Purpose

In bilaterally pseudophakic patients who received immediate or delayed sequential bilateral cataract surgery (ISBCS or DSBCS), we sought to determine patient experience, particularly related to the loss of opportunity to modify the surgical plan for the second eye.

Design

Cross-sectional.

Methods

Patients who received ISBCS (n = 1818) and DSBCS (n = 1818) in the Kaiser Permanente Northern California system between 2017 and 2019 who actively used the electronic patient portal were randomly selected and sent a survey link. The survey inquired about reasons for choosing ISBCS or DSBCS, concerns about surgery, and whether the loss of opportunity to modify the surgical plan for the second eye affected the patient's decision to undergo ISBCS.

Results

Participation was 18% among patients who received ISBCS and 17% among patients who received DSBCS. Of the patients who received ISBCS, 96% would choose ISBCS again while 80% of patients who received DSBCS would choose DSBCS again (P < .0001). Convenience was the leading reason patients chose ISBCS (65%), whereas surgeon recommendation was the primary reason patients chose DSBCS (68%). Sixteen percent of patients who received ISBCS and 38% of patients who received DSCBS reported that the possibility of modifying the surgical plan to reduce the need for corrective lenses in the second eye was an important consideration (P < .0001).

Conclusions

Compared with patient who chose DSBCS, patients who chose ISBCS were more likely to choose ISBCS again and to recommend ISBCS to a family member or friend. The option to modify the surgical plan for the second eye to reduce need for glasses or contact lenses was not an important consideration for most of either group.

中文翻译：

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立即序贯和延迟序贯双侧白内障手术的患者体验和满意度

目的

在接受立即或延迟连续双侧白内障手术（ISBCS 或 DSBCS）的双侧假晶状体患者中，我们试图确定患者的经验，特别是与失去修改第二只眼手术计划的机会有关的经验。

设计

横截面。

方法

随机选择 2017 年至 2019 年间在北加州 Kaiser Permanente 系统中接受 ISBCS（n = 1818）和 DSBCS（n = 1818）且积极使用患者电子门户的患者，并发送调查链接。该调查询问了选择 ISBCS 或 DSBCS 的原因、对手术的担忧，以及失去修改第二只眼手术计划的机会是否影响患者接受 ISBCS 的决定。

结果

接受 ISBCS 的患者的参与率为 18%，接受 DSBCS 的患者的参与率为 17%。在接受 ISBCS 的患者中，96% 的患者会再次选择 ISBCS，而接受 DSBCS 的患者中有 80% 的患者会再次选择 DSBCS（P < .0001）。方便是患者选择 ISBCS (65%) 的主要原因，而外科医生推荐是患者选择 DSBCS (68%) 的主要原因。16% 的 ISBCS 患者和 38% 的 DSCBS 患者报告说，修改手术计划以减少第二只眼矫正镜片需求的可能性是一个重要的考虑因素 ( P < .0001)。

结论

与选择DSBCS的患者相比，选择ISBCS的患者更有可能再次选择ISBCS并向家人或朋友推荐ISBCS。修改第二只眼睛的手术计划以减少对眼镜或隐形眼镜的需求的选项对于任何一组中的大多数人来说都不是重要的考虑因素。