Shiley Eye Institute, Viterbi Family Department of Ophthalmology, University of California San Diego, 9415 Campus Point Dr #0946, La Jolla, CA, 92093-0946, USA.
Int Ophthalmol. 2023 Dec;43(12):4897-4904. doi: 10.1007/s10792-023-02892-y. Epub 2023 Oct 24.
To evaluate the accuracy of a point-of-view cataract surgery simulation video in representing different subjective experiences of patients undergoing the procedure.
One hundred consecutive post-cataract-surgery patients were shown a short simulation video of the surgery obtained through a porcine eye model during the first postoperative week. Patients then answered a multiple-choice questionnaire regarding their visual and tactile intraoperative experiences and how those experiences matched the simulation.
Of the patients surveyed (n = 100), 78% (n = 78) recalled visual experiences during surgery, 11% recalled pain (n = 11), and 6.4% (n = 5) recalled frightening experiences. Thirty-six percent of patients (n = 36) were interviewed after their second cataract surgery; there was no statistically significant difference between anxiety scores reported before the first eye surgery and second eye surgery (p = 0.147). Among all patients who recalled visual experiences (n = 78), nearly half (47.4%) reported that the video was the same/similar to their experience. Forty-eight percent of the patients recommended future patients to watch the video before their procedures, and more than a third (36%) agreed that watching the video before surgery would have helped them to relax.
Our model reflects the wide range of subjective patient experiences during and after surgery. The high percentage of patients who found the video accurate in different ways suggests that, with more development, point-of-view cataract simulation videos could prove useful for educational or clinical use. Further research may be done to confirm the simulation's utility, by screening the video for subjects before operations.
评估白内障手术模拟视频在代表患者手术过程中不同主观体验方面的准确性。
在术后第一周，100 名连续接受白内障手术后的患者观看了一段通过猪眼模型获得的手术短模拟视频。然后，患者回答了一份多项选择题问卷，内容涉及他们在手术过程中的视觉和触觉体验，以及这些体验与模拟视频的匹配程度。
在所调查的患者中（n=100），78%（n=78）回忆起手术过程中的视觉体验，11%（n=11）回忆起疼痛，6.4%（n=5）回忆起可怕的体验。36%的患者（n=36）在第二次白内障手术后接受了采访；第一次眼部手术和第二次眼部手术的焦虑评分之间没有统计学上的显著差异（p=0.147）。在所有回忆起视觉体验的患者中（n=78），近一半（47.4%）表示视频与他们的体验相同/相似。48%的患者建议未来的患者在手术前观看视频，超过三分之一（36%）的患者同意在手术前观看视频可以帮助他们放松。
我们的模型反映了患者在手术过程中和手术后的广泛主观体验。大量患者发现视频在不同方面都很准确，这表明，随着进一步的开发，视角白内障模拟视频可能在教育或临床应用中证明是有用的。可能会通过在手术前对视频进行筛选，进一步研究以确认模拟视频的实用性。
