Presentation Case 4 - Older Patient with Stable Keratoconus for Cataract Eval. Click to view dynamic map. In modern medicine, many patients seek detailed multimedia information online in preparation for their upcoming surgeries, and they often find information of inconsistent quality and accuracy.5 Some surgeons are incorporating multimedia presentations into their preoperative educational process. My response was, Yes! Medicare will cover your costs if your vision tests at a certain level of acuity or clarity. The evolution of cataract surgery. WebWhat to expect It is normal to have the following: Bruised or bloodshot eye for 7 days Itching and mild pain for several days Some fluid discharge Sensitivity to light Waljee J, McGlinn EP, Sears ED, Chung KC. Also, you will be asked about any medicines you take. Correct Response Rate refers to the proportion of correct answers to each question. Your eyemayfeel a bit itchy or uncomfortableandsensitive to light and touch. WebIntroduction If you have a cataract, dont worry. However, your vision may be blurry during the first couple of days, and your eye may be slightly light-sensitive. Your ophthalmologist can help you learn more about costs of cataract surgery. Ask your eye doctor about the risks and benefits of cataract surgery to decide ifits right for you. We customize the beginning with the doctors name, the practice name, or the practice logo as the presenter of the program. Interestingly, the present study did not support that video education affects the selection of premium technology, such as lens choice or the choice of LACS. Sahai A, Kucheria R, Challacombe B, Dasgupta P. Video consent: a pilot study of informed consent in laparoscopic urology and its impact on patient satisfaction. WebIn cataract surgery, the cloudy cataract lens is removed and then replaced with an artificial lens implant. Theyll likely recommend taking at least 1 week off from strenuous activities. During cataract surgery, your cloudy natural lens is removed and replaced with a clear artificial lens. Heres what youcan expect after surgery, and some tips for a healthy recovery. HHS Vulnerability Disclosure, Help This will help clear the backlog of patients who have been waiting over a year for this procedure. You may have to use eye drops after surgery. They will also ask you if youre taking any medications. This study was conducted with the approval of The Duke University Medical Centers Institutional Review Board (IRB). One group viewed an educational video about cataract surgery, while the other did not. View More Presentations From SYM-6. The IOL implant may become dislocated, moving out of position. Physiological and behavioral indicators of anxiety were compared between a regularly Keywords: Cataract surgery is performed while you are awake, so you will be given a calming medication that will mildly sedate you, as well as a special numbing gel and eye drops, so that you wont feel any discomfort during the procedure. Patient expectations and patient-reported outcomes in surgery: a systematic review, http://creativecommons.org/licenses/by-nc/3.0/, www.ahrq.gov/cahps/surveys-guidance/cg/index.html, Is it likely your vision will be completely clear the first day after surgery?, Where is the new artificial lens placed inside the eye?, How does one notice that one has cataract?, Will an intraocular lens be needed to improve your vision after surgery?, My provider explained information in a way that was easy to understand., How would you rate the quality of your care today?, How comfortable do you feel in your understanding of your upcoming surgery?. Talk with your ophthalmologist if you are considering having early cataract surgery. The difference in educational assessment scores between video and no video groups, in terms of total knowledge assessment score, was not different among surgeons (p=0.807). During their preoperative assessment visits, patients were randomly chosen by clinic staff to view or not view an educational video about cataract surgery prior to their encounter with the surgeon. Additionally, we assessed patients only at the preoperative visit, while the effects of our video education may have also had effects on the day of surgery or at the postoperative visit that were not evaluated. The new clinic will increase Its rarely performed now because it has a high risk of complications. A foldable lens is then inserted through the incision. Evrard S, Mathoulin-Pelissier S, Larrue C, Lapouge P, Bussieres E, Tunon De Lara C. Evaluation of a preoperative multimedia information program in surgical oncology. A 27-question survey was developed by adapting a previously published questionnaire for assessing patient knowledge of cataract surgery.9 Other survey themes were developed after review of a survey developed by Shukla et al (2012)10 and the Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CGCAHPS) survey (available at www.ahrq.gov/cahps/surveys-guidance/cg/index.html). Health Technol Assess. Accessibility Cataract surgery preparation, procedure, costs, aftercare, recovery Discharge Instructions for Cataract Surgery - Fairview As this survey was completed independently by patients without oversight from study personnel, it is unclear why certain items were incomplete. For the total knowledge assessment, a two-way analysis of variance was used to examine the combined effects of video and surgeon. To assess the effect of an educational video on 1) patient knowledge about cataract surgery, 2) patient perception of preoperative assessment visit quality, 3) face-to-face time with the surgeon, and 4) choices regarding premium intraocular lenses (IOLs) or laser-assisted cataract surgery (LACS). DOI: Stein JD. You will need to wear a protective eye shield when you sleep. The new clinic will increase the number of surgeries per week from 25 to 75. Video education is easily integrated into preoperative visits and can enhance the preoperative experience. 281-583-0590 (fax), Copyright 2017, Patient Education Concepts - All Rights Reserved, Patient Education Concepts, LLC Agrees to Sell Certain Assets to Advice Media, LLC. The laser creates an opening in the cloudy capsule and is called a posterior capsulotomy (or a YAG laser capsulotomy). doi: 10.3310/hta18680. Specializing in Cataract, Corneal, and Refractive (LASIK) Surgery EYE CARE: 1. It's not like a scar you get on your skin. You wont be able to drive afterward so youll need someone to make sure you get home safely. During surgery,your eyedoctorwillremovethecloudy lensfrom your eyeand replace it with an artificial lens(called an intraocular lens, or IOL). May 2023. Or see glare in a room with low lights. There was no statistically significant difference in patient perception of overall care quality (p=0.106) between the two groups. Most of the patients were lost to follow-up, but for the 18 eyes with complete data, 11 (61.1%) were at 0.5 D of their predicted spherical equivalent. sexual orientation, gender, or gender identity. Cataracts are not considered a medical emergency and tend to develop slowly. Toric IOL Patient Information Brochure Don't drive for2days or as instructed by your eye care provider. Controlled Trial of Video Supplementation WebSearch clinical education resources. Patient Always follow your healthcare professional's instructions. Authors M Scott Hickman 1 , William L White, W Abraham White Affiliation Search. Call 612-273-3780. Ronald Gaster M.D. Nondiscrimination JBI Database System Rev Implement Rep. 2016. Also, you will be asked about any medicines you take. Within a few hours of the surgery, you will likely notice that colors are brighter, due to the removal of the clouded lens. Severe intraoperative and postoperative complications are possible but not likely and are usually manageable. You may see light and movement during the procedure, but you will not see what the doctor is doing to your eye. Federal government websites often end in .gov or .mil. Call 800-436-9126 or email [emailprotected] to order this program. Be sure to bring a friend or family member with you the day of your surgery. If you have cataracts in both eyes, your surgeries will likely be scheduled weeks apart. May 2023 Presentation Case 5- Preop Cataract Patient with Previous Keratoplasty. WebDuring cataract or lens replacement surgery, the patients natural lenses are replaced with multifocal lenses, which, improve near, intermediate, and far-distance vision. Session: SYM-14 - Evaluating Irregular Corneas for Refractive Surgery. WebPitfalls and lessons learned will fine tune which patients are ideal candidates. WebWhat Do You Do? Be sure to follow your doctors directions for using these drops. patient education and therapeutic suggestions Grand Rounds; Podcast; IC-002 Cataract Surgery in Ocular Surface and Autoimmune Disorders Joann Kang, MD 1:27:08 minutes . This may mean its more expensive now. Clin Ophthalmol. You may be given special eye drops or ointment. Ask about payment plans through your doctor's office. Follow all instructions from your. Also, try to avoid touching your eyes or getting anything in them. Don't touch your eye with the bottle tip. That lens is called an intraocular lens (IOL). In most cases, youll begin experiencing significant improvement in the first several days, though it can take up to a month for you to fully heal. Cornea Cataract pterygium pterygium surgery cornea case ocular surface preoperative. May 2023 Meeting: 2023 ASCRS Annual Meeting Session: SYM-14 - Evaluating Irregular Corneas for Refractive government site. Pain that does not get better with over-the-counter medicine. A Wilcoxon rank-sum test of the difference between medians was used to compare the time spent with the patient between the two groups. Although youll likely be awake during the procedure, its generally not painful because youll be given a local anesthesia. Specifically, a number of studies across surgical disciplines, including ophthalmology, have assessed the potential value of multimedia-assisted informed consent.611 Studies have shown that video-assisted informed consent may lead to better knowledge retention,10,12-14 increased patient satisfaction,14,15 and decreased clinic visit times.15 However, these approaches may not be harnessing the full potential of video education. Cataract surgery costs are generally covered by Medicare if you are Medicare eligible. Of note, nearly half of surgeries (47.2%) involved the use of a femtosecond laser, intraoperative aberrometry, and/or a premium IOL. Get the most comprehensive library of ophthalmic patient education content available. by-Step Guide to Cataract Post-op As mentioned in the Table 2 footnotes, six patients in the no video group did not respond to the survey questions used to create this table. Cataract Surgery: Risks, Recovery, Costs - American View More Presentations From SYM-6. Just under 6-minutes, our Cataract Surgery (phaco) patient education program pre-educates your patients during their brief wait in the exam room saving you and your staff time while also ensuring each patient receives the exact same information during the pre-consultation process. Healthline Media does not provide medical advice, diagnosis, or treatment. Your doctor might call this a posterior capsular opacification (or PCO). It's also called "secondary cataract" or "scar tissue." This presentation is from the session "SYM-6 - Corneal Considerations in Cataract Evaluations" from the 2023 ASCRS Annual Meeting held on May 5-8, 2023 in San Diego, California. A comprehensive literature search of five electronic databases was conducted for randomized controlled trials (RCTs) studying the efficacy of educational interventions for cataract surgery patients. official website and that any information you provide is encrypted But like with any surgery,there are risks. This can help them track and treat other eye conditions, like, Usually, youll be awake during cataract surgery. Astigmatism is when the front of the eye has an irregular shape that often causes blurry vision. WebTo assess the effects of the American Academy of Ophthalmologys 2015 patient education video on patient information retention and anxiety preoperatively, on the day of surgery and postoperatively. Serious pain may be a sign of an infection or other complications. DOI: terHorst C. (2020). American Academy of OphthalmologyPatient Education Department655 Beach StreetSan Francisco, CA 94109, J. Kevin McKinney, MD- ChairAlejandra de Alba CampomanesKendra D. DeAngelis, MDNinel Gregori, MDJames Huffman, MDOdalys Mendoza, MDMichael A. Puente, Jr. MDG. Out of pocket, the American Academy of Ophthalmology reported in 2014 that this A cataractis a cloudy area inthe lensof youreye, (the clear part of the eye that helps to focus light), Your doctor might also recommend surgery even if your cataracts arent the main cause of your vision problems. The COA exam will expect you to know a lot about cataract surgery. Don't drink alcohol for at least24hours. Description and Classification of Cataract A cataract is any opacity of the lens, whether it is a small local opacity or a Impact of Preoperative Video Education for Cataract Surgery on Accessibility As demonstrated in Table 2, participants in both the video and no video groups had very positive perceptions of their care quality, with 97% (56/58) of patients who viewed the video and 92% (34/37) of patients who did not view the video providing the highest possible rating their care quality, 5/5. The Cornea and Catracts team are the experts in the diagnosis and treatment of cataracts. Differences in educational assessment scores between groups were not affected by which surgeon patients saw (p=0.807). Cataract Patient Avoid getting soap or water directly in the eye. Most people feel better a few days after surgery and are able to return to work 1 to 2 days later if they dont develop any complications. However, a common development (in three out of 10 patients) following cataract surgery is an after-cataract. A tiny probe gives off ultrasound waves to dissolve the core, hard part of the cloudy lens. Blurriness is normal shortly after cataract surgery. Here is what will happen: Like any surgery, cataract surgery carries risks of problems or complications. View More From This Session. Is It Common to Have Blurry Vision After Surgery? Cataract surgery is the most commonly performed surgical procedure, compared with any other surgery in medicine. A proportion of correct responses for the 11-question test was then calculated for each patient. You receive a new intraocular lens that also corrects nearsightedness and sharing sensitive information, make sure youre on a federal WebRaviv: Just as there is no specific, prescribed amount of time we spend with patients, there is no one exclusive method to educate them about premium cataract surgery. The only way to remove a cataract is with surgery. Fishers exact tests were used to compare visit quality assessments and lens choices between the two groups.