ArticleBMJ open2013
Patients' subjective assessment of the duration of cataract surgery: a case series.
Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Robot-Assisted Eye Surgery: A Systematic Review of Effectiveness, Safety, and Practicality in Clinical Settings.Translational vision science & technology · 2024Pooled it
- Overcoming the impact of physiologic tremors in ophthalmology.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022Pooled it
- Investigating the Tolerance of Corneal Endothelial Cells to Surgical Fluid Pressure Using Intact Porcine Eyes.Translational vision science & technology · 2024Article
- Impact of a handpiece with a built-in fluidics pressure sensor on phacoemulsification: a multicentre prospective comparative study.BMJ open ophthalmology · 2023Article
- Using Alprazolam before phacoemulsification cataract surgery reduces complications and duration of the surgery.International ophthalmology · 2023Article
- Article
- Multicenter Evaluation of Time, Operational, and Economic Efficiencies of a New Preloaded Intraocular Lens Delivery System versus Manual Intraocular Lens Delivery.Clinical ophthalmology (Auckland, N.Z.) · 2021Article
- Efficacy of Preoperative Music Intervention on Pain and Anxiety in Patients Undergoing Cataract Surgery.Frontiers in pharmacology · 2021Article
- Subjective Opinions of Patients About Step-by-Step Cataract Surgery Preparation.Clinical ophthalmology (Auckland, N.Z.) · 2021Article
- Pain Perception of the First Eye versus the Second Eye during Phacoemulsification under Local Anesthesia for Patients Going through Cataract Surgery: A Systematic Review and Meta-Analysis.Journal of ophthalmology · 2019Review
- Pain Perception in Phacoemulsification with Topical Anesthesia and Evaluation of Factors Related with Pain.Turkish journal of ophthalmology · 2016Article
- Comparison between Subjective Sensations during First and Second Phacoemulsification Eye Surgeries in Patients with Bilateral Cataract.Journal of ophthalmology · 2016Article
- Effects of preoperative intravenous clonidine in patients undergoing cataract surgery: a double-blind, randomized trial.Journal of ophthalmology · 2014Article
- Head-Mounting Surgical Robots for Passive Compensation of Patient Motion.Journal of medical robotics researchArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSurgery duration is a source of preoperative anxiety for patients undergoing cataract surgery. To better inform patients, we evaluated the agreement between objective and patient-perceived surgery durations.
designCase series.
settingPublic teaching university hospital (Paris, France).
participantsDuring the study period, 368 cataract surgery cases performed on 285 patients were included, 85 cases were excluded from the final analysis. All patients who had uneventful phacoemulsification were included. Cases with any significant intraoperative adverse event or cases requiring additional anaesthesia other than topical were excluded. Resident performed cases were also excluded. PRIMARY AND SECONDARY OUTCOMES: Procedures were timed (objective duration) and patients were asked, immediately afterwards, to assess the duration of their surgery (patient-assessed duration). The agreement between objective and patient-assessed durations as well as influencing factors was studied.
resultsMean objective duration (13.9±5 min) and patient-assessed duration (15.3±6.9 min) were significantly correlated (Spearman's r=0.452, p<0.0001). Furthermore, Bland-Altman analysis and the intraclass correlation coefficient (0.341, 95% CI 0.23 to 0.44) were quite in agreement. On univariate analysis, senior-performed procedures were significantly shorter than those performed by juniors (13.4 vs 17.8 min, p=0.0001). Pain was recorded as 'no sensation' (31.5% of the cases), 'mild sensation' (41%), 'moderate pain' (23.3%), 'intense pain' (3.5%) and 'unbearable pain' (0.7%). Groups with high pain score had significantly longer procedures (p<0.001). Multivariate analysis revealed that the only independent factors associated with both the objective and patient-assessed durations of surgery were surgeon's experience and pain-score.
conclusionsIn our study, patients' estimated and real duration of the surgery showed moderate agreement, suggesting that emotions associated with eye surgery under topical anaesthesia did not dramatically hinder the patients' perception of time. However, the benefit of preoperative counselling regarding the duration of surgery will need further evaluation.
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