Resource management of cataract patients: can visual rehabilitation be achieved in three visits?
OBJECTIVE
To assess the feasibility and acceptability of reduced postoperative follow-up after phacoemulsification using a scleral tunnel technique.


METHODS
Cataract service of a large free-standing eye hospital in a capital city.


METHODS
In this pilot study, patients with age-related cataract requiring surgery were prospectively recruited to a standardized management protocol, the three-episode model, with assessment by an independent observer. Main outcome measures were number of postoperative visits, patient satisfaction, and refractive error at 2 and 6 weeks postoperatively.


RESULTS
Almost 90% of patients could be managed within this model of care. Patient satisfaction was high; no patient requested further hospital visits. Mean change in refractive error between 2 and 6 weeks was 0.34 diopters (D), with a modal value of 0 D. Patients were able to obtain spectacles 2 weeks postoperatively because little change in refraction occurs over the next month.


CONCLUSIONS
The three-episode model for the management of patients with cataract could result in significant financial savings. Such savings could be used to treat patients with cataract who otherwise would not have treatment or would have their surgery delayed.
Ionides
A
A
North East London Eye Partnership, Department of Ophthalmology, Harold Woods Hospital, Romford, Essex, England.
Claoué
C
C
D017050:Episode of Care; D005139:Eyeglasses; D005240:Feasibility Studies; D006295:Health Resources / Q000191:economics; D006801:Humans; D017060:Patient Satisfaction; D018918:Phacoemulsification / Q000191:economics; D010865:Pilot Projects; D011182:Postoperative Care / Q000706:statistics & numerical data; D011446:Prospective Studies; D012030:Refractive Errors / Q000503:physiopathology; D012590:Sclera / Q000601:surgery; D013536:Suture Techniques; D014786:Vision Disorders / Q000534:rehabilitation*