Satisfaction Level of Physicians Who Have Undergone Corneal Refractive Surgery

Overview

Journal Korean J Ophthalmol

Specialty Ophthalmology

Date 2012 Oct 13

PMID 23060719

Authors

Eun Kyoung Lee

Ji-Won Kwon

Joon Young Hyon

Young Keun Han

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate the levels of satisfaction among physicians who have undergone corneal refractive surgery.

Methods: This study included 212 eyes of 107 consecutive patients who underwent laser in situ keratomileusis or laser sub-epithelial keratomileusis surgery. Patients were divided into two groups: one group of physicians and one group of other healthcare workers (HCWs). The physicians' group was also subdivided into two different groups: surgeons or doctors using microscopes and medical physicians. The main outcome measures were scale scores obtained by using the Visual Function Index-14 questionnaires; uncorrected distance visual acuity (UDVA), residual spherical equivalent (SE), optical zone diameter, and residual corneal thickness were also compared between the groups.

Results: No significant differences in preoperative parameters, with the exception of the ratio of types of refractive surgery, were noted between the physicians and the HCWs group. Additionally, no differences between the groups were noted in the postoperative UDVA, residual SE, optical zone diameter, residual corneal thickness, and level of satisfaction. When comparing the two subgroups of physicians, the differences in satisfaction rates were not statistically significant, even in terms of the performance of delicate manual work.

Conclusions: No statistically significant differences in the clinical outcomes and satisfaction scores were detected after surgery between the physicians and HCWs groups, nor were any significant differences detected between the surgeons and medical physicians groups. Corneal refractive surgery can conceivably be recommended even for physicians who perform intensive near vision-dependent activities and delicate operations.

References

Chan A, Manche E . Effect of preoperative pupil size on quality of vision after wavefront-guided LASIK. Ophthalmology. 2010; 118(4):736-41. DOI: 10.1016/j.ophtha.2010.07.030. View

Steinberg E, Tielsch J, Schein O, Javitt J, Sharkey P, Cassard S . The VF-14. An index of functional impairment in patients with cataract. Arch Ophthalmol. 1994; 112(5):630-8. DOI: 10.1001/archopht.1994.01090170074026. View

Brunette I, Gresset J, Boivin J, Boisjoly H, Makni H . Functional outcome and satisfaction after photorefractive keratectomy. Part 1: development and validation of a survey questionnaire. Ophthalmology. 2000; 107(9):1783-9. DOI: 10.1016/s0161-6420(00)00268-2. View

Schmidt G, Yoon M, McGwin G, Lee P, McLeod S . Evaluation of the relationship between ablation diameter, pupil size, and visual function with vision-specific quality-of-life measures after laser in situ keratomileusis. Arch Ophthalmol. 2007; 125(8):1037-42. DOI: 10.1001/archopht.125.8.1037. View

Hammond Jr S, Puri A, Ambati B . Quality of vision and patient satisfaction after LASIK. Curr Opin Ophthalmol. 2004; 15(4):328-32. DOI: 10.1097/00055735-200408000-00009. View

Morse J, Schallhorn S, Hettinger K, Tanzer D . Role of depressive symptoms in patient satisfaction with visual quality after laser in situ keratomileusis. J Cataract Refract Surg. 2009; 35(2):341-6. DOI: 10.1016/j.jcrs.2008.10.046. View

Lin D, Sheu I, Pai J, Bair A, Hung C, Yeh Y . Measuring patient's expectation and the perception of quality in LASIK services. Health Qual Life Outcomes. 2009; 7:63. PMC: 2716305. DOI: 10.1186/1477-7525-7-63. View

Bailey M, Mitchell G, Dhaliwal D, Boxer Wachler B, Zadnik K . Patient satisfaction and visual symptoms after laser in situ keratomileusis. Ophthalmology. 2003; 110(7):1371-8. DOI: 10.1016/S0161-6420(03)00455-X. View

Yu J, Chen H, Wang F . Patient satisfaction and visual symptoms after wavefront-guided and wavefront-optimized LASIK with the WaveLight platform. J Refract Surg. 2008; 24(5):477-86. DOI: 10.3928/1081597X-20080501-05. View

10.

Tuan K . Visual experience and patient satisfaction with wavefront-guided laser in situ keratomileusis. J Cataract Refract Surg. 2006; 32(4):577-83. DOI: 10.1016/j.jcrs.2006.01.002. View

11.

Levinson B, Rapuano C, Cohen E, Hammersmith K, Ayres B, Laibson P . Referrals to the Wills Eye Institute Cornea Service after laser in situ keratomileusis: reasons for patient dissatisfaction. J Cataract Refract Surg. 2008; 34(1):32-9. DOI: 10.1016/j.jcrs.2007.08.028. View

12.

Solomon K, de Castro L, Sandoval H, Biber J, Groat B, Neff K . LASIK world literature review: quality of life and patient satisfaction. Ophthalmology. 2009; 116(4):691-701. DOI: 10.1016/j.ophtha.2008.12.037. View

13.

Tahzib N, Bootsma S, Eggink F, Nabar V, Nuijts R . Functional outcomes and patient satisfaction after laser in situ keratomileusis for correction of myopia. J Cataract Refract Surg. 2005; 31(10):1943-51. DOI: 10.1016/j.jcrs.2005.08.022. View