Abstract
Background
Studies published from hospitals in other countries have reported rates of between 69 and 90% of cataract referrals being listed for surgery (1-3). This potentially represents unnecessary outpatient appointments, time off work and transport costs for patients and carers (2).
Aims
Our first primary endpoint was to assess the number of cataract referrals listed for surgery. Our second primary endpoint was to assess the number of cataract referrals which included the following: (i) that visual loss from the cataract resulted in a detrimental effect on the patient’s lifestyle, (ii) that the patient was willing to have surgery and (iii) that the patient was symptomatic from their cataract.
Methods
This project followed the Declaration of Helsinki. This was a retrospective study.
Results
Between February 2021 and February 2022, 198 patients were seen in Mr. PM’s cataract clinic. Overall, 129 patients (67.5%) were listed for cataract surgery. Forty-seven referrals (23.7%) reported that the cataract was having a detrimental effect on the patient’s life and these patients were more likely to be listed for surgery (93.6% vs. 59.2%, p = 0.00). Twenty-five referrals (12.6%) reported that the patient was willing to undergo surgery and these patients were more likely to be listed for surgery (88% vs. 64.8%, p = 0.02). A total of 130 referrals (65.7%) reported that the patient was symptomatic from their cataract and these patients were more likely to be listed for surgery (81.5% vs. 38.3%, p = 0.00).
Conclusions
It is possible that an appropriately focussed referral form will aid in triaging cataract referrals and potentially reduce unnecessary appointments.
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References
Health and Social Care Board (2015) Refined cataract referral pathway. https://hscbusiness.hscni.net/pdf/Refined%20Cataract%20referral_Optometric%20Guidance%20Notes_August%202015_v2.pdf. Accessed 5 Mar 2022
Healthcare Pricing Office (2019) Activity in acute public hospitals in Ireland. https://www.hpo.ie/latest_hipe_nprs_reports/HIPE_2018/HIPE_Report_2018.pdf. Accessed 5 Mar 2022
CSO - Central Statistics Office (2016) Population Projections Results. https://www.cso.ie/en/releasesandpublications/ep/p-plfp/populationandlabourforceprojections2017-2051/populationprojectionsresults/. Accessed 5 Mar 2022
Lash SC, Prendiville C (2005) Referrals for cataract and action on cataracts, evidence-based guidelines. Br J Gen Pract 55:965–966
Park JC, Ross AH, Tole DM et al (2009) Evaluation of a new cataract surgery referral pathway. Eye (Lond) 23:309–313. https://doi.org/10.1038/sj.eye.6703075. Accessed 5 Mar 2022
Lundstrom M, Goh PP, Henry Y et al (2015) The changing pattern of cataract surgery indications: a 5-year study of 2 cataract surgery databases. Ophthalmology 122:31–38. https://doi.org/10.1016/j.ophtha.2014.07.047
Wielders LHP, Schouten J, Winkens B et al (2018) Randomized controlled European multicenter trial on the prevention of cystoid macular edema after cataract surgery in diabetics: ESCRS PREMED Study Report 2. J Cataract Refract Surg 44:836–847. https://doi.org/10.1016/j.jcrs.2018.05.015
Wielders LHP, Schouten J, Winkens B et al (2018) European multicenter trial of the prevention of cystoid macular edema after cataract surgery in nondiabetics: ESCRS PREMED study report 1. J Cataract Refract Surg 44:429–439. https://doi.org/10.1016/j.jcrs.2018.01.029
Jones N (2020) Cataract surgery is declined despite severe vision loss, new study finds - and where you live determines your chance of getting life-changing operation. New Zealand Herald. https://www.nzherald.co.nz/nz/cataract-surgery-is-declined-despite-severe-vision-loss-new-study-finds-and-where-you-live-determines-your-chance-of-getting-life-changing-operation/EV4LCG2UGFPCCBVMZGWMBXAUPU/. Accessed 23 Mar 2022
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Canning, P., Neary, S. & Mullaney, P. Analysis of cataract referrals from community optometrists and general practitioners and subsequent clinic visit outcomes in a university hospital in the west of Ireland. Ir J Med Sci 192, 1987–1991 (2023). https://doi.org/10.1007/s11845-022-03175-8
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DOI: https://doi.org/10.1007/s11845-022-03175-8