July 2018
Volume 59, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2018
Effect of smart phone application on follow-up adherence improvement in pediatric cataract patients
Author Affiliations & Notes
  • pingjun chang
    School of Ophthalmology and Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, China
  • lei lin
    School of Ophthalmology and Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, China
  • Hongfang Zhang
    School of Ophthalmology and Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, China
  • Yun-e Zhao
    School of Ophthalmology and Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, China
  • Footnotes
    Commercial Relationships   pingjun chang, None; lei lin, None; Hongfang Zhang, None; Yun-e Zhao, None
  • Footnotes
    Support  This study was supported by research grants from the Provincial Construction Project of Zhejiang (Grant No. WKJ-ZJ-1626), Zhejiang Provincial Natural Science Foundation of China (Grant No. LY18H120008), National Natural Science Foundation of China (Grant No.81670784) and the Innovation Discipline of Zhejiang Province (lens disease in children).
Investigative Ophthalmology & Visual Science July 2018, Vol.59, 4785. doi:
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      pingjun chang, lei lin, Hongfang Zhang, Yun-e Zhao; Effect of smart phone application on follow-up adherence improvement in pediatric cataract patients. Invest. Ophthalmol. Vis. Sci. 2018;59(9):4785.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To evaluated the potential of the mobile phone application, WeChat, to increase patient compliance in attendance of follow-up after pediatric cataract treatment.

Methods : Retrospective cohort study. A total of 163 pediatric cataract patients with uneventful surgery were included. According to their follow-up intervention method, patients were divided into the WeChat group (75 patients) or control group (88 patients). Attendance at five follow-up appointments after surgery was recorded. The percentage of patients that attend each follow-up appointment and the compliance of refractive correction were assessed.

Results : Although no significant difference was observed in the first appointment comparing the two groups (98.7% vs. 94.3%, p = 0.293), the attendance rates at the other appointments of the WeChat group were significantly higher than control group (second: 98.7% vs. 89.8%, third: 97.3% vs. 83%, fourth: 93.3% vs. 78.4%, fifth: 80% vs. 56.8%, total: 93.6% vs. 80.5%, respectively). Compared with the control group, the odd ratios for adherence improvement were 4.4 for males (95% confidence index [CI] 2.54-7.65), 4.75 for patients more than 2 years old (95% CI 2.41-9.36), 4.19 for intraocular lens implantation (2.29-7.66), 6.93 for unilateral cataract (2.9-16.52), 4.87 for undeveloped cities (2.74-8.65) and 3.49 for cities far away (2.04-5.96), with all the p < 0.0001. In addition, the compliance of refractive correction was significantly improved in the WeChat group (79.17% vs. 55.56%, p = 0.009 and 74.36% vs. 44.9%, p = 0.0054).

Conclusions : This study demonstrates that the use of WeChat can significantly improve follow-up attendance after pediatric cataract treatment.

This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.

 

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