Survey Findings: Preoperative Fear and Postoperative Adjustment.

2006 ◽  
pp. 274-301
Author(s):  
Irving L. Janis
Keyword(s):  
Postoperative Adjustment

Psychological assessment

2021 ◽  
pp. 1335-1340
Author(s):  
Nichola Rumsey ◽  
Nicole Paraskeva
Keyword(s):  
Patient Selection ◽  
Psychological Assessment ◽  
Cosmetic Surgery ◽  
Psychological Factors ◽  
Treatment Process ◽  
Vital Part ◽  
Postoperative Assessment ◽  
Surgery Patient ◽  
Effective Care ◽  
Postoperative Adjustment

Although research relating to the psychology of the cosmetic surgery patient is still in its infancy, there is a consensus among researchers that various combinations of psychological factors play a key role in the recent increase in demand for cosmetic surgery, in the motivation of prospective patients to undergo surgery, in their expectations of outcome, and in their postoperative adjustment. An appreciation of the psychological aspects of cosmetic surgery is therefore crucial and places the surgeon in a stronger position to evaluate a patient’s appropriateness for surgery. Indeed, appropriate patient selection is considered a vital part of a surgeon’s role in ensuring effective care and treatment. This chapter addresses why an understanding of psychological factors contributing to all stages of the treatment process is important to the provision of appropriate care and offers a framework for pre- and postoperative assessment.

Effect of inferior oblique myectomy on primary position when combined with lateral rectus recession for intermittent exotropia

2021 ◽  
pp. 112067212110027
Author(s):  
Christina Scelfo ◽  
Abdelrahman M Elhusseiny ◽  
Maan Alkharashi
Keyword(s):  
Chart Review ◽  
Retrospective Chart Review ◽  
Surgical Correction ◽  
Lateral Rectus ◽  
Intermittent Exotropia ◽  
Primary Position ◽  
Surgical Success ◽  
Evaluation Measures ◽  
Postoperative Adjustment

Purpose:To evaluate the surgical success and need for adjustment due to overcorrection in patients who undergo inferior oblique myectomy (IOM) combined with lateral rectus recession (LRc) for intermittent exotropia in the setting of inferior oblique overaction.Methods:A retrospective chart review was conducted of patients with intermittent exotropia who underwent LRc using adjustable sutures alone versus LRc combined with IOM between January 2010 and July 2018 at our institution. Binocular alignment was recorded before and within one week of surgery. Evaluation measures noted were surgical success (defined as distance alignment of ⩽10 prism diopters) and need for postoperative adjustment due to overcorrection.Results:Of 48 patients, 24 underwent LRc alone and 24 underwent LRc combined with IOM; all 48 patients had adjustable sutures. Surgical success was significantly higher in the LRc alone group (91.6%) compared with the LRc with IOM group (62.5%) ( p = 0.036). The need for postoperative adjustment due to overcorrection was also significantly higher in the LRc with IOM group (20.8%) compared with the LRc alone group (0%) ( p = 0.049).Conclusions:In this study, more patients needed adjustment for overcorrection after undergoing LRc combined with IOM versus LRc alone. Since the tertiary action of the inferior oblique is abduction it is possible that, in patients with inferior oblique overaction, surgically weakening the inferior oblique causes more esodeviation and overcorrection. Thus, surgical correction of exotropia and inferior oblique overaction using LRc combined with IOM may lead to overcorrection and increased need for postoperative adjustment.

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