Resident-performed immediate sequential bilateral cataract surgery during the COVID-19 pandemic
Purpose: To assess visual outcomes and patient satisfaction for senior resident-performed immediate sequential bilateral cataract surgery (ISBCS) versus delayed sequential bilateral cataract surgery (DSBCS) during the COVID-19 pandemic, when minimizing healthcare-related exposures for patients and p...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=6;spage=1579;epage=1584;aulast=Chen |
| _version_ | 1818742018236481536 |
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| author | Tiffany A Chen Stephanie P Chen Tessnim R Ahmad Neel D Pasricha Neeti Parikh Saras Ramanathan |
| author_facet | Tiffany A Chen Stephanie P Chen Tessnim R Ahmad Neel D Pasricha Neeti Parikh Saras Ramanathan |
| author_sort | Tiffany A Chen |
| collection | DOAJ |
| description | Purpose: To assess visual outcomes and patient satisfaction for senior resident-performed immediate sequential bilateral cataract surgery (ISBCS) versus delayed sequential bilateral cataract surgery (DSBCS) during the COVID-19 pandemic, when minimizing healthcare-related exposures for patients and providers are paramount. Methods: This was a pilot retrospective cohort study of all ISBCS and DSBCS patients who underwent senior resident-performed cataract surgery from May to September 2020 at a single academic institution. Outcome measures were final corrected distance visual acuity (CDVA), final manifest refraction (MRx), intraoperative and postoperative complications rates, total number of visits, and patient satisfaction assessed postoperatively by telephone questionnaire. Results: Twenty-two eyes of 14 patients and 56 eyes of 28 patients underwent senior resident-performed ISBCS and DSBCS, respectively. Final CDVA was 20/25 or better in 21 (95%) ISBCS and 51 (91%) DSBCS eyes (P = 0.670). Deviation of final MRx from target refraction was within 0.50 D in 17 (77%) ISBCS and 47 (84%) DSBCS eyes (P = 0.522). There was no significant difference in intraoperative (P = 1.000) or postoperative (P = 1.000) complications. ISBCS patients averaged 3.5 fewer visits than DSBCS patients (5.9 vs 9.5, P < 0.001). All ISBCS and 20 DSBCS patients (87%) reported they were “very satisfied” or “satisfied” with their experience (P = 0.701). Five of six senior residents responded that they preferred performing ISBCS over DSBCS. Conclusion: This early experience suggests that senior resident-performed ISBCS is as safe and effective as DSBCS, with the added benefit of averaging fewer in-person visits. Residency programs should consider offering senior resident-performed ISBCS to select patients during the COVID-19 pandemic. |
| first_indexed | 2024-12-18T02:05:50Z |
| format | Article |
| id | doaj.art-82118a42dd9743ad8078f19f958f1dc6 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-18T02:05:50Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-82118a42dd9743ad8078f19f958f1dc62022-12-21T21:24:36ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892021-01-016961579158410.4103/ijo.IJO_226_21Resident-performed immediate sequential bilateral cataract surgery during the COVID-19 pandemicTiffany A ChenStephanie P ChenTessnim R AhmadNeel D PasrichaNeeti ParikhSaras RamanathanPurpose: To assess visual outcomes and patient satisfaction for senior resident-performed immediate sequential bilateral cataract surgery (ISBCS) versus delayed sequential bilateral cataract surgery (DSBCS) during the COVID-19 pandemic, when minimizing healthcare-related exposures for patients and providers are paramount. Methods: This was a pilot retrospective cohort study of all ISBCS and DSBCS patients who underwent senior resident-performed cataract surgery from May to September 2020 at a single academic institution. Outcome measures were final corrected distance visual acuity (CDVA), final manifest refraction (MRx), intraoperative and postoperative complications rates, total number of visits, and patient satisfaction assessed postoperatively by telephone questionnaire. Results: Twenty-two eyes of 14 patients and 56 eyes of 28 patients underwent senior resident-performed ISBCS and DSBCS, respectively. Final CDVA was 20/25 or better in 21 (95%) ISBCS and 51 (91%) DSBCS eyes (P = 0.670). Deviation of final MRx from target refraction was within 0.50 D in 17 (77%) ISBCS and 47 (84%) DSBCS eyes (P = 0.522). There was no significant difference in intraoperative (P = 1.000) or postoperative (P = 1.000) complications. ISBCS patients averaged 3.5 fewer visits than DSBCS patients (5.9 vs 9.5, P < 0.001). All ISBCS and 20 DSBCS patients (87%) reported they were “very satisfied” or “satisfied” with their experience (P = 0.701). Five of six senior residents responded that they preferred performing ISBCS over DSBCS. Conclusion: This early experience suggests that senior resident-performed ISBCS is as safe and effective as DSBCS, with the added benefit of averaging fewer in-person visits. Residency programs should consider offering senior resident-performed ISBCS to select patients during the COVID-19 pandemic.http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=6;spage=1579;epage=1584;aulast=Chencovid-19 pandemicimmediate-sequential bilateral cataract surgeryresident-performed bilateral cataract surgeryresident surgical education |
| spellingShingle | Tiffany A Chen Stephanie P Chen Tessnim R Ahmad Neel D Pasricha Neeti Parikh Saras Ramanathan Resident-performed immediate sequential bilateral cataract surgery during the COVID-19 pandemic Indian Journal of Ophthalmology covid-19 pandemic immediate-sequential bilateral cataract surgery resident-performed bilateral cataract surgery resident surgical education |
| title | Resident-performed immediate sequential bilateral cataract surgery during the COVID-19 pandemic |
| title_full | Resident-performed immediate sequential bilateral cataract surgery during the COVID-19 pandemic |
| title_fullStr | Resident-performed immediate sequential bilateral cataract surgery during the COVID-19 pandemic |
| title_full_unstemmed | Resident-performed immediate sequential bilateral cataract surgery during the COVID-19 pandemic |
| title_short | Resident-performed immediate sequential bilateral cataract surgery during the COVID-19 pandemic |
| title_sort | resident performed immediate sequential bilateral cataract surgery during the covid 19 pandemic |
| topic | covid-19 pandemic immediate-sequential bilateral cataract surgery resident-performed bilateral cataract surgery resident surgical education |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2021;volume=69;issue=6;spage=1579;epage=1584;aulast=Chen |
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