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Chan WT, Wu D, Lim BXH, Du R, Jeyabal P, Ng XL, Nabhan TI, Lim DKA, Stapleton F, Lim CHL. Visual supplementation is an effective tool in cataract surgery counselling by eye-care practitioners. J Fr Ophtalmol 2024; 47:104175. [PMID: 38603893 DOI: 10.1016/j.jfo.2024.104175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 09/18/2023] [Accepted: 10/04/2023] [Indexed: 04/13/2024]
Abstract
BACKGROUND Informed consent constitutes an important aspect of eye care. However, patients often experience difficulties understanding and retaining information presented to them during consultations. This study investigates the efficacy of pictorial aids in supplementing preoperative counselling of patients undergoing cataract surgery. METHODS Patients attending routine pre-cataract surgery counselling were randomized to receive either a standard verbal consultation (control) or a verbal consultation with a digitalized pictorial aid illustrating key surgical steps (intervention). Patients were assessed after the consultation on their knowledge, satisfaction, anxiety and preparedness using an anonymous questionnaire. RESULTS Seventy-six patients were recruited and randomized into the control and intervention groups. The intervention group attained better Knowledge Scores (control: 5 [2-6] vs. intervention: 6 [6]), and more patients "strongly agreed" that they were more prepared (control: 78.9% vs. intervention: 97.4%, P=0.028). A higher proportion of patients in the control group either "disagreed" or "neither disagree nor agreed (neutral)" that they were less worried (control: 15.8% vs. intervention: 0.0%, Fisher's Exact Test P=0.025). Although the consultation duration was shorter in the intervention group (21±4mins vs. 27±6mins, P<0.001), the use of digital pictorial aids during consultation resulted in more effective counselling with increased patient knowledge, easier decision-making process and reduced patient anxiety. CONCLUSION Pictorial aids add to the repository of tools available to eye-care practitioners and are low-cost, easy to implement, and can effectively augment existing preoperative counselling processes to ensure accurate and effective preoperative counselling of patients.
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Affiliation(s)
- W T Chan
- Department of Ophthalmology, National University Hospital, NUHS Tower Block, Level 7, 119228 Singapore
| | - D Wu
- Department of Ophthalmology, National University Hospital, NUHS Tower Block, Level 7, 119228 Singapore
| | - B X H Lim
- Department of Ophthalmology, National University Hospital, NUHS Tower Block, Level 7, 119228 Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - R Du
- Biostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - P Jeyabal
- Department of Ophthalmology, National University Hospital, NUHS Tower Block, Level 7, 119228 Singapore
| | - X L Ng
- Department of Ophthalmology, National University Hospital, NUHS Tower Block, Level 7, 119228 Singapore
| | - T I Nabhan
- College of Optometry, University of Missouri-St. Louis, St. Louis, USA
| | - D K-A Lim
- Department of Ophthalmology, National University Hospital, NUHS Tower Block, Level 7, 119228 Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - F Stapleton
- School of Optometry and Vision Science, University of New South Wales, Sydney, Australia
| | - C H L Lim
- Department of Ophthalmology, National University Hospital, NUHS Tower Block, Level 7, 119228 Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore; School of Optometry and Vision Science, University of New South Wales, Sydney, Australia; Singapore Eye Research Institute, Singapore, Singapore.
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