Work Intensity of Postoperative Care Following Implantation of Presbyopia-Correcting versus Monofocal Intraocular Lenses
Robert K Maloney,1 John Doane,2 Robert Weinstock,3 Kendall E Donaldson4 On behalf of AECOS Postoperative Care Study Group1Maloney-Shamie Vision Institute, Los Angeles, CA, USA; 2Discover Vision Centers, Kansas City, MO, USA; 3The Eye Institute of West Florida, Saint Petersburg, FL, USA; 4Bascom Palm...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-07-01
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| Series: | Clinical Ophthalmology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/work-intensity-of-postoperative-care-following-implantation-of-presbyo-peer-reviewed-fulltext-article-OPTH |
| _version_ | 1797777565368188928 |
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| author | Maloney RK Doane J Weinstock R Donaldson KE |
| author_facet | Maloney RK Doane J Weinstock R Donaldson KE |
| author_sort | Maloney RK |
| collection | DOAJ |
| description | Robert K Maloney,1 John Doane,2 Robert Weinstock,3 Kendall E Donaldson4 On behalf of AECOS Postoperative Care Study Group1Maloney-Shamie Vision Institute, Los Angeles, CA, USA; 2Discover Vision Centers, Kansas City, MO, USA; 3The Eye Institute of West Florida, Saint Petersburg, FL, USA; 4Bascom Palmer Eye Institute, Plantation, FL, USACorrespondence: Robert K Maloney, Maloney-Shamie Vision Institute, 10921 Wilshire Blvd, Suite 900, Los Angeles, CA, 90024, USA, Tel +1 310-208-3937, Fax +1 310-208-8058, Email info@maloneyshamie.comPurpose: To compare the work intensity of postoperative care following implantation of presbyopia-correcting intraocular lenses (IOLs) to that of standard monofocal IOLs.Patients and Methods: This open-label, multicenter, comparative study retrospectively reviewed the case records of cataract surgery patients who underwent bilateral implantation of either presbyopia-correcting IOLs (presby-IOL group; N=177) or standard monofocal IOLs (monofocal group; N=177). Outcome measures included the total time the patient spent in the office, number of visits, mean duration of visits, and the number of procedures and diagnostic tests during the first postoperative year. Outcome measures were compared between the first 90 days and days 91– 365 after surgery.Results: Mean (±SD) time spent in the office during the first postoperative year was 5:50 ± 3:35 hours (H:MM) over 6.6 ± 2.9 visits in the presby-IOL group, compared to 3:38 ± 1:36 hours over 4.9 ± 1.6 visits in the monofocal IOL group (p < 0.001). During the first 90 days, a presby-IOL patient spent 40 minutes longer in the office than a monofocal IOL patient (3:39 ± 1:38 hours vs 2.59 ± 1:13 hours) (p < 0.001). During days 91– 365, time in the office was 1:32 hours longer (p < 0.001), and the mean visit duration was 8 minutes longer for the presby-IOL patients (p=0.002) than those with monofocal IOL. In addition, the presby-IOL patients underwent more procedures and diagnostic tests (p ≤ 0.001) as compared with standard monofocal cataract surgery patients.Conclusion: Patients implanted with presbyopia-correcting IOLs require significantly more clinic time, diagnostic testing, and procedures postoperatively as compared with standard monofocal cataract surgery patients.Keywords: AECOS, presbyopia-correcting IOLs, multifocal IOLs, cataract surgery, work intensity of postoperative care |
| first_indexed | 2024-03-12T23:05:45Z |
| format | Article |
| id | doaj.art-7e3725c51001499c92b85a5c288003db |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-03-12T23:05:45Z |
| publishDate | 2023-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-7e3725c51001499c92b85a5c288003db2023-07-18T18:55:21ZengDove Medical PressClinical Ophthalmology1177-54832023-07-01Volume 171993200185197Work Intensity of Postoperative Care Following Implantation of Presbyopia-Correcting versus Monofocal Intraocular LensesMaloney RKDoane JWeinstock RDonaldson KERobert K Maloney,1 John Doane,2 Robert Weinstock,3 Kendall E Donaldson4 On behalf of AECOS Postoperative Care Study Group1Maloney-Shamie Vision Institute, Los Angeles, CA, USA; 2Discover Vision Centers, Kansas City, MO, USA; 3The Eye Institute of West Florida, Saint Petersburg, FL, USA; 4Bascom Palmer Eye Institute, Plantation, FL, USACorrespondence: Robert K Maloney, Maloney-Shamie Vision Institute, 10921 Wilshire Blvd, Suite 900, Los Angeles, CA, 90024, USA, Tel +1 310-208-3937, Fax +1 310-208-8058, Email info@maloneyshamie.comPurpose: To compare the work intensity of postoperative care following implantation of presbyopia-correcting intraocular lenses (IOLs) to that of standard monofocal IOLs.Patients and Methods: This open-label, multicenter, comparative study retrospectively reviewed the case records of cataract surgery patients who underwent bilateral implantation of either presbyopia-correcting IOLs (presby-IOL group; N=177) or standard monofocal IOLs (monofocal group; N=177). Outcome measures included the total time the patient spent in the office, number of visits, mean duration of visits, and the number of procedures and diagnostic tests during the first postoperative year. Outcome measures were compared between the first 90 days and days 91– 365 after surgery.Results: Mean (±SD) time spent in the office during the first postoperative year was 5:50 ± 3:35 hours (H:MM) over 6.6 ± 2.9 visits in the presby-IOL group, compared to 3:38 ± 1:36 hours over 4.9 ± 1.6 visits in the monofocal IOL group (p < 0.001). During the first 90 days, a presby-IOL patient spent 40 minutes longer in the office than a monofocal IOL patient (3:39 ± 1:38 hours vs 2.59 ± 1:13 hours) (p < 0.001). During days 91– 365, time in the office was 1:32 hours longer (p < 0.001), and the mean visit duration was 8 minutes longer for the presby-IOL patients (p=0.002) than those with monofocal IOL. In addition, the presby-IOL patients underwent more procedures and diagnostic tests (p ≤ 0.001) as compared with standard monofocal cataract surgery patients.Conclusion: Patients implanted with presbyopia-correcting IOLs require significantly more clinic time, diagnostic testing, and procedures postoperatively as compared with standard monofocal cataract surgery patients.Keywords: AECOS, presbyopia-correcting IOLs, multifocal IOLs, cataract surgery, work intensity of postoperative carehttps://www.dovepress.com/work-intensity-of-postoperative-care-following-implantation-of-presbyo-peer-reviewed-fulltext-article-OPTHaecospresbyopia-correcting iolsmultifocal iolscataract surgerywork intensity of postoperative care. |
| spellingShingle | Maloney RK Doane J Weinstock R Donaldson KE Work Intensity of Postoperative Care Following Implantation of Presbyopia-Correcting versus Monofocal Intraocular Lenses Clinical Ophthalmology aecos presbyopia-correcting iols multifocal iols cataract surgery work intensity of postoperative care. |
| title | Work Intensity of Postoperative Care Following Implantation of Presbyopia-Correcting versus Monofocal Intraocular Lenses |
| title_full | Work Intensity of Postoperative Care Following Implantation of Presbyopia-Correcting versus Monofocal Intraocular Lenses |
| title_fullStr | Work Intensity of Postoperative Care Following Implantation of Presbyopia-Correcting versus Monofocal Intraocular Lenses |
| title_full_unstemmed | Work Intensity of Postoperative Care Following Implantation of Presbyopia-Correcting versus Monofocal Intraocular Lenses |
| title_short | Work Intensity of Postoperative Care Following Implantation of Presbyopia-Correcting versus Monofocal Intraocular Lenses |
| title_sort | work intensity of postoperative care following implantation of presbyopia correcting versus monofocal intraocular lenses |
| topic | aecos presbyopia-correcting iols multifocal iols cataract surgery work intensity of postoperative care. |
| url | https://www.dovepress.com/work-intensity-of-postoperative-care-following-implantation-of-presbyo-peer-reviewed-fulltext-article-OPTH |
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