April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Variation in Post-operative Instructions Following Uncomplicated Phacoemulsification and Lens Implant Surgery
Author Affiliations & Notes
  • Lyndon D. Tyler
    Dartmouth Medical School, Hanover, New Hampshire
  • Susan M. Pepin
    Surgery,
    Dartmouth Medical School, Hanover, New Hampshire
  • Footnotes
    Commercial Relationships  Lyndon D. Tyler, None; Susan M. Pepin, None
  • Footnotes
    Support  Federal work study grant
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 6231. doi:
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    • Get Citation

      Lyndon D. Tyler, Susan M. Pepin; Variation in Post-operative Instructions Following Uncomplicated Phacoemulsification and Lens Implant Surgery. Invest. Ophthalmol. Vis. Sci. 2011;52(14):6231.

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Abstract
 
Purpose:
 

Examine variability in post-op restrictions following phacoemulsification cataract surgery among surgeons in the USA

 
Methods:
 

Between May and September 2010, US ophthalmologists were invited to voluntarily and anonymously complete a short online questionnaire. 52 physicians responded and all responses were included. The questionnaire asked how long after surgery a patient should refrain from the following activities:• Light clerical work• Heavy manual work• Straining and heavy lifting• DrivingRespondents were also asked to select the basis of their post-operative advice (e.g., evidence, personal experience, unit policy, other), and they could select more than one response.Variability was classified as high (≤ 60% concordance among responses), moderate (60-90%), or low (> 90%)

 
Results:
 

Low variability responses• noneModerate variability responses• Return to light clerical work - 68% of respondents gave no restrictions, 26% advised less than 3 days restrictionHigh variability responses• Return to heavy manual work - 52% of respondents advised less than 1 week• Return to straining and heavy lifting - 57% of respondents advised less than 1 week• Return to driving - 45% of respondents gave no restrictions, 43% advised less than 1-week restriction.86% of respondents indicated that their post-operative advice is based on personal experience, whereas only 24% of respondents indicated that their advice is based on evidence. Comments ranged from "based on training" to "no good reason - I know of little evidence for post op care standards".

 
Conclusions:
 

Phacoemulsification is a popular method for removing cataracts in the USA. However, the restrictions placed on post-operative patient activity are highly variable, and usually not evidence-based. Further research is needed to develop evidence-based guidelines to direct post-operative advice following cataract surgery.  

 
Keywords: cataract • clinical (human) or epidemiologic studies: prevalence/incidence • small incision cataract surgery 
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