional anaesthesia, 38.9% of the respondents believed that patients might experience no light perception while 68.5% felt that patients were likely to be able to perceive light. Overall, 70.4% felt that patients might be frightened by their visual experiences and 88.0% believed that preoperative counselling of patients would serve to reduce the fear experienced during the surgery. For cataract surgery under topical anaesthesia, 37.0% of the respondents believed that patients would perceive no light and 74.1% believed that patients would retain light perception. Overall, 67.6% believed that patients may be frightened and 86.1% felt that preoperative counselling would help.
Conclusion:
Many optometry students correctly believed that patients might experience a variety of visual sensations during cataract surgery under local anaesthesia. The majority were also aware that patients might be frightened by this and felt that preoperative counselling would be helpful.

