title: [Evaluation of preoperative anxiety in patients requiring glaucoma filtration surgery].
abstract: OBJECTIVE
  Preoperative anxiety is often expressed by patients requiring filtration surgery for their glaucoma. So far, there has been no scale for screening this group of patients for preoperative anxiety. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) is a self-evaluation questionnaire which has been used in specialties other than ophthalmology and which makes it possible to identify the adult patients with a high level of preoperative anxiety over an upcoming surgical procedure. The purpose of this study is to estimate the preoperative anxiety in glaucoma patients requiring filtration surgery.
  
  
  METHODS
  We performed a prospective study of 36 adult patients with chronic glaucoma not responding to medical treatment and who were about to undergo filtration surgery (trabeculectomy or deep sclerectomy). The APAIS questionnaire was given to the patients after discussing the indication for surgery. A global anxiety score (ranging from 4 to 20) above 10 defined patients with a high level of preoperative anxiety. We attempted to identify among these patients the factors related to filtration surgery which caused them anxiety (lack of control of intraocular pressure, risk of blindness, presence of the filtering bleb).
  
  
  RESULTS
  In our sample of patients, we found that glaucoma was a source of anxiety. That was also true for the surgical procedure, though most patients believe that once the decision had been made, their psychological status was not modified by the upcoming procedure.
  
  
  CONCLUSIONS
  The patient-clinician relationship is important in any chronic disease, all the more so in glaucoma, since this disease remains asymptomatic for a long time. When filtration surgery is necessary, the patients are going to express less preoperative anxiety if they trust their physician and if individualized information has been given to them
  
  
  CONCLUSIONS
  The French version of the APAIS is a quick scale, easily completed, that can be recommended for evaluating anxiety and patients' need for information prior to filtering surgery. It is usually easier for the surgeon to find ways to reduce the patient's anxiety if a relationship of trust has been established between the two.
authors.affiliation: Centre hospitalier national d'ophtalmologie des Quinze-Vingts, 28, rue de Charenton, 75571 Paris cedex 12, France. Electronic address: stefaniele@free.fr.
authors.forename: S
authors.initials: S
authors.lastname: Lemaitre
authors.affiliation: Centre hospitalier national d'ophtalmologie des Quinze-Vingts, 28, rue de Charenton, 75571 Paris cedex 12, France.
authors.forename: E
authors.initials: E
authors.lastname: Blumen-Ohana
authors.affiliation: Centre hospitalier national d'ophtalmologie des Quinze-Vingts, 28, rue de Charenton, 75571 Paris cedex 12, France.
authors.forename: J
authors.initials: J
authors.lastname: Akesbi
authors.affiliation: Centre hospitalier national d'ophtalmologie des Quinze-Vingts, 28, rue de Charenton, 75571 Paris cedex 12, France.
authors.forename: O
authors.initials: O
authors.lastname: Laplace
authors.affiliation: Centre hospitalier national d'ophtalmologie des Quinze-Vingts, 28, rue de Charenton, 75571 Paris cedex 12, France.
authors.forename: J-P
authors.initials: JP
authors.lastname: Nordmann
mesh_terms: D000328:Adult; D000368:Aged; D000758:Anesthesia / Q000379:methods / Q000523:psychology; D001007:Anxiety / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D018463:Filtering Surgery / Q000379:methods / Q000523:psychology*; D005901:Glaucoma / Q000453:epidemiology* / Q000523:psychology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D057234:Preoperative Period; D014130:Trabeculectomy / Q000523:psychology
keywords: Anesthésie topique; Anxiety evaluation scale; Anxiété préopératoire; Chirurgie filtrante; Filtration surgery; Glaucoma; Glaucome; Information préopératoire; Preoperative anxiety; Preoperative information; Topical anesthesia; Échelles d’évaluation de l’anxiété