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dc.contributor.authorWebber, Kathryn J.
dc.contributor.authorFylan, F.
dc.contributor.authorWood, J.M.
dc.contributor.authorElliott, David B.
dc.date.accessioned2020-12-21T14:12:50Z
dc.date.accessioned2021-01-06T15:29:01Z
dc.date.available2020-12-21T14:12:50Z
dc.date.available2021-01-06T15:29:01Z
dc.date.issued2020-09
dc.identifier.citationWebber KJ, Fylan F, Wood JM et al (2020) Experiences following cataract surgery – patient perspectives. Ophthalmic and Physiological Optics. 40(5): 540-548.en_US
dc.identifier.urihttp://hdl.handle.net/10454/18282
dc.descriptionYesen_US
dc.description.abstractPurpose: Most patients report being highly satisfied with the outcome of cataract surgery but there are variable reports regarding the impact of cataract surgery on some real-world activities, such as fall rates. We hypothesised that adaptations to changed refractive correction and visual function may cause difficulties in undertaking everyday activities for some patients and used a series of focus groups to explore this issue. Method: Qualitative methods were used to explore patients’ experiences of their vision following cataract surgery, including adaptation to vision changes and their post-surgical spectacle prescription. Twenty-six participants took part in five focus groups (Mean age = 68.2 ± 11.4 years), and the data were analysed using thematic analysis. Results: We identified three themes. ‘Changes to Vision’ explores participants’ adaptation following cataract surgery. While several had problems with tasks relying on binocular vision, few found them bothersome and they resolved following second eye surgery. Participants described a trial and error approach to solving these problems rather than applying solutions suggested by their eyecare professionals. ‘Prescription Restrictions’ describes the long-term vision problems that pre-surgery myopic patients experienced as a consequence of becoming emmetropic following surgery and thus needing spectacles for reading and other close work activities, which they did not need before surgery. Very few reported that they had the information or time to make a decision regarding their post-operative correction. ‘Information Needs’ describes participant’s responses to the post-surgical information they were given, and the unmet information need regarding when they can drive following surgery. Conclusion: The findings highlight the need for clinicians to provide information on adaptation effects, assist patients to select the refractive outcome that best suits their lifestyle, and provide clear advice about when patients can start driving again. Patients need to be provided with better guidance from clinicians and prescribing guidelines for clinicians would be beneficial, particularly for the period between first- and second-eye surgery.en_US
dc.description.sponsorshipDunhill Medical Trust. Grant Number: RTF1806/53.en_US
dc.language.isoenen_US
dc.relation.isreferencedbyhttps://doi.org/10.1111/opo.12709en_US
dc.rights© 2020 The Authors. Ophthalmic and Physiological Optics published by John Wiley & Sons Ltd on behalf of College of Optometrists Ophthalmic & Physiological Optics This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.en_US
dc.subjectCommunicationen_US
dc.subjectHealth decision makingen_US
dc.subjectQuality of lifeen_US
dc.subjectSpectacle adaptationen_US
dc.titleExperiences following cataract surgery – patient perspectivesen_US
dc.status.refereedYesen_US
dc.date.Accepted2020-05-19
dc.date.application2020-07-11
dc.typeArticleen_US
dc.type.versionPublished versionen_US
dc.date.updated2020-12-21T14:12:58Z
refterms.dateFOA2021-01-06T15:29:36Z


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