Shum Jennifer W H, Cheung Janice J C, Lee Monica M N, Wong Oscar G W, Li Kenneth K W
Department of Ophthalmology, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Department of Ophthalmology, United Christian Hospital, Kwun Tong, Hong Kong.
J Ophthalmol. 2017;2017:1261698. doi: 10.1155/2017/1261698. Epub 2017 Mar 23.
. To study whether nurse led same-day review (SDR) after uneventful phacoemulsification can replace next-day review (NDR) in terms of safety and efficacy. . Patients are recruited from an ophthalmology outpatient clinic in Hong Kong. . A prospective, randomized crossover study conducted from November 2012 to 2014. . Inclusion criteria include cataract surgery naïve patients undergoing phacoemulsification under local anaesthesia. All patients were seen by our ophthalmic nurse 2 hours after surgery. Before undergoing phacoemulsification of the first eye, patients were randomized to be reviewed on day 1 or 7 after surgery. Surgeons and reviewing doctors were blinded to patient allocation. For the patients' second eye surgery, group allocation will cross over. Primary outcome measures include visual improvement and patient satisfaction questionnaire. Other measures include cataract characteristics, surgical details, and complications. Statistical tests include paired -test, Wilcoxon signed rank test, and Chi-square test. . 164 eyes from 82 patients were available. Visual improvement, satisfaction, and complications were comparable between both groups. . A nurse led SDR can replace NDR in uneventful phacoemulsification in terms of safety and efficacy. Patient satisfaction is also comparable in the setting of Asian culture and when transportation is not a major concern.
研究在白内障超声乳化手术无异常后，由护士主导的当日复查（SDR）在安全性和有效性方面是否可以替代次日复查（NDR）。患者从香港的一家眼科门诊招募。2012年11月至2014年进行了一项前瞻性、随机交叉研究。纳入标准包括首次接受白内障手术、在局部麻醉下进行超声乳化的患者。所有患者在术后2小时由我们的眼科护士进行检查。在对第一只眼睛进行超声乳化手术前，患者被随机分为在术后第1天或第7天进行复查。手术医生和复查医生对患者的分组情况不知情。对于患者的第二只眼睛手术，分组将交叉。主要结局指标包括视力改善情况和患者满意度问卷。其他指标包括白内障特征、手术细节和并发症。统计检验包括配对t检验、Wilcoxon符号秩检验和卡方检验。82例患者的164只眼睛可供研究。两组之间的视力改善、满意度和并发症情况相当。在安全性和有效性方面，由护士主导的SDR可以替代白内障超声乳化手术无异常后的NDR。在亚洲文化背景下且交通不是主要问题时，患者满意度也相当。
