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Significant Preoperative Anxiety Associated with Perceived Risk and Gender in Cataract Surgery.
Georgios Floros1, Stylianos Kandarakis2, Nikolaos Glynatsis3
12nd Department of Psychiatry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Journal of Clinical Medicine
|September 14, 2024
Summary
Cataract surgery patients experience significant anxiety, especially those with higher risks or female gender. Early anxiety prevention is crucial for better surgical outcomes.
Area of Science:
- Ophthalmology
- Psychology
Background:
- Lens opacification necessitates cataract surgery.
- Perioperative anxiety in cataract surgery patients shows conflicting results regarding clinical significance.
- Existing studies lack focus on anxiety levels immediately post-surgery scheduling.
Purpose of the Study:
- To determine anxiety levels in patients immediately after scheduling for cataract surgery.
- To control for trait anxiety and other factors influencing perioperative anxiety.
- To compare anxiety levels between patients scheduled for surgery and those ineligible.
Main Methods:
- Observational comparative study involving 140 patients (70 scheduled, 70 ineligible).
- Assessment of state and trait anxiety, controlling for cognitive status.
- Evaluation of perioperative risk factors in the surgical group.
Main Results:
- 34/70 patients scheduled for surgery exhibited clinically significant state anxiety versus 9/70 ineligible patients (p < 0.001).
- State anxiety was significantly higher in patients with at least low perioperative risk (p = 0.003).
- Female patients reported higher state anxiety than male patients (p = 0.028).
Conclusions:
- Clinically significant state anxiety is prevalent in patients scheduled for cataract surgery.
- Early intervention for perioperative anxiety is recommended, particularly for high-risk and female patients.
- Cognitive status did not influence anxiety levels in this study.
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