Perceived Surgeon Stress During No-Sedation Topical Phacoemulsification
Ahmad Mansour1,2, Michael W Stewart3, Abdul Razzak Charbaji4,5
1Department of Ophthalmology, American University of Beirut, Beirut, Lebanon.
Clinical Ophthalmology (Auckland, N.Z.)
|September 9, 2020
Summary
Patient factors like older age, obesity, and specific eye conditions increase surgeon stress during cataract surgery. Understanding these factors can help improve surgical safety and outcomes.
Area of Science:
- Ophthalmology
- Surgical Stress Research
Background:
- Surgeon stress during ophthalmic procedures can impact patient safety.
- Phacoemulsification cataract extraction (PCE) under topical anesthesia presents unique challenges.
Purpose of the Study:
- Identify patient-specific factors contributing to surgeon stress during PCE.
- Analyze the relationship between patient characteristics and perceived surgeon stress.
Main Methods:
- Prospective study of a single surgeon performing 1097 PCE procedures over 10 years.
- Surgeon stress assessed post-operatively using multiple indices.
- Analysis of patient variables including age, comorbidities, and ocular conditions.
Main Results:
- Surgeon stress reported in 250 (22.8%) procedures.
- Multivariable analysis identified age >80, morbid obesity, floppy iris syndrome, severe nuclear sclerosis, and poor baseline visual acuity as significant predictors of stress.
- Frequent patient variables included floppy iris syndrome (92), pseudo-exfoliation (72), and morbid obesity (36).
Conclusions:
- Patient-related ocular and systemic factors significantly influence surgeon stress during PCE.
- Identifying these risk factors is crucial for mitigating stress and optimizing surgical performance.
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