Investigating target refraction advice provided to cataract surgery patients by UK optometrists and ophthalmologists.
Emily CharlesworthAlison J AldersonFiona FylanRichard A ArmstrongAman ChandraDavid B ElliottPublished in: Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) (2022)
Currently, some long-term myopes become dissatisfied after cataract surgery due to an emmetropic target refraction that leaves them unable to read without glasses as they did prior to surgery. Although experienced optometrists are aware of this and attempt to discuss this issue with patients, less experienced optometrists tend not to. This suggests that target refraction needs greater exposure in university training and continuing professional development. To provide patients with the knowledge to make informed decisions regarding their surgery, we suggest an agreed protocol within funded direct referral schemes of initial target refraction discussions by optometrists to introduce the idea of refractive outcomes and outline options, with further discussion with the ophthalmologist to clarify understanding.
Keyphrases
- cataract surgery
- end stage renal disease
- ejection fraction
- minimally invasive
- newly diagnosed
- chronic kidney disease
- peritoneal dialysis
- primary care
- prognostic factors
- coronary artery bypass
- metabolic syndrome
- adipose tissue
- patient reported
- percutaneous coronary intervention
- insulin resistance
- cross sectional
- acute coronary syndrome