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J Cataract Refract Surg. 2004 Sep;30(9):1966-71.

Comparative study of first-day postoperative cataract review methods.

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1
Sunderland Eye Infirmary, Sunderland SR2 9HP, England, UK.

Abstract

PURPOSE:

To assess whether telephone review on the first day after uneventful phacoemulsification is as effective as postoperative review in a hospital or the patients' home by nursing staff.

SETTING:

Sunderland Eye Infirmary, Sunderland, United Kingdom.

METHOD:

This prospective study comprised 3 arms, each of which consisted of 100 patients who had uneventful phacoemulsification with intraocular lens implantation. Patients received the same postoperative medications and were given a questionnaire regarding their opinions on the method of postoperative review. The method of review was different for each arm as follows: (1) home review by a nurse, (2) return to the hospital for review by a nurse, and (3) telephone review by a nurse. Statistical analysis of relative frequencies was done; exact testing was applied throughout to test for differences in proportions and, where applicable, to construct 95% confidence intervals.

RESULTS:

There were no significant differences between the 3 groups in the degree to which patients understood the instructions and questions. The telephone group was significantly less reassured than the home-visit group, but there was no significant difference in the degree of reassurance between the telephone and hospital-visit groups. Seventy percent of patients in the telephone group listed telephone review as their preferred method of postoperative review.

CONCLUSION:

In cases of uneventful phacoemulsification, telephone review is safe, effective, and acceptable and is a reasonable alternative to other first-day review methods.

PMID:
15342063
DOI:
10.1016/j.jcrs.2004.01.037
[Indexed for MEDLINE]

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