Eyeworld

73 OPHTHALMOLOGY BUSINESS digital.ophthalmologybusiness.org August 2016 Editors' note: Dr. Guerrier has no finan- cial interests related to his comments. Contact information Guerrier: guerriergilles@gmail.com American Academy of Ophthalmol- ogy's annual meeting in 2012. "Our study results supported the hypothesis that binaural beat audio and musical interventions during cataract surgery could significantly reduce patient anxiety levels and lower systolic blood pressure," Pornpattana Vichitvejpaisal, MD, Chiang Mai University, Chiang Mai, Thailand, told EyeWorld in an April 2013 article, adding that practi- tioners should consider having pa- tients listen to music with binaural beats "as an alternative or adjuvant intervention in anesthesia." A 1997 study found that elderly cataract surgery patients were more satisfied if they heard relaxing music, rather than verbal relaxation suggestions, white noise, or operat- ing room sounds. 2 But according to this research, "the type of auditory stimuli … did not influence the level of anxiety." Along the same lines of creating a state of relaxation, though not involving music, a 2001 study found a hand massage could decrease the "psychological and physiological anxiety levels in pa- tients having cataract surgery under local anesthesia." 3 Music is something that Dr. Guerrier thinks physicians could add to their operating rooms now. "According to our experience, music benefits all participants work- ing in the OR. All types of surgeries may benefit from this method. Relaxing patients before surgery is essential as it improves satisfac- tion, compliance to treatment, and reduces the need for sedatives and painkillers," he said. Dr. Guerrier said he will conduct further research that looks at the effect of music during the intra- operative stage of cataract surgery. Similarly, conducting research on the effect of music in the recov- ery room on pain and functional outcome could be beneficial as well. He also said research could include evaluating music's effect on patients, sedation rates, and outcomes for other surgeries requiring regional anesthesia. EW References 1. Tan CS, et all. Visual experiences during cataract surgery: what anesthesia pro- viders should know. Eur J Anaesthesiol. 2005;22:413–9. 2. Cruise CJ, et al. Music increases satisfac- tion in elderly outpatients undergoing cataract surgery. Can J Anaesth. 1997;44:43–8. 3. Kim MS, et al. Effects of hand massage on anxiety in cataract surgery using lo- cal anesthesia. J Cataract Refract Surg. 2001;27:884–90. SINGLE USE 16 % OFF volk.com /volk1 BUY IN BULK TODAY up to 100% Assurance Against Disease Transmission > Trusted Quality of Volk Optics > No More Reprocessing > Sterile Packaged in Boxes of 10 Capsulotomy & Iridotomy Surgical 20D & 28D BIO Surgical Vitrectomy 3-Mirror & 4-Mirror Gonio Coming Soon

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