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Patient Experience and Satisfaction With Immediate Sequential and Delayed Sequential Bilateral Cataract Surgery.

James A Carolan1, Laura B Amsden2, Andrew Lin3

  • 1From the Department of Ophthalmology (J.A.C.), Kaiser Permanente San Rafael, San Rafael.

American Journal of Ophthalmology
|September 28, 2021
PubMed
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Patients undergoing immediate sequential bilateral cataract surgery (ISBCS) are more likely to recommend it than delayed sequential bilateral cataract surgery (DSBCS). The ability to modify the second surgery is not a major factor for most patients.

Area of Science:

  • Ophthalmology
  • Surgical Outcomes
  • Patient Experience

Background:

  • Cataract surgery is a common procedure.
  • Sequential bilateral cataract surgery (ISBCS or DSBCS) involves operating on both eyes.
  • Patient preferences and experiences can vary between immediate and delayed procedures.

Purpose of the Study:

  • To compare patient experiences with immediate sequential bilateral cataract surgery (ISBCS) versus delayed sequential bilateral cataract surgery (DSBCS).
  • To assess the impact of the opportunity to modify the surgical plan for the second eye on patient decisions.

Main Methods:

  • A cross-sectional study surveyed 1818 patients for ISBCS and 1818 for DSBCS.
  • Patients were selected from Kaiser Permanente Northern California (2017-2019) via the electronic patient portal.

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  • Surveys focused on reasons for choosing ISBCS/DSBCS and the importance of modifying the second surgery.

    • Main Results:

    • 96% of ISBCS patients would choose it again vs. 80% for DSBCS (P < .0001).
    • Convenience was the main driver for ISBCS (65%), surgeon recommendation for DSBCS (68%).
    • Modifying the second surgery was important for 16% of ISBCS patients and 38% of DSBCS patients (P < .0001).

    Conclusions:

    • Patients who chose ISBCS were more likely to choose it again and recommend it.
    • The opportunity to modify the surgical plan for the second eye was not a significant factor for most patients in either group.