第二眼综合症:患者对第一眼的看法与第二眼的看法 化和眼内透镜植入手术
Asem Alqudah1, Rami Al-Dwairi1, Abdallah Sharayah1
1Division of Ophthalmology, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, 22110, Jordan.
Patient preference and adherence
|July 24, 2025
概括
患者通常在第二次眼睛白内障手术期间比第一次手术时更容易感到疼痛和焦虑. 这项研究表明,心理因素可能有所贡献,强调了外科医生需要放心的需要.
科学领域:
- 眼科医生 眼科 眼科
- 外科手术的结果
- 患者体验 患者体验
背景情况:
- "第二眼综合征"描述了第二眼白内障手术增加的疼痛,焦虑和更长的持续时间.
- 以前的理论存在,但患者的主观反应需要进一步评估.
研究的目的:
- 评估双边白内障手术患者的主观疼痛,焦虑,手术持续时间和恢复.
- 调查患者对第二眼手术经验的看法.
主要方法:
- 横截面研究设计,采用结构化问卷.
- 采访了347名通过眼内透镜植入物进行双边发泡乳化治疗的患者.
- 收集的数据包括人口统计,病史和操作细节.
主要成果:
- 20.2%的患者认为第二眼手术更痛苦,而第一眼手术则为7.5% (VAS评分:2.37对1.95,P=0.02).
- 在40.6%的病例中,第二只眼睛的整体体验更糟.
- 没有与患者反应相关的医疗或手术因素.
结论:
- 患者在第二次眼睛白内障手术后报告疼痛增加和视力恢复质量降低.
- 心理因素可能会影响这些感知.
- 外科医生应该主动地告知并安慰患者,在第二次手术期间可能增加不适.
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