Patient satisfaction and visual symptoms after laser in situ keratomileusis

Bailey, Melissa D.; Mitchell, G. Lynn; Dhaliwal, Deepinder K.; Wachler, Brian S Boxer; Zadnik, Karla

doi:10.1016/s0161-6420(03)00455-x

Cited by 155 publications

(106 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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: 99%

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

et al. 2017

View full text Add to dashboard Cite

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...

show abstract

Section: Discussionmentioning

confidence: 99%

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

et al. 2017

View full text Add to dashboard Cite

show abstract

“…There are some articles dealing with patient satisfaction after ocular surgeries [1,12,17,19,29]. Most of them reported patient satisfaction with cataract surgery, corneal transplantation or corneal refractive surgery.…”

Section: Discussionmentioning

confidence: 99%

“…After cataract surgery, about 80% of patients were satisfied with the results and the satisfaction with vision was better after second-eye surgery than after first-eye surgery [17]. Approximately 75% of patients were satisfied after corneal transplantation [29] and more than 90% of patients were satisfied after corneal refractive surgeries such as photorefractive keratectomy (PRK) and laser in situ keratomileusis (LASIK) [1,19]. A few articles reported patient satisfaction after oculoplastic surgery [3,15].…”

Section: Discussionmentioning

confidence: 99%

“…Porous orbital implants and pegging were also considered to be determinants of patient satisfaction because they can decrease extrusion and migration of the orbital implant and provide increased mobility [7,23,24,27]. Besides postoperative ocular symptoms, other people's response, and personal variables such as age, sex, and economic status, were thought to be able to influence patient satisfaction as they did in other ocular surgeries [1,29]. Therefore, in the present study, we evaluated patient satisfaction with orbital implant surgery and determined which variables were related to their satisfaction in order to find out how to improve patient satisfaction.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A survey of satisfaction in anophthalmic patients wearing ocular prosthesis

Song

Baek

2005

Graefe's Arch Clin Exp Ophthalmo

View full text Add to dashboard Cite

show abstract

“…[8][9][10][11][12][13][14] Some dissonance has been found between high levels of satisfaction and the presence of visual disturbances, especially night vision symptoms with refractive surgery, as in one study, a third of patients experienced night vision symptoms yet almost all subjects responded that they would recommend laser in situ keratomileusis (LASIK) to a friend. 15 These seemingly contradictory trends point to the fact that other factors than visual performance have an important role in patient satisfaction after refractive surgery. Issues such as psychological factors and personality traits that may influence satisfaction and perceived QOL with LASIK should therefore be investigated.…”

Section: Introductionmentioning

confidence: 99%

Visual and non-visual factors associated with patient satisfaction and quality of life in LASIK

Jara

Erickson

Erickson³

et al. 2011

Eye

View full text Add to dashboard Cite

Purpose The aim of this study was to determine how laser in situ keratomileusis (LASIK) affects quality of life (QOL) and to identify factors that may affect satisfaction after LASIK. Methods A total of 104 patients with a mean age of 29±6, treated with LASIK for myopia and astigmatism, were enrolled in a prospective study. High (90%) and low (10%) contrast visual acuity (CVA) were measured under photopic and scotopic conditions before surgery and at 3 months later. A multidimensional QOL scale (Institute for Eye Research multidimensional QOL scale), which assesses psychological characteristics, personality traits, cosmesis, frequency, and tolerance to disturbing visual and ocular symptoms, and overall satisfaction with vision correction, was also used. Paired rank tests were used to compare preoperative and postoperative vision and QOL scores. Correlations and a multiple linear regression were used to describe the relationship between CVA, QOL, and satisfaction after LASIK. Results Significant postoperative changes included increased satisfaction following LASIK (Po0.001), reduced frequency of visual and ocular symptoms (Po0.001), and change in psychological characteristics (P ¼ 0.033). The change in satisfaction with LASIK can be predicted by a combination of preoperative satisfaction, postoperative frequency of disturbing visual and ocular symptoms, postoperative mean spherical equivalent, and postoperative scotopic high CVA (R 2 ¼ 0.725, Po0.05). Conclusions Satisfaction with LASIK is related to visual function, preoperative expectations, psychological characteristics, and uncorrected CVA achieved. An increased sense of subjective well-being, adaptability, and self-efficacy was evident after LASIK. Patients reported a more optimistic attitude to life and increase perceived QOL after surgery.

show abstract

Patient satisfaction and visual symptoms after laser in situ keratomileusis

Cited by 155 publications

References 19 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

A survey of satisfaction in anophthalmic patients wearing ocular prosthesis

Visual and non-visual factors associated with patient satisfaction and quality of life in LASIK

Contact Info

Product

Resources

About