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Pain, preop anxiety may lead to patient dissatisfaction with cataract surgery

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Pain during and after cataract surgery is a major reason for lower patient satisfaction with the overall experience, according to a study.

Donald Fung, MD, MSc, and colleagues at North Bay General Hospital in Canada used the Iowa Satisfaction with Anesthesia Scale (ISAS) to determine patient satisfaction with cataract care under topical local anesthesia and monitored sedation. The ISAS was administered to 306 patients immediately after their cataract surgery. All patients received topical local anesthesia and intravenous sedation.

Overall patient satisfaction was high, with a mean score of 5.6 of a possible 6. The incidence of intraoperative pain was 13% and of postoperative pain, 37%. Significant predictors of satisfaction were postoperative pain, surgeon and preoperative anxiety. Initial ISAS mean scores and preop anxiety emerged as “significant predictors of low rating of quality of experience,” the authors said.

The study is published in the June issue of Anesthesia & Analgesia.