Piora da visão de perto como sinal do envelhecimento: percepções de pacientes submetidos a cirurgia refrativa com laser para presbiopia e hipermetropia - um estudo qualitativo
Carregando...
Data
2024-03-27
Autores
Alves, Ermano de Melo [UNIFESP]
Orientadores
Schor, Paulo [UNIFESP]
Tipo
Tese de doutorado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
A Tese tem por objetivo analisar as percepções de pessoas que se submeteram à cirurgia LASIK com monovisão para reduzir os sintomas da presbiopia. Assim, explora aspectos filosóficos, neurais, oftalmológicos, sociais e emocionais relacionados à perda da visão de perto com o envelhecimento. Método: Pesquisa qualitativa realizada por meio de entrevistas semiestruturadas com indivíduos previamente presbitas com hipermetropia/astigmatismo associado. Todas as entrevistas foram gravadas e transcritas. O software Atlas.ti versão 9.1.1 ajudou na seleção de códigos, subtemas e temas principais. A análise de conteúdo foi efetuada via modalidade temática e a quantidade de pacientes atendeu ao critério de saturação. Foram entrevistados 17 pacientes entre 48 e 60 anos. Destes, 9 (nove) são mulheres e 8 (oito) homens. Quanto às entrevistas, 8 (oito) foram presenciais e 9 (nove) por videoconferência. Principais achados: A presbiopia é um marco temporal significativo com consequências emocionais e psicológicas, frequentemente ligadas à sensação de envelhecimento. Fatores motivacionais para a cirurgia incluem: estética facial, desconforto com óculos, higiene e sentimento de dependência. O medo é um obstáculo substancial para a cirurgia e superá-lo, muitas vezes, envolve a influência de outras pessoas. O processo de adaptação pode ser desafiador, mas leva geralmente a um julgamento positivo devido à melhora da autoestima e à sensação de liberdade. Conclusões: A Tese faz uma exploração abrangente da presbiopia, seu contexto histórico e o impacto da cirurgia LASIK na vida dos pacientes, incluindo os aspectos psicossociais. Trata-se de um estudo detalhado e minucioso, fornecendo informações valiosas sobre as experiências subjetivas de pacientes submetidos à LASIK para a presbiopia e a hipermetropia.
The thesis aims to analyze the perceptions of people who underwent LASIK surgery with monovision to reduce the symptoms of presbyopia. Explores philosophical, neural, ophthalmological, social, and emotional aspects related to the loss of near vision with aging. Method: Qualitative research through semi-structured interviews with individuals previously presbyopic with associated hyperopia/astigmatism. All interviews were recorded and transcribed. Atlas.ti software version 9.1.1 helped with the selection of codes, subthemes, and main themes. Content analysis was carried out via thematic modality and the number of patients met the saturation criterion, when new interviews become repetitive, and the researcher understands that they no longer enrich the material. Results: 17 patients between 48 and 60 years old were interviewed, 9 women and 8 men; 8 in person and 9 via video. Main findings: Presbyopia is a significant temporal milestone with emotional and psychological consequences, often linked to the feeling of aging. Motivational factors for surgery include facial aesthetics, discomfort with glasses, hygiene, and a feeling of dependence. Fear is a substantial obstacle to surgery, and overcoming it often involves the influence of others. The adaptation process can be challenging, but generally leads to a positive judgment due to improved self-esteem and a feeling of freedom. Conclusions: The thesis provides a comprehensive exploration of presbyopia, its historical context, and the impact of LASIK surgery on patients' lives, including psychosocial aspects. This is a detailed and thorough study, providing valuable information about the subjective experiences of patients undergoing LASIK for presbyopia and hyperopia.
The thesis aims to analyze the perceptions of people who underwent LASIK surgery with monovision to reduce the symptoms of presbyopia. Explores philosophical, neural, ophthalmological, social, and emotional aspects related to the loss of near vision with aging. Method: Qualitative research through semi-structured interviews with individuals previously presbyopic with associated hyperopia/astigmatism. All interviews were recorded and transcribed. Atlas.ti software version 9.1.1 helped with the selection of codes, subthemes, and main themes. Content analysis was carried out via thematic modality and the number of patients met the saturation criterion, when new interviews become repetitive, and the researcher understands that they no longer enrich the material. Results: 17 patients between 48 and 60 years old were interviewed, 9 women and 8 men; 8 in person and 9 via video. Main findings: Presbyopia is a significant temporal milestone with emotional and psychological consequences, often linked to the feeling of aging. Motivational factors for surgery include facial aesthetics, discomfort with glasses, hygiene, and a feeling of dependence. Fear is a substantial obstacle to surgery, and overcoming it often involves the influence of others. The adaptation process can be challenging, but generally leads to a positive judgment due to improved self-esteem and a feeling of freedom. Conclusions: The thesis provides a comprehensive exploration of presbyopia, its historical context, and the impact of LASIK surgery on patients' lives, including psychosocial aspects. This is a detailed and thorough study, providing valuable information about the subjective experiences of patients undergoing LASIK for presbyopia and hyperopia.
Descrição
Citação
ALVES, Ermano de Melo. Piora da visão de perto como sinal do envelhecimento: percepções de pacientes submetidos à cirurgia refrativa com laser para presbiopia e hipermetropia - um estudo qualitativo. 2024. 202 f. Tese (Doutorado em Oftalmologia e Ciências Visuais) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP). São Paulo 2024.