A survey exploring ophthalmologists' attitudes and beliefs in performing immediate sequential bilateral cataract surgery in Singapore

IF 4.9 2区医学 Q1 OPHTHALMOLOGY Clinical and Experimental Ophthalmology Pub Date : 2024-08-01 DOI:10.1111/ceo.14431

Wen Wei Victoria Ng MBBS, Shwetha Thiyagarajan, Clement Tan FRCOphth, David Ziyou Chen FRCOphth

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Abstract

Background

To evaluate current practice patterns of Immediate Sequential Bilateral Cataract Surgery (ISBCS) by ophthalmologists in Singapore and assess their attitudes towards performing ISBCS in future cataract care.

Methods

An anonymised electronic survey, modified to local context from a similar study conducted in the United Kingdom, was distributed to members of the College of Ophthalmologists, Academy of Medicine, Singapore, from 20 June to 1 September 2023. An initial screening question on prior experience with ISBCS directed the rest of the survey. Questions explored ophthalmologists' current ISBCS practice patterns and the importance of factors affecting their willingness to perform ISBCS. Results were descriptively analysed.

Results

Results collated 2 months upon survey dissemination saw a total of 58 respondents from 235 eligible members (24.7% response rate). Of these, 16 (27.6%) were currently performing ISBCS, 37 (63.8%) had never performed, and 5 (8.6%) had stopped performing. In considering ISBCS, patient convenience (n = 11, 68.8%) and reduced hospital visits (n = 8, 50.0%) were the most important factors nominated. The most important barriers to performing ISBCS were medico-legal issues (n = 31, 83.8%) and risk of endophthalmitis (n = 27, 73.0%), followed by perceived lack of evidence for its effectiveness (n = 19, 51.4%).

Conclusion

This is one of the first studies evaluating ophthalmologists' sentiments towards performing ISBCS in an Asian country. It highlights some of the most pertinent barriers and concerns that ophthalmologists face in performing and offering ISBCS. This study provides a better understanding of the potential role and prospects of ISBCS in future cataract care in Singapore.

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新加坡眼科医生对立即进行双侧顺序白内障手术的态度和信念调查。

背景：目的：评估新加坡眼科医生目前实施即刻连续双侧白内障手术（ISBCS）的模式，并评估他们对在未来白内障护理中实施即刻连续双侧白内障手术的态度：从 2023 年 6 月 20 日至 9 月 1 日，我们向新加坡医学院眼科医师学院的成员发放了一份匿名电子调查表，该调查表根据在英国进行的一项类似研究的本地情况进行了修改。最初的筛选问题是关于以前使用 ISBCS 的经验，它引导了调查的其他部分。调查问题涉及眼科医生目前的 ISBCS 实践模式以及影响他们实施 ISBCS 意愿的重要因素。调查结果进行了描述性分析：在调查发布 2 个月后，对结果进行了整理，共有 235 名符合条件的会员中的 58 人做出了回复（回复率为 24.7%）。其中，16 人（27.6%）目前正在实施 ISBCS，37 人（63.8%）从未实施过，5 人（8.6%）已停止实施。在考虑 ISBCS 时，患者方便（11 人，68.8%）和减少医院就诊（8 人，50.0%）是最重要的提名因素。开展 ISBCS 的最主要障碍是医疗法律问题（31 人，83.8%）和眼内炎风险（27 人，73.0%），其次是缺乏有效证据（19 人，51.4%）：这是首次评估亚洲国家眼科医生对实施 ISBCS 的看法的研究之一。它强调了眼科医生在实施和提供 ISBCS 时所面临的一些最相关的障碍和顾虑。这项研究让人们更好地了解了 ISBCS 在新加坡未来白内障治疗中的潜在作用和前景。

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来源期刊

Clinical and Experimental Ophthalmology 医学-眼科学

CiteScore

7.60

自引率

12.50%

发文量

150

审稿时长

4-8 weeks

期刊介绍： Clinical & Experimental Ophthalmology is the official journal of The Royal Australian and New Zealand College of Ophthalmologists. The journal publishes peer-reviewed original research and reviews dealing with all aspects of clinical practice and research which are international in scope and application. CEO recognises the importance of collaborative research and welcomes papers that have a direct influence on ophthalmic practice but are not unique to ophthalmology.