Immediate sequential bilateral cataract surgery: patient perceptions and preferences.
Journal
Eye (London, England)
ISSN: 1476-5454
Titre abrégé: Eye (Lond)
Pays: England
ID NLM: 8703986
Informations de publication
Date de publication:
05 2023
05 2023
Historique:
received:
28
12
2021
accepted:
30
06
2022
revised:
14
06
2022
medline:
11
5
2023
pubmed:
21
7
2022
entrez:
20
7
2022
Statut:
ppublish
Résumé
Recent national data suggests that less than 0.5% of NHS cataract patients undergo immediate sequential bilateral cataract surgery (ISBCS). Since ISBCS improves service efficiency, increasing its practice may help tackle the ever-growing burden of cataract in the UK, and reduce the COVID-19 cataract backlog. Surgeon attitudes are known to be a significant barrier to increasing the practice of ISBCS. However, little is known about patient perceptions of ISBCS. Patients at cataract clinics across three NHS hospital sites were recruited to complete an investigator-led structured questionnaire. Open-ended and closed-ended questions were used to assess awareness of ISBCS, willingness to undergo ISBCS and attitudes towards ISBCS. Questionnaires were completed by 183 patients. Mean participant age was 70.5 (9.9) years and 58% were female. Forty-three percent were aware of ISBCS, chiefly via clinic staff. Just over a third would choose ISBCS if given the choice, and participants that perceived they were recommended ISBCS were more likely to opt for it. The most common motivator and barrier to uptake of ISBCS was convenience and the perceived risk of complications in both eyes respectively. Concerns related to the recovery period were common, including misunderstandings, such as the need to wear eye patches that obscure both eyes. Our study indicates that significantly more NHS patients would be willing to undergo ISBCS if given the choice. The reluctance of surgeons to recommend ISBCS and patient misunderstandings regarding the recovery period may be limiting its uptake.
Sections du résumé
BACKGROUND
Recent national data suggests that less than 0.5% of NHS cataract patients undergo immediate sequential bilateral cataract surgery (ISBCS). Since ISBCS improves service efficiency, increasing its practice may help tackle the ever-growing burden of cataract in the UK, and reduce the COVID-19 cataract backlog. Surgeon attitudes are known to be a significant barrier to increasing the practice of ISBCS. However, little is known about patient perceptions of ISBCS.
METHODS
Patients at cataract clinics across three NHS hospital sites were recruited to complete an investigator-led structured questionnaire. Open-ended and closed-ended questions were used to assess awareness of ISBCS, willingness to undergo ISBCS and attitudes towards ISBCS.
RESULTS
Questionnaires were completed by 183 patients. Mean participant age was 70.5 (9.9) years and 58% were female. Forty-three percent were aware of ISBCS, chiefly via clinic staff. Just over a third would choose ISBCS if given the choice, and participants that perceived they were recommended ISBCS were more likely to opt for it. The most common motivator and barrier to uptake of ISBCS was convenience and the perceived risk of complications in both eyes respectively. Concerns related to the recovery period were common, including misunderstandings, such as the need to wear eye patches that obscure both eyes.
CONCLUSIONS
Our study indicates that significantly more NHS patients would be willing to undergo ISBCS if given the choice. The reluctance of surgeons to recommend ISBCS and patient misunderstandings regarding the recovery period may be limiting its uptake.
Identifiants
pubmed: 35859120
doi: 10.1038/s41433-022-02171-7
pii: 10.1038/s41433-022-02171-7
pmc: PMC9296758
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1509-1514Informations de copyright
© 2022. The Author(s), under exclusive licence to The Royal College of Ophthalmologists.
Références
Eye (Lond). 2020 Dec;34(12):2161-2162
pubmed: 32709957
J Cataract Refract Surg. 2011 Jun;37(6):992-1002
pubmed: 21497049
BMJ Open Ophthalmol. 2020 Jun 25;5(1):e000426
pubmed: 32617415
Eye (Lond). 2022 Apr;36(4):888-890
pubmed: 33824511
J Gerontol B Psychol Sci Soc Sci. 2014 Nov;69(6):870-80
pubmed: 24149517
Br J Ophthalmol. 2021 Jun;105(6):745-750
pubmed: 32703783
J Cataract Refract Surg. 2012 Oct;38(10):1734-42
pubmed: 22884569
Can J Ophthalmol. 2010 Dec;45(6):596-601
pubmed: 21135895
Eye (Lond). 2020 Oct;34(10):1866-1874
pubmed: 31911654
J Cataract Refract Surg. 2006 May;32(5):826-30
pubmed: 16765801
Eye (Lond). 2021 Nov;35(11):3156-3158
pubmed: 33093651
J Cataract Refract Surg. 2011 Jun;37(6):1003-8
pubmed: 21596243
J Cataract Refract Surg. 2011 Dec;37(12):2105-14
pubmed: 22108106
Eye (Lond). 2015 Apr;29(4):552-60
pubmed: 25679413
BMC Ophthalmol. 2020 Jun 2;20(1):210
pubmed: 32487105
Eye (Lond). 2019 Jul;33(7):1029-1031
pubmed: 30814654
BMJ Open Ophthalmol. 2020 Sep 09;5(1):e000554
pubmed: 34192150
Am J Ophthalmol. 2022 Mar;235:241-248
pubmed: 34582764
Ophthalmology. 2017 Aug;124(8):1126-1135
pubmed: 28438415