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CD Reilly, F Scribbick; Personality Disorder Screening For Obsessive-compulsive Disorder In Patients Seeking Refractive Surgery . Invest. Ophthalmol. Vis. Sci. 2002;43(13):4139.
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Purpose: Screening patients for personality disorders prior to elective surgery is commonplace; however, no studies have been performed to evaluate the need for or efficacy of screening patients for personality disorders in elective refractive surgery. We propose that screening for obsessive-compulsive disorder is a valuable adjunct in overall patient evaluation prior to elective refractive surgery. Methods: 96 patients who underwent refractive surgery were retrospectively screened using a questionnaire to determine the prevalence of psychiatric diagnoses in this population and to determine the number of patients who fulfilled screening criteria for possible obsessive-compulsive disorder. In addition, patient overall satisfaction with their refractive surgery results were compared to the results of their personality screening test. Results: 56/96 (56%) surveys were returned at the time of this abstract. 78% of respondents were female (43/56), the prevalence of previous psychiatric diagnosis is 7% (6/56) with depression being the number one diagnosis (6%) (3/56). The number of patients screening positive for traits consistent with obsessive- compulsive disorder is 6% (3/56). There was a statistically significant correlation between scoring high on the obsessive compulsive disorder screening test and overall satisfaction with keratorefractive surgery results based on this population (p=0.01). Conclusion: Screening patients for personality disorders in general and in particular for obsessive-compulsive disorder may prove beneficial as part of a comprehensive screening program for keratorefractive surgery candidates.
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