Immediate Sequential Bilateral Cataract Surgery: Opinions among Refractive Surgeons in the United States and a Comparative Analysis with European Consultants.

Autor: Rush SW; Panhandle Eye Group, 7400 Fleming, Amarillo 79106, TX, USA.; Texas Tech University Health Science Center, 1400 S. Coulter, Amarillo 79106, TX, USA., Guerrero Criado AE; Texas Tech University Health Science Center, 1400 S. Coulter, Amarillo 79106, TX, USA., Kezirian GM; SurgiVision Consultants, 28071 N. 90 Way, Scottsdale 85262, AZ, USA., Durrie D; Durrie Vision, 8300 College Blvd Suite 201, Overland Park 66210, KS, USA.
Jazyk: angličtina
Zdroj: Journal of ophthalmology [J Ophthalmol] 2022 Sep 05; Vol. 2022, pp. 8310921. Date of Electronic Publication: 2022 Sep 05 (Print Publication: 2022).
DOI: 10.1155/2022/8310921
Abstrakt: Purpose: To analyze the perspectives of practicing refractive surgeons regarding the implementation of Immediate Sequential Bilateral Cataract Surgery (ISBCS) in the United States (US) and to compare their perspectives with those of European colleagues. Setting . Online refractive surgery forum.
Design: A survey-based questionnaire.
Methods: An electronic survey was emailed to all surgeon members of the Refractive Surgery Alliance (RSA) in the US. Participants were prompted to score their impressions regarding various aspects regarding ISBCS. Responses were compared to published reports conducted among European surgeons.
Results: The electronic link to the survey was emailed to US-based surgeon members of the RSA, where 107 participated (44.6%). Twenty-seven (25.2%) reported that they currently perform ISBCS. Twenty-three (22.5%) of the respondents indicated they felt ISCBCS should be offered as a standard of care for routine cataract surgery. For surgeons that do not perform ISBCS, the most important factors were related to medicolegal issues and decreased reimbursement, whereas evidence of effectiveness and complications related to ISBCS were less important. Compared to practitioners abroad, 67.2% of European ophthalmic surgeons, compared to 25.2% of US surgeons, perform ISBCS ( p < 0.0001).
Conclusions: While US refractive surgeons often perform bilateral corneal procedures, many significant barriers exist to the widespread adoption of ISBCS. Concerns reported by US surgeons mirror those reported by surgeons in Europe. The majority of the US refractive surgeons in this survey indicate that ISBCS should not be the standard of care in routine cases, with the prevailing reason being concerns about decreased physician reimbursement and potential medicolegal issues, not safety.
Competing Interests: The authors declare that there are no conflicts of interest.
(Copyright © 2022 Sloan W. Rush et al.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje