Patient satisfaction and clinical outcomes with laser refractive surgery performed by surgeons in training.

PubMed ID: 24957433

Author(s): Nehls SM, Ghoghawala SY, Hwang FS, Azari AA. Patient satisfaction and clinical outcomes with laser refractive surgery performed by surgeons in training. J Cataract Refract Surg. 2014 Jul;40(7):1131-8. doi: 10.1016/j.jcrs.2013.11.042. PMID 24957433

Journal: Journal Of Cataract And Refractive Surgery, Volume 40, Issue 7, Jul 2014

PURPOSE To evaluate the refractive error quality of life (RQL) improvement, patient satisfaction, and clinical results of laser refractive surgery performed by residents or fellows.

SETTING Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, USA.

DESIGN Case series.

METHODS This study reviewed the clinical results of consecutive refractive surgery cases performed between March 2010 and February 2012 by ophthalmology residents or fellows. One-year postoperative analysis of the RQL and patient satisfaction in a subgroup of patients was completed using the National Eye Institute Refractive Error Correction Quality of Life-42 instrument (NEI RQL-42), and a comparison with NEI published normative data and post-refractive data was performed.

RESULTS Data were obtained from 138 eyes that had laser in situ keratomileusis and 4 eyes that had photorefractive keratectomy. The 1-year postoperative analysis of the RQL and patient satisfaction was completed in 34 patients. After 6 months postoperatively, the mean uncorrected distance visual acuity was 0.01 logMAR (95% confidence interval [CI], -0.012 to 0.023). The mean postoperative residual refractive error spherical equivalent was -0.20 diopter (D) (95% CI, -0.26 to -0.13). No eye lost corrected distance visual acuity. Equivalent or better satisfaction in the RQL was found in all but 1 of the 13 scale scores of the NEI RQL-42 compared with previously published NEI data.

CONCLUSIONS Laser refractive surgery performed by residents and fellows showed high patient satisfaction and an improved RQL 1-year postoperatively. Clinical outcomes validated the safety and efficacy of refractive surgery performed by surgeons in training.

FINANCIAL DISCLOSURE No author has a financial or proprietary interest in any material or method mentioned.