Patient Attitudes and Desirability Regarding Immediate Sequential Bilateral Cataract Surgery

Abstract

Purpose To analyze patient attitudes and desirability regarding routine immediate sequential bilateral cataract surgery (ISBCS). Methods This study was conducted as a prospective, consecutive survey-based case series from a single private practice institution serving a mostly rural population. A standardized phone survey assessing patient perspectives on ISBCS was administered to patients before and after routine delayed sequential bilateral cataract surgery (DSBCS) was performed. Subject responses were analyzed, including a subset analysis on patient responses under a variety of circumstances. Results There were 61 patients enrolled into the study and 47 completed the surveys before and after routine DSBCS (77.0% completion rate). Thirty-nine (83.0%) of respondents had a favorable outlook of ISBCS preoperatively, whereas 36 (76.6%) had a favorable outlook of ISBCS postoperatively (p>0.05). On the postoperative questionnaire, twenty-five (53.2%) of respondents were willing to accept additional surgical risk if necessary to receive ISBCS, and this finding was significant between the subgroup of patients with systemic health co-morbidities compared to those without systemic health co-morbidities (p=0.05). Conclusion Most patients had a favorable outlook of ISBCS before and after undergoing DSBCS. Patients with underlying systemic health co-morbidities were most likely to accept additional surgical risk if necessary to receive ISBCS. From a patient’s perspective, ISBCS may be an acceptable option to routinely implement when cataract surgery is required for both eyes.

Systematic review for the development of a core outcome set for monofocal intraocular lenses for cataract surgery

“…In the cataract context, the definition of a COS is underrepresented compared to other clinical fields ( 3 ). Moreover, current core outcome sets lack considering health outcomes as derived from real-world studies ( 12–16 ) and do not indicate what measurement units should be used to assess each of the outcomes included in the set. Moreover, none of the available COS has been specifically intended for the evaluation of IOLs’ performances.…”

Patient experiences and satisfaction with cataract surgery

“…Patient preferences regarding same-day or next-day postoperative care were also clear. Rush et al found that all survey respondents of a same-day postoperative visit group were satisfied with the timing of their visit, while nearly one-third of surveyed next-day follow-up patients preferred to have same-day care instead [9]. Given the flexible preferred practice patterns of the American Academy of Ophthalmology, the authors found it acceptable to take patient preferences into consideration.…”