Parker Jack, Krijgsman Marina, van Dijk Korine, Melles Gerrit R J
*Netherlands Institute for Innovative Ocular Surgery, Rotterdam, The Netherlands; †Melles Cornea Clinic Rotterdam, Rotterdam, The Netherlands; ‡Parker Cornea, Birmingham, AL; and §Amnitrans Eye Bank Rotterdam, Rotterdam, The Netherlands.
Cornea. 2017 Apr;36(4):445-447. doi: 10.1097/ICO.0000000000001149.
To evaluate patient experience with office-based corneal transplantation.
Five hundred sixty-seven consecutive patients had a corneal transplant in a stand-alone operation unit, ie, a unidirectional flow hood inside a dedicated treatment room in an office setting. Six months postoperatively, all patients received a questionnaire inquiring how they experienced corneal surgery and the operation unit; 354 patients responded to the questionnaire and their answers were scored on a scale of 1 to 5, with higher scores indicating greater satisfaction.
The average score to the question "How would you rate your experience of your corneal operation in general?" was 4.4 ± 0.62 (n = 354), and the average score to the question "How would you rate your experience within the operation unit, taking into consideration feelings of claustrophobia and how comfortable you felt?" was 4.1 ± 0.82 (n = 348). Patients who had undergone previous ocular surgery in a conventional operating theater scored their office-based corneal transplant no less favorably than those patients for whom it was their first operation (P = 0.9 and P = 0.77, respectively). Most subjective comments pertained to the surgical stretcher, rather than to the experience of office-based surgery in general or to the unidirectional flow hood in particular.
Regardless of the ophthalmic surgical history, patient experience with office-based corneal transplantation was generally positive.
评估患者对门诊角膜移植手术的体验。
567例连续患者在独立手术单元接受角膜移植手术，该手术单元为办公室环境中专用治疗室内的单向流罩。术后6个月，所有患者均收到一份问卷，询问他们对角膜手术及手术单元的体验；354例患者回复了问卷，其答案按1至5分进行评分，分数越高表明满意度越高。
对于“总体而言，您如何评价您的角膜手术体验？”这一问题，平均得分为4.4±0.62（n = 354）；对于“考虑到幽闭恐惧症的感受以及您的舒适程度，您如何评价您在手术单元内的体验？”这一问题，平均得分为4.1±0.82（n = 348）。曾在传统手术室接受过眼部手术的患者对门诊角膜移植手术的评分并不低于首次接受该手术的患者（分别为P = 0.9和P = 0.77）。大多数主观评论涉及手术担架，而非总体的门诊手术体验或特别是单向流罩。
无论眼科手术史如何，患者对门诊角膜移植手术的体验总体上是积极的。
