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Published on: December 1, 2023
Virtual follow-up after cataract surgery: systematic review.
Angelica Hanna1, Diana Lucia Martinez, Marko Popovic
1From the Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada (Hanna, Popovic, Ahmed, Teichman); Prism Eye Institute, Mississauga, Ontario, Canada (Martinez, Ahmed, Teichman); Department of Ophthalmology & Vision Sciences, University of Toronto, Toronto, Ontario, Canada (Popovic, Ahmed, Teichman); Division of Ophthalmology, Trillium Health Partners, Mississauga, Ontario, Canada (Ahmed, Teichman); John Moran Eye Center, University of Utah, Salt Lake City, Utah (Ahmed).
Virtual postoperative follow-up care, primarily telephone calls, appears safe for uneventful cataract surgery patients. Patients preferred this convenient method, though more research is needed to confirm its effectiveness.
Area of Science:
- Ophthalmology
- Health Services Research
Background:
- Cataract surgery is a common procedure with standard in-person postoperative follow-up.
- The efficacy and safety of virtual follow-up care as an alternative to in-person visits remain uncertain.
Purpose of the Study:
- To assess the association between virtual postoperative follow-up and patient outcomes after cataract surgery.
- To determine if virtual follow-up is a safe alternative to in-person reviews.
Main Methods:
- A systematic review of MEDLINE, Embase, and CINAHL databases was conducted up to October 2023.
- Included studies involved virtual follow-up (telephone or video) for cataract surgery patients and reported outcomes.
- Risk of bias was assessed, and descriptive statistics were used to summarize findings.
Main Results:
- Seven studies involving 1994 patients and 2113 surgeries were included.
- No significant differences in complication rates or visual acuity were found between virtual and in-person follow-up groups.
- Patients generally preferred virtual follow-up for convenience, and no serious adverse outcomes were reported.
Conclusions:
- Virtual follow-up appears to be a safe and patient-preferred alternative for uneventful cataract surgery.
- Preliminary findings suggest benefits like reduced recovery time and anxiety in some cases.
- Further research is necessary due to the limited literature base.
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