Navigating decisional conflict: laser peripheral iridotomy for primary angle-closure glaucoma prevention

Area of Science:

• Ophthalmology
• Medical Decision-Making

Background:

• Primary angle-closure suspect (PACS) and primary angle-closure (PAC) are glaucoma subtypes.
• Laser peripheral iridotomy (LPI) is a common treatment option for these conditions.
• Decisional conflict can impact patient adherence and outcomes.

Purpose of the Study:

• To investigate decisional conflict in patients with PACS or PAC considering LPI.
• To identify factors contributing to decisional conflict in this patient group.

Main Methods:

• 111 patients with PACS or PAC were recruited.
• Data collected via general information questionnaire and Decision Conflict Scale.
• Multiple linear regression analysis was used to identify influencing factors.

Main Results:

• 99.1% of patients reported decisional conflict (mean score 48.58±10.01).
• Higher conflict observed in females, those with shorter disease duration, diagnosed during visits, refusing LPI, facing economic burdens, and preferring independent or family-involved decisions.

Conclusions:

• Significant decisional conflict is common for PACS/PAC patients considering LPI.
• Healthcare providers must assess gender, disease duration, diagnosis method, LPI status, economic factors, and decision-making preferences.
• Tailored decision support can mitigate conflict and improve treatment choices.