Functional outcomes and patient satisfaction after laser in situ keratomileusis for correction of myopia

Tahzib, Nayyirih G.; Bootsma, Sander J.; Eggink, Fred A.G.J.; Nabar, Vaishali A.; Nuijts, Rudy M.M.A.

doi:10.1016/j.jcrs.2005.08.022

Cited by 76 publications

(72 citation statements)

References 33 publications

(73 reference statements)

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“…8,46,47 In the PROWL studies, satisfaction with vision increased from baseline, but 1% (95% CI, 0%-4%) to 4% (95% CI, 2%-7%) of participants had some level of dissatisfaction with vision 3 to 6 months after surgery. The total number of dissatisfied participants in the PROWL studies was too small to assess associations with other factors.…”

Section: Discussionmentioning

confidence: 98%

Symptoms and Satisfaction of Patients in the Patient-Reported Outcomes With Laser In Situ Keratomileusis (PROWL) Studies

et al. 2017

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IMPORTANCE Patient-reported outcomes should be collected using validated questionnaires prior to and following laser in situ keratomileusis (LASIK) surgery.OBJECTIVE To report the frequency of patient-reported visual symptoms, dry eye symptoms, satisfaction with vision, and satisfaction with LASIK surgery in the Patient-Reported Outcomes With LASIK (PROWL) studies. DESIGN, SETTING, AND PARTICIPANTSThe PROWL-1 and PROWL-2 studies were prospective, observational studies conducted from September 13, 2011, to June 27, 2014. The PROWL-1 study was a single-military center study of 262 active-duty Navy personnel 21 to 52 years of age. The PROWL-2 study was a study of 312 civilians 21 to 57 years of age conducted at 5 private practice and academic centers. The LASIK surgery and the postoperative care were performed based on the usual practice and clinical judgment at the site. Participants completed a self-administered, web-based questionnaire, preoperatively and postoperatively at 1 and 3 months (the PROWL-1 and -2 studies) and at 6 months (the PROWL-2 study).EXPOSURES Participants underwent LASIK surgery for myopia, hyperopia, and/or astigmatism. MAIN OUTCOMES AND MEASURESVisual symptoms (double images, glare, halos, and/or starbursts), dry eye symptoms, participant satisfaction (with vision and LASIK surgery), and clinical measures (visual acuity, refractive error, and slitlamp and posterior segment eye examination findings) were assessed preoperatively and at 1, 3, and 6 months postoperatively.RESULTS A total of 262 participants were enrolled in the PROWL-1 study (mean [SD] age, 29.1 [6.1] years), and a total of 312 participants were enrolled in the PROWL-2 study (mean [SD] age, 31.5 [7.3] years). Visual symptoms and dissatisfaction with vision were common preoperatively. Overall, the prevalence of visual symptoms and dry eye symptoms decreased, although a substantial percentage of participants reported new visual symptoms after surgery (43% [95% CI, 31%-55%] from the PROWL-1 study and 46% [95% CI, 33%-58%] from the PROWL-2 study at 3 months). The percentages of participants in the PROWL-1 study with normal Ocular Surface Disease Index scores were 55% (95% CI, 48%-61%) at baseline, 66% (95% CI, 59%-72%) at 3 months, and 73% (95% CI, 67%-79%) at 6 months. The percentages of participants in the PROWL-2 study with normal Ocular Surface Disease Index scores were 44% (95% CI, 38%-50%) at baseline and 65% (95% CI, 59%-71%) at 3 months. Of those participants who had normal scores at baseline in both the PROWL-1 and -2 studies, about 28% (95% CI, 19%-37%) had mild, moderate, or severe dry eye symptoms at 3 months. While most participants were satisfied, the rates of dissatisfaction with vision ranged from 1% (95% CI, 0%-4%) to 4% (95% CI, 2%-7%), and the rates of dissatisfaction with surgery ranged from 1% (95% CI, 0%-4%) to 2% (95% CI, 1%-5%). CONCLUSIONS AND RELEVANCEThe systematic administration of a questionnaire to patients who have undergone LASIK surgery is a new approach to assess symptoms and satisfaction. Our findi...

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Section: Discussionmentioning

confidence: 98%

Symptoms and Satisfaction of Patients in the Patient-Reported Outcomes With Laser In Situ Keratomileusis (PROWL) Studies

et al. 2017

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“…According to a previous study employing a questionnaire, 34% of patients after LASIK felt that their night vision was worse or much worse than before the surgery [9]. A possible explanation of the results in that study is that refractive interventions corrected only a part of the cornea.…”

Section: Introductionmentioning

confidence: 84%

Quantitative evaluation of night vision and correlation of refractive and topographical parameters with glare after orthokeratology

Kojima

Asato

Hara

et al. 2011

Graefes Arch Clin Exp Ophthalmol

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“…In surgical practice patient satisfaction has been evaluated for several diseases and procedures, including orthopedic surgery [7], breast cancer [22], neurosurgery, ophthalmology [34], and gynecology. In laparoscopic surgery such questionnaires have been used occasionally.…”

Section: Patient Satisfactionmentioning

confidence: 99%

Patient-reported outcomes. How important are they?

2007

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Outcome after surgical treatment has been based predominantly on objective criteria (biomedical model) and has largely ignored, until recently, the expectations, personal feelings, satisfaction, and quality of life of patients (outcomes model). The importance of this derives from considerations that the viewpoints and priorities of patients may not be the same as those of their surgeons. Furthermore, there is often little correlation between symptom severity and disease severity. Measures of quality of life and patient satisfaction are, thus, important in valid assessment of the results of surgical treatment. Global assessment based on both the biomedical and outcomes models constitutes the ideal. Questionnaires designed to measure both quality life (generic and specific) and patient satisfaction with treatment require careful development and validation by appropriate studies.

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Functional outcomes and patient satisfaction after laser in situ keratomileusis for correction of myopia

Cited by 76 publications

References 33 publications

Symptoms and Satisfaction of Patients in the Patient-Reported Outcomes With Laser In Situ Keratomileusis (PROWL) Studies

Symptoms and Satisfaction of Patients in the Patient-Reported Outcomes With Laser In Situ Keratomileusis (PROWL) Studies

Quantitative evaluation of night vision and correlation of refractive and topographical parameters with glare after orthokeratology

Patient-reported outcomes. How important are they?

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