Ahmet Sibel, Balci Ali Safa, Atik Burcu Kemer, Topçu Hüsna, Kırgız Ahmet
Department of Ophthalmology, University of Health Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, 34420, Turkey.
Lasers Med Sci. 2025 Jan 25;40(1):45. doi: 10.1007/s10103-025-04299-w.
To evaluate the quality, usefulness, and reliability of videos about Small Incision Lenticule Extraction (SMILE) surgery on the YouTube platform. On January 19, 2022, a search was performed on YouTube ( www.youtube.com ) with the keywords 'small incision lenticule extraction', 'SMILE refractive surgery', and 'ReLex SMILE Surgery'. The default search option was "sort videos by relevance". The duration of videos (seconds), the number of views, the source of videos (surgeons/medical organizations-health channels/patients-others), the number of subscribers, the number of likes and dislikes, like ratio (like × 100/[like + dislike]), the number of comments, the time since upload date (days), the video content (surgery/theoretical information), the content of surgical videos (real surgery/animation), mode of expression (verbal narration/subtitle), and the presence of a conflict of interest (yes/no) were recorded. The videos were blindly evaluated by two refractive surgeons (SA and AK) using DISCERN, the Journal of the American Medical Association (JAMA), and the Global Quality Score (GQS). A total of 101 videos were analyzed, 38 (37.6%) of which were uploaded by surgeons. The mean DISCERN, JAMA, and GQS were 37.73 ± 7.49; 1.90 ± 0.57; and 2.20 ± 0.73, respectively. The JAMA score, GQS, and video duration were all significantly correlated with the DISCERN score. The GQS was significantly correlated with all parameters except the JAMA score. Overall, SMILE surgery videos on the YouTube platform may provide cursory information to non-ophthalmologists; however, when the videos are evaluated using tools such as DISCERN, JAMA, and GQS, they are of low quality in terms of refractive surgery education for ophthalmologists. Experts should evaluate and review content uploaded to websites such as YouTube.
评估YouTube平台上关于小切口飞秒透镜切除术（SMILE）手术视频的质量、实用性和可靠性。2022年1月19日，在YouTube（www.youtube.com）上使用关键词“小切口飞秒透镜切除术”、“SMILE屈光手术”和“ReLex SMILE手术”进行搜索。默认搜索选项为“按相关性对视频进行排序”。记录视频时长（秒）、观看次数、视频来源（外科医生/医疗组织-健康频道/患者-其他）、订阅者数量、点赞和不喜欢的数量、点赞率（点赞数×100/[点赞数+不喜欢数]）、评论数量、自上传日期起的时间（天）、视频内容（手术/理论信息）、手术视频内容（真实手术/动画）、表达方式（口头叙述/字幕）以及利益冲突情况（是/否）。由两名屈光外科医生（SA和AK）使用DISCERN、《美国医学会杂志》（JAMA）和全球质量评分（GQS）对这些视频进行盲评。共分析了101个视频，其中38个（37.6%）由外科医生上传。DISCERN、JAMA和GQS的平均得分分别为37.73±7.49、1.90±0.57和2.20±0.73。JAMA评分、GQS和视频时长均与DISCERN评分显著相关。GQS与除JAMA评分外的所有参数均显著相关。总体而言，YouTube平台上的SMILE手术视频可能会为非眼科医生提供粗略信息；然而，当使用DISCERN、JAMA和GQS等工具对这些视频进行评估时，就眼科医生的屈光手术教育而言，它们的质量较低。专家应评估和审查上传到YouTube等网站的内容。
