Trichiasis Surgery and Effects on Quality of Life Sample Clauses

Trichiasis Surgery and Effects on Quality of Life. Surgery was viewed very positively by both operated and nonoperated patients and was reported to improve overall quality of life, including health, the ability to work and move around, and a return to social activities, although a few patients reported requiring more than one surgery in order for their quality of life to improve. Of concern, however, is that patients reported satisfaction with poor clinical outcomes. This is consistent with an unpublished study conducted in Niger, which showed that 90% of operated patients reported that their overall condition improved after surgery and 97% reported that their pain had been reduced or disappeared, despite 30% recurrence (Xxxxxx et al., 2012). In studies looking at satisfaction with cataract surgery, patient satisfaction was not only related to an improved clinical state, such as improved visual acuity. These studies also linked postoperative patient satisfaction with pre-operative expectations (i.e. low pre-operative expectations yield higher post-surgical satisfaction), as well as with perceived quality of care (Nijkamp, 1975). In the present study, most patients articulated their pre-surgical expectations in terms of regaining their vision, and many of the patients reported improvements in vision, as well as gains in independence and social integration, though we were not able to substantiate this by comparing pre- and post-surgical visual acuity. The patients spoke positively about the surgeons themselves, the counseling provided, and the medication and soap distributed. While the primary goal of trichiasis surgery is not aesthetic improvement, it may improve the physical appearance of the eyes by rotating the eyelid margin so eyelashes are correctly displayed. It also alleviates the excretion of tears and pus from the eyes. A previous unpublished study demonstrated that the majority of patients in Niger (95.3%) reported that the appearance of their eyelids improved after trichiasis surgery (Xxxxxx et al., 2012). Studies in the field of aesthetic surgery have shown that among patients dissatisfied with the appearance of a body feature, those who had the surgery expressed more satisfaction with their appearance than those who did not undergo surgery at one year of follow-up. Those who had surgery also had higher scores on measures of well-being (self-esteem), quality of life (health status, disability) and psychopathology (anxiety, depression and social phobias) than those who had not undergone the surge...
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