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Practical hypnotic suggestion in ophthalmic surgery.

M E John, J P Parrino

    American Journal of Ophthalmology
    |October 1, 1983
    PubMed
    Summary
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    Hypnotic suggestion did not reduce patient movement or pain during radial keratotomy surgery. However, patients who heard a relaxation script reported feeling significantly better postoperatively, indicating potential benefits for recovery.

    Area of Science:

    • Ophthalmology
    • Psychosomatic Medicine
    • Surgical Patient Care

    Background:

    • Patient anxiety and discomfort are common during ophthalmic procedures.
    • Minimizing patient movement during surgery is crucial for optimal outcomes.
    • Postoperative discomfort can prolong recovery and affect patient satisfaction.

    Purpose of the Study:

    • To evaluate the efficacy of hypnotic suggestion in reducing patient movement during radial keratotomy.
    • To assess the impact of hypnotic suggestion on intraoperative and postoperative discomfort.
    • To explore the influence of hypnotic suggestion on patient well-being following surgery.

    Main Methods:

    • A randomized controlled trial was conducted with 59 patients undergoing radial keratotomy.
    • One group received a four-minute pre-operative relaxation script (hypnosis group).

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  • The control group received standard care without the script.

    • Main Results:

    • No significant differences were observed in intraoperative behavior, pain levels, or procedural awareness between groups.
    • A significant difference was found in postoperative subjective well-being.
    • 13 of 34 patients in the hypnosis group reported feeling 'wonderful' postoperatively, compared to 1 of 24 in the control group.

    Conclusions:

    • Hypnotic suggestion did not significantly alter patient movement or pain during radial keratotomy.
    • Pre-operative hypnotic suggestion may improve subjective feelings of well-being the day after surgery.
    • Further research is warranted to explore the psychological benefits of hypnotic suggestion in surgical recovery.