Assessment of Pain and Anxiety Related to Cataract Surgery
Kokou Vonor1,2*, Fabrice Bagna3, Yaovi Tété3, Yawa Nagbé3, Koffi D Ayéna3,4 and Komi P Balo3
1Centre Hospitalier Régional de Kara, Togo
2Faculté des Science de la Santé, Université de Kara, Togobr>
3Faculté des Science de la Santé, Université de Lomé, Togo
4Centre Hospitalier Universitaire Sylvanus Olympio, Lomé, Togo
*Corresponding Author: Kokou Vonor, Service d’Ophtalmogie CHR Kara, Maître de Conférences Agrégé à Faculté des Sciences de la Santé de l’université de Kara, Lomé, Togo.
July 11, 2022; Published: July 19, 2022
Purpose: List and analyze the factors related to anxiety and pain related to cataract surgery under loco regional anesthesia in Lomé.
Methods: We carried out a cross-sectional study, over a period of 7 months from January to July 2020, on patients undergoing cataract surgery. The Amsterdam preoperative anxiety and information scale (APAIS from 6 to 30) assessed preoperative anxiety before each intervention. The visual analogic scale (VAS from 0 to 10) measured the Postoperative pain.
Results: We considered 105 patients, including 50 men and 55 women, i.e. a sex ratio (M/F) of 0.91. The mean age was 61.71 ± 14.14 [22-88] years. The average duration of surgery was 22.52 ± 6.73 minutes. The mean global preoperative anxiety score was 7.22 ± 3.14. Women had an average global anxiety score of 8.04 versus 6.32 for men. The mean global preoperative anxiety score for the first eye was 6.75 versus 8.72 for the second eye. The most anxiety-provoking preoperative factor was the feeling of postoperative pain (19.05%) followed by probable losing of the operated eye (9.52%). Over 105 patients, 5 (4.76%), reported immediate postoperative pain equal to 4 according to the VAS for the first eye versus 8 (10.26%) for the second eye. Immediate postoperative period revealed 12.73% of women expressing pain at 4 according to the VAS compared to 12% of men.
Conclusion: The management of anxiety and pain related to cataract surgery involves informing the patient about anesthesia, surgery, postoperative follow-up, and the expected visual result. The contribution of music to the theater in reducing preoperative anxiety needs exploring in a subsequent study.
Keywords: Anxiety; Pain; Cataract Surgery; Lomé
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