Evaluating the accuracy of a cataract surgery simulation video in depicting patient experiences under conscious anesthesia.

Autor: Sella R; Shiley Eye Institute, Viterbi Family Department of Ophthalmology, University of California San Diego, 9415 Campus Point Dr #0946, La Jolla, CA, 92093-0946, USA., Lian RR; Shiley Eye Institute, Viterbi Family Department of Ophthalmology, University of California San Diego, 9415 Campus Point Dr #0946, La Jolla, CA, 92093-0946, USA., Abbas AA; Shiley Eye Institute, Viterbi Family Department of Ophthalmology, University of California San Diego, 9415 Campus Point Dr #0946, La Jolla, CA, 92093-0946, USA., Fuller SD; Shiley Eye Institute, Viterbi Family Department of Ophthalmology, University of California San Diego, 9415 Campus Point Dr #0946, La Jolla, CA, 92093-0946, USA., Bentley SS; Shiley Eye Institute, Viterbi Family Department of Ophthalmology, University of California San Diego, 9415 Campus Point Dr #0946, La Jolla, CA, 92093-0946, USA., Fukuoka H; Shiley Eye Institute, Viterbi Family Department of Ophthalmology, University of California San Diego, 9415 Campus Point Dr #0946, La Jolla, CA, 92093-0946, USA., Afshari NA; Shiley Eye Institute, Viterbi Family Department of Ophthalmology, University of California San Diego, 9415 Campus Point Dr #0946, La Jolla, CA, 92093-0946, USA. naafshari@ucsd.edu.
Jazyk: angličtina
Zdroj: International ophthalmology [Int Ophthalmol] 2023 Dec; Vol. 43 (12), pp. 4897-4904. Date of Electronic Publication: 2023 Oct 24.
DOI: 10.1007/s10792-023-02892-y
Abstrakt: Purpose: To evaluate the accuracy of a point-of-view cataract surgery simulation video in representing different subjective experiences of patients undergoing the procedure.
Methods: 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.
Results: 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.
Conclusions: 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.
(© 2023. The Author(s).)
Databáze: MEDLINE
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