Postoperative Management of Cataract Surgery Patients by Ophthalmologists and Optometrists

Bass, Eric B.; Sharkey, Phoebe D.; Luthra, Rajiv; Schein, Oliver D.; Javitt, Jonathan C.; Tielsch, James M.; Steinberg, Earl P.

doi:10.1001/archopht.1996.01100140323012

Cited by 10 publications

(7 citation statements)

References 6 publications

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“…como finalidad la evaluación de la técnica quirúrgica por parte el cirujano, tranquilizar y valorar a los pacientes cuya visión no mejora -por razones históricas muchos pacientes esperan ser vistos por el cirujano-, educar al paciente en cuidados y tratamiento, y lo más importante, detectar las complicaciones postquirúrgicas [2][3][4][5][6][7] , porque aunque las complicaciones importantes de la cirugía de cataratas son raras, pueden afectar a la visión del paciente de manera importante 6 .…”

Section: Resultsunclassified

Concordancia oftalmólogo-enfermera en la primera exploración post-quirúrgica de la cirugía de cataratas

Soto‐Ruiz

Silvestre

Andonegui

2008

Anales Sis San Navarra

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RESUMENIntroducción. La actividad de enfermería en el proceso quirúrgico de la catarata engloba, desde la realización de la biometría en el preoperatorio y la colaboración en la cirugía, hasta la administración de los primeros cuidados en el postoperatorio y la información al paciente y a la familia durante todo el proceso. El objetivo del presente trabajo es analizar la concordancia entre oftalmólogo y enfermera en los hallazgos de la primera exploración postquirúrgica de los pacientes intervenidos de cataratas mediante facoemulsificación y sin complicaciones en la cirugía.Metodología. El estudio se realizó entre mayo y junio de 2005 en 129 pacientes intervenidos de cataratas, 78 mujeres y 51 hombres con edad media de 73,1 años. Se definieron las variables a valorar en la primera exploración postquirúrgica y se estudió la concordancia entre oftalmólogos y enfermeras en la identificación de las complicaciones más frecuentes de la cirugía de cataratas.Resultados. La concordancia fue del 100% de los casos en la presión intraocular >22 mm de Hg, la irregularidad pupilar, la reacción inflamatoria de cámara anterior y el prolapso de iris; del 65,9% en la presencia de Seidel, y del 60,5% en el edema corneal severo.Conclusiones. El alto índice de concordancia médico-enfermera encontrado en 4 de las variables, puede ofrecer la posibilidad de que la enfermera realice esta primera exploración postquirúrgica. Sin embargo, una concordancia moderada en el resto hace necesario un mayor periodo de formación del personal de enfermería, para conseguir aumentar estos valores.Palabras clave. Enfermería. Cirugía de cataratas. Complicaciones del postoperatorio. ABSTRACTIntroduction. Nursing activity in the cataract extraction process extends from carrying out biometry in the preoperative stage and collaboration in surgery, to providing the initial care in the postoperative stage and keeping the patient and family informed throughout the whole process. This article analyses agreement between ophthalmologists and nurses in the findings of the first post-surgical exploration of patients of cataract extraction using facoemulsification and without complications in surgery.

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Section: Resultsunclassified

Concordancia oftalmólogo-enfermera en la primera exploración post-quirúrgica de la cirugía de cataratas

Soto‐Ruiz

Silvestre

Andonegui

2008

Anales Sis San Navarra

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“…Shared care models for the cataract surgical pathway have been in existence for some time but there is a surprising lack of information on these schemes available in the literature . A variety of different shared care models with community optometrists have been reported for both cataract referral pathways and discharge pathways . The expertise offered by community optometrists can assist hospital eye services (HES) to reduce the clinical burden related to routine preoperative and postoperative cataract surgery care …”

Section: Introductionmentioning

confidence: 99%

“…The expertise of community optometrists has also been used to provide postoperative care following routine cataract surgery . It has been found to be safe and beneficial to patients in terms of reduced hospital visits and follow up closer to home .…”

Section: Introductionmentioning

confidence: 99%

“…The expertise of community optometrists has also been used to provide postoperative care following routine cataract surgery. [9][10][11][12][13][14][15][16] It has been found to be safe and beneficial to patients in terms of reduced hospital visits and follow up closer to home. [13][14][15][16] The rate of postoperative feedback returns from community optometrists have been reported as high as 77% and 97%.…”

Section: Introductionmentioning

confidence: 99%

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Quality indicators in a community optometrist led cataract shared care scheme

Bowes

Shah

Rana

et al. 2018

Ophthalmic Physiologic Optic

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Direct cataract referrals from accredited community optometrists led to a majority of patients receiving a definitive clinical decision during first consultation. Postoperative community follow up reduced hospital visits and allowed for convenient consultation closer to home following uncomplicated cataract surgery. A service-level agreement with an accreditation scheme measured against KPIs enhances the accountability of stakeholders involved in the cataract shared care scheme.

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“…However, there is evidence regarding safety of same day discharge of cataract surgery patients, but this requires careful planning of patient pathway and effective liaison with community optometrists 9 11 13. Previous reports on optometrist-led follow-up schemes were either conducted in countries with markedly different healthcare systems, such as the USA,8 14 15 or else focused on parameters such as patient satisfaction 11…”

Section: Introductionmentioning

confidence: 99%

Cambridgeshire cataract shared care model: community optometrist-delivered postoperative discharge scheme

et al. 2014

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Postoperative Management of Cataract Surgery Patients by Ophthalmologists and Optometrists

Cited by 10 publications

References 6 publications

Concordancia oftalmólogo-enfermera en la primera exploración post-quirúrgica de la cirugía de cataratas

Concordancia oftalmólogo-enfermera en la primera exploración post-quirúrgica de la cirugía de cataratas

Quality indicators in a community optometrist led cataract shared care scheme

Cambridgeshire cataract shared care model: community optometrist-delivered postoperative discharge scheme

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