Factors influencing postoperative anxiety and development of a prediction model in patients receiving toric intraocular lens implantation
Li Na
Liu Rong
Wan Jiayu
Jin Lizhen
Hou Tianjun
Qi Chenyang
Sun Lili
Abstract：Objective To analyze factors affecting anxiety in patients after toric intraocular lens(IOL)implantation for astigma-tism correction and to construct a predictive model to guide clinical decisionmaking.Methods We enrolled 120 patients who underwent toric IOL implantation between May 2022 and May 2024 at Tangshan Gongren Hospital.According to their postop-erative anxiety status,patients were assigned to an anxiety group(n=49)or a non-anxiety group(n=71).The general data and disease-related data of the two groups were compared.Multivariate logistic regression identified independent predictors of postoperative anxiety,which were then used to build a combined predictive model.Model performance was assessed via receiv-er operating characteristic(ROC)curve analysis.Results The anxiety group was significantly older,had a lower proportion a-ble to afford medical costs,and had lower percapita monthly household income than the non-anxiety group(all P＜0.05).Pre-operative corneal astigmatism magnitude and visual analogue scale(VAS)pain scores after anesthesia wore off were significant-ly higher in the anxiety group(P＜0.05).The anxiety group also had significantly higher rates of comorbidities(two or more),bilateral cataracts,and poor medication adherence(all P＜0.05).Multivariate regression revealed that age,percapita monthly income,binocular cataracts,preoperative corneal astigmatism,and postanesthesia VAS score were independent pre-dictors of postoperative anxiety(P＜0.05).The combined model yielded an area under the ROC curve of 0.916,outperfor-ming any single predictor(P＜0.05).Ata cut-off of 0.557,the model's sensitivity and specificity were 96.37％and 65.51％,respectively.Conclusion A prediction model incorporating age,household income,binocular cataracts,corneal astigmatism,and post-anesthesia pain effectively identifies toric IOL patients at risk for postoperative anxiety.Early intervention targeting modifiable factors may improve anxiety management after surgery.
Keywords：Toric intraocular lensCorneal astigmatism correctionPostoperative anxietyInfluencing factorsPrediction model
Publication Date：2025-02-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 108-113 )