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Differences between patient expectations and actual strabismus surgery experience in adults
Won Yeol Ryu1, Eun Jung Sohn1, Hee Bae Ahn1
1Department of Ophthalmology, Dong-A University College of Medicine, Busan, Republic of Korea.
Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
|February 14, 2015
Summary
Patient discomfort after strabismus surgery often differs from expectations. Blurred vision and redness were worse than anticipated, while pain and nausea were less severe, aiding preoperative patient education.
Area of Science:
- Ophthalmology
- Surgical Outcomes
- Patient Experience
Background:
- Strabismus surgery is common in adults.
- Understanding patient-reported outcomes is crucial for managing expectations.
Purpose of the Study:
- To objectively assess patient discomfort following strabismus surgery.
- To compare actual postoperative experiences with preoperative expectations.
Main Methods:
- Prospective cohort study of 49 adult patients undergoing strabismus surgery.
- Utilized a questionnaire to evaluate pain, vision, daily disruption, and other symptoms at multiple time points.
- Assessed factors like previous surgery and procedure type.
Main Results:
- Postoperative pain and nausea were lower than expected (p=0.049, p=0.039).
- Blurred vision, daily disruption, and conjunctival redness were higher than expected (p=0.019, p=0.009, p<0.001).
- Conjunctival redness was the most severe immediate symptom; previous surgery or vertical/oblique muscle procedures correlated with higher pain.
Conclusions:
- Adult strabismus surgery patients' actual postoperative experiences diverge significantly from their preoperative expectations.
- Findings enable surgeons to provide objective preoperative counseling on recovery and side effects.
- Improved patient education can manage expectations regarding discomfort and recovery after strabismus surgery.
