Anxiety and Surgery Satisfaction for Cataract Patient With Different State Anxiety

Launched by NATIONAL TAIWAN UNIVERSITY HOSPITAL · Feb 9, 2025

Keywords

ClinConnect Summary

This clinical trial is looking at how anxiety levels affect patients' experiences during cataract surgery. Specifically, it will explore whether taking an anti-anxiety medication called Xanax before the surgery can help reduce pain and improve satisfaction with anesthesia for patients who experience different levels of anxiety. Patients who are 18 to 80 years old, have been diagnosed with cataracts, and are scheduled for this type of surgery at National Taiwan University Hospital may be eligible to participate.

If you decide to join the study, you'll first complete some questionnaires to measure your anxiety levels. Then, about half an hour before your surgery, you'll receive either Xanax or a placebo (which looks like the medication but has no active ingredients) without knowing which one it is. After the surgery, you will rate your pain and how satisfied you were with the anesthesia. The researchers hope to find out how anxiety and medication impact the overall surgical experience, aiming to make the procedure more comfortable for patients.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Age between 18 and 80 years old.
• • 2. Patients diagnosed with cataracts.
• • 3. Scheduled for cataract surgery with phacoemulsification and intraocular lens implantation under surface anesthesia at National Taiwan University Hospital.
• • 4. No adverse reactions to oral anti-anxiety medication (XANAX).
• Exclusion Criteria:
• • 1. Presence of any contraindications for surgery before the procedure.
• • 2. Presence of any contraindications for medication before the procedure.
• • 3. Inability to provide clear and complete answers to relevant questionnaires, or expression of no preoperative anxiety during the outpatient visit, or scores below 21 on the STAI-S or STAI-T assessment.
• • 4. Regular use of anti-anxiety medications, sleeping pills, or analgesics before the procedure.
• • 5. Pregnancy or breastfeeding during the preoperative period.
• • 6. Severe corneal diseases, overripe cataracts, small pupils, or lens dislocation leading to difficulties in conventional surgery.
• • 7. Patients under surface anesthesia who cannot fully cooperate with the surgical procedure.
• • 8. Pregnant or uncertain pregnancy status (women under 55 years old to be verbally asked by research team members).