Optimization of cataract surgery follow-up: A standard set of questions can predict unexpected management changes at postoperative week one
Autoři:
Giannis A. Moustafa aff001; Durga S. Borkar aff001; Sheila Borboli-Gerogiannis aff001; Scott H. Greenstein aff001; Alice C. Lorch aff001; Ryan A. Vasan aff001; Carolyn E. Kloek aff001
Působiště autorů:
Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, United States of America
aff001; Retina Service, Wills Eye Hospital, Philadelphia, Pennsylvania, United States of America
aff002; Dean McGee Eye Institute, University of Oklahoma College of Medicine, Oklahoma City, Oklahoma, United States of America
aff003
Vyšlo v časopise:
PLoS ONE 14(9)
Kategorie:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0221243
Souhrn
Purpose
There is limited evidence to inform the optimal follow-up schedule after cataract surgery. This study aims to determine whether a standardized question set can predict unexpected management changes (UMCs) at the postoperative week one (POW1) timepoint.
Setting
Massachusetts Eye and Ear, Harvard Medical School.
Design
Prospective cohort study.
Methods
Two-hundred-and-fifty-four consecutive phacoemulsification cases having attended an examination between postoperative days 5–14. A set of 7 ‘Yes’ or ‘No’ questions were administered to all participants by a technician at the POW1 visit. Patient answers along with perioperative patient information were recorded and analyzed. Outcomes were the incidence of UMCs at POW1.
Results
The incidence of UMCs was zero in uneventful cataract cases with unremarkable history and normal postoperative day one exam if no positive answers were given with the question set demonstrating 100% sensitivity (p<0.0001). A test version with 5 questions was equally sensitive in detecting UMCs at POW1 after cataract surgery.
Conclusion
In routine cataract cases with no positive answers to the current set of clinical questions, a POW1 visit is unlikely to result in a management change. This result offers the opportunity for eye care providers to risk-stratify patients who have had cataract surgery and individualize follow-up.
Klíčová slova:
Medicine and health sciences – Surgical and invasive medical procedures – Ophthalmic procedures – Cataract surgery – Eyes – Ocular system – Ocular anatomy – Ophthalmology – Biology and life sciences – Anatomy – Head – Eye lens – Neuroscience – Sensory perception – Vision – Psychology – Social sciences – Science policy – Science and technology workforce – Careers in research – People and places – Population groupings – Professions – Technicians
Zdroje
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